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Актуальные проблемы теоретической и клинической медицины

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META-ANALYSIS: IMPACT OF ELECTRONIC HEALTH RECORD SYSTEMS ON QUALITY OF PRIMARY CARE WITHIN ESSENTIAL PUBLIC HEALTH FUNCTION FRAMEWORK

Аннотация

Аbstract

Objective

To study the impact of electronic health records systems in primary health care facilities on improving the quality of care to ensure a sustainable organizational structure as an essential public health function of public health.

Materials and methods

The search was carried out in the MEDLINE, EMBASE, CINAHL databases and in the Cochrane Central Register of Controlled Trials. The search strategy was based on the PICO Framework. The studies selected for the meta-analysis were published between 01/01/2010 and 05/01/2023. Two authors independently reviewed article titles and abstracts for eligibility. Information from the search was deduplicated using EndNote X9, imported into Covidence Systematic Review for review. Statistical processing was performed in RStudio 2023.03.1 Build 446 (Posit Software, PBC).

Results

A literature search identified 640 studies, and 11 manuscripts were included in the review. Meta-analysis showed that the use of electronic health records (EHRs) helps to reduce the time to complete medical records by 33.4% (95% CI = 0.8% to 1.2%; p < 0.007), promotes adherence to clinical recommendations (RR 1.30; 95% CI = 1.04 to 1.79; p = 0.05) and reduces prescribing errors (RR 0.44; 95% CI = 0.34 to 0.53; p < 0.001), which undoubtedly improves the quality of medical care.

Conclusion

This study validates EHRS's positive influence on enhancing care quality in PHC settings, chiefly by streamlining documentation, decreasing prescription errors, and aligning workflow with clinical guidelines. Findings aid informed EHRS adoption decisions for healthcare and public health professionals.

Об авторах

Nargiza Yussupova
1. РГП на ПХВ "Казахский научный центр дерматологии и инфекционных заболеваний" МЗ РК 2. НАО "Казахский национальный медицинский университет имени С.Д.Асфендиярова"
Казахстан

1. Выпускник докторантуры по специальности "Общественное здравоохранение" НАО "Казахский национальный медицинский университет имени С.Д.Асфендиярова"

2. Менеджер по международному сотрудничеству в РГП на ПХВ "Казахский научный центр дерматологии и инфекционных заболеваний" МЗ РК



Botagoz Turdaliyeva
Kazakh scientific center of dermatology and infectious diseases of the Ministry of Health of the Republic of Kazakhstan
Казахстан


Vitaliy Koikov
NpJSC "Astana Medical University"
Казахстан


Irina Son
Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation
Россия


Zhupar Аtalykova
NpJSC «Kazakh National Medical University named after S.D. Asfendiyarov»
Казахстан


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Рецензия

Для цитирования:


 ,  ,  ,  ,   . Актуальные проблемы теоретической и клинической медицины. 2025;(2):124.

For citation:


Yussupova N.S., Turdaliyeva B.S., Koikov V.V., Son I.M., Аtalykova Zh.Ye. META-ANALYSIS: IMPACT OF ELECTRONIC HEALTH RECORD SYSTEMS ON QUALITY OF PRIMARY CARE WITHIN ESSENTIAL PUBLIC HEALTH FUNCTION FRAMEWORK. Actual Problems of Theoretical and Clinical Medicine. 2025;(2):124.

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