Electronics in Healthcare: Adaptation and Challenges of Digital Records in Somali Hospitals

International Journal of Electronics and Communication Engineering

© 2024 by SSRG - IJECE Journal

Volume 11 Issue 9

Year of Publication : 2024

Authors : Mohamed Abdirahman Elmi, Abdirahman Osman Hashi, Ubaid Mohamed Dahir, Abdullahi Ahmed Abdirahman, Octavio Ernest Romo Rodriguez

10.14445/23488549/IJECE-V11I9P101

How to Cite?

Mohamed Abdirahman Elmi, Abdirahman Osman Hashi, Ubaid Mohamed Dahir, Abdullahi Ahmed Abdirahman, Octavio Ernest Romo Rodriguez, "Electronics in Healthcare: Adaptation and Challenges of Digital Records in Somali Hospitals," SSRG International Journal of Electronics and Communication Engineering, vol. 11,  no. 9, pp. 1-10, 2024. Crossref, https://doi.org/10.14445/23488549/IJECE-V11I9P101

Abstract:

This study investigates the utilization and practice of Electronic Health Records (EHR) in Somali hospitals through a national survey. Employing a cross-sectional survey design, the research captures a snapshot of EHR adoption across various healthcare institutions, both public and private, in different regions of Somalia. The sample includes 35 hospitals, representing a diverse mix of general hospitals, specialized hospitals, and clinics. Data collection was conducted using self-administered questionnaires and semi-structured interviews, providing both quantitative and qualitative insights into EHR usage. The study reveals that 63% of the hospitals have adopted EHR systems, with significant benefits observed, such as improved accuracy of patient records, enhanced efficiency in clinical workflows, and better coordination of care. However, challenges such as technical issues, financial constraints, and a lack of technical expertise were also identified as major barriers to effective EHR implementation. The findings underscore the critical need for targeted interventions to support hospitals in overcoming these barriers and fully realizing the potential benefits of EHR systems. The study concludes that while there is a growing recognition of the importance of EHRs in improving healthcare delivery in Somalia, substantial efforts are needed to address the existing challenges.

Keywords:

Electronic health records, HER adaptation, Healthcare technologies, Digital health systems.

References:

[1] Hemant B. Mahajan, “Emergence of Healthcare 4.0 and Blockchain into Secure Cloud-Based Electronic Health Records Systems: Solutions, Challenges, and Future Roadmap,” Wireless Personal Communications, vol. 126, no. 3, pp. 2425-2446, 2022.
[CrossRef] [Google Scholar] [Publisher Link]
[2] Elsa Negro-Calduch et al., “Technological Progress in Electronic Health Record System Optimization: Systematic Review of Systematic Literature Reviews,” International Journal of Medical Informatics, vol. 152, pp. 1-8, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[3] Maria Papaioannou et al., “A Prototype of the National EHR System for Cyprus,” 2021 43rd Annual International Conference of the IEEE Engineering in Medicine & Biology Society, Mexico, pp. 2159-2162, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[4] Benjamin Michael Bloom et al., “Usability of Electronic Health Record Systems in UK EDs,” Emergency Medicine Journal, vol. 38, no. 6, pp. 410-415, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[5] MD Rasel et al., “Ensuring Data Security in Interoperable EHR Systems: Exploring Blockchain Solutions for Healthcare Integration,” International Journal of Advanced Engineering Technologies and Innovations, vol. 1, no. 1, pp. 212-232, 2023.
[Google Scholar] [Publisher Link]
[6] Rodrigo Tertulino, Nuno Antunes, and Higor Morais, “Privacy in Electronic Health Records: A Systematic Mapping Study,” Journal of Public Health, vol. 32, pp. 435-454, 2024.
[CrossRef] [Google Scholar] [Publisher Link]
[7] Hemant B. Mahajan et al., “RETRACTED ARTICLE: Integration of Healthcare 4.0 and Blockchain into Secure Cloud-Based Electronic Health Records Systems,” Applied Nanoscience, vol. 13, no. 3, pp. 2329-2342, 2023.
[CrossRef] [Google Scholar] [Publisher Link]
[8] “Somalia Health Profile 2015,” World Health Organization, Regional Office for the Eastern Mediterranean, no. WHO-EM/HST/221/E, 2017.  
[Google Scholar] [Publisher Link]
[9] Raghavendra Ganiga et al., “Security Framework for Cloud Based Electronic Health Record (EHR) System,” International Journal of Electrical and Computer Engineering, vol. 10, no. 1, pp. 455-466, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[10] Manohara M.M. Pai et al., “Standard Electronic Health Record (EHR) Framework for Indian Healthcare System,” Health Services and Outcomes Research Methodology, vol. 21, no. 3, pp. 339-362, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[11] Sudeep Tanwar, Karan Parekh, and Richard Evans, “Blockchain-Based Electronic Healthcare Record System for Healthcare 4.0 Applications,” Journal of Information Security and Applications, vol. 50, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[12] Emanuele Frontoni et al., “A Decision Support System for Diabetes Chronic Care Models Based on General Practitioner Engagement and EHR Data Sharing,” IEEE Journal of Translational Engineering in Health and Medicine, vol. 8, pp. 1-12, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[13] David C. Classen et al., “National Trends in the Safety Performance of Electronic Health Record Systems From 2009 to 2018,” JAMA Network Open, vol. 3, no. 5, pp. 1-10, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[14] Jim Atherton, “Development of the Electronic Health Record,” American Medical Association Journal of Ethics, vol. 13, no. 3, pp. 186-189, 2011.
[Google Scholar] [Publisher Link]
[15] Partha Pratim Ray et al., “Blockchain for IoT-Based Healthcare: Background, Consensus, Platforms, and Use Cases,” IEEE Systems Journal, vol. 15, no. 1, pp. 85-94, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[16] Ali A. Warsame, “Somalia’s Healthcare System: A Baseline Study & Human Capital Development Strategy,” Heritage Institute for Policy Studies and City University of Mogadishu, pp. 1-77, 2020.  
[Google Scholar] [Publisher Link]
[17] Michael J. Howley et al., “The Long-Term Financial Impact of Electronic Health Record Implementation,” Journal of the American Medical Informatics Association, vol. 22, no. 2, pp. 443-452, 2015.
[CrossRef] [Google Scholar] [Publisher Link]
[18] Jahanzaib Latif et al., “Implementation and Use of Disease Diagnosis Systems for Electronic Medical Records Based on Machine Learning: A Complete Review,” IEEE Access, vol. 8, pp. 150489-150513, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[19] Misganaw Tadesse Woldemariam, and Worku Jimma, “Adoption of Electronic Health Record Systems to Enhance the Quality of Healthcare in Low-Income Countries: A Systematic Review,” BMJ Health & Care Informatics, vol. 30, no. 1, pp. 1-9, 2023.
[CrossRef] [Google Scholar] [Publisher Link]
[20] Martin Chieng Were et al., “mUzima Mobile Electronic Health Record (EHR) System: Development and Implementation at Scale,” Journal of Medical Internet Research, vol. 23, no. 12, pp. 1-14, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[21] Manish Kumar, and Javed Mostafa, “Electronic Health Records for Better Health in the Lower- and Middle-Income Countries: A Landscape Study,” Library Hi Tech, vol. 38, no. 4, pp. 751-767, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[22] T. Poongodi et al., Deep Learning Techniques for Electronic Health Record (EHR) Analysis, Bio-inspired Neurocomputing, Studies in Computational Intelligence, pp. 73-103, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[23] Akhilendra Pratap Singh et al., “A Novel Patient-Centric Architectural Framework for Blockchain-Enabled Healthcare Applications,” IEEE Transactions on Industrial Informatics, vol. 17, no. 8, pp. 5779-5789, 2020.
[CrossRef] [Google Scholar] [Publisher Link]