The document discusses a study on factors affecting adoption of electronic medical records (EMRs) among Ayurvedic physicians in Sri Lanka. It provides background on benefits of EMRs and low adoption rates. The study used the TAM and TOE models to examine how perceived usefulness, ease of use, technological readiness, organizational support, and environmental factors influence EMR adoption. Results found these factors positively correlated with adoption. Physicians saw benefits but had concerns about resources, privacy, and training. The study identifies barriers to inform EMR implementation to improve healthcare in Sri Lanka.

1. Mr. Ruwan Kohombakanda
Email: kohombakanda4you@gmail.com
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Background of this Study
• E-Health : “Use of ICT for health” and highlighted its benefits “reduce healthcare costs to families,
improve equitable access to quality services, efficiently link with health systems, and increase
accountability and sustainability of health service delivery”. (World Health Organization, 2016)
• The paper-based medical records are hard to read, misty, incomplete, unavailable, fragmented and
poor quality of data (Miller,2005)
• Developing countries are also adopting from paper-based records to electronic records (Kalogriopoulos
et al., 2009)
• The adoption of electronic Medical records improves the coordination and continuity of healthcare
services. It has more benefits, such as improve efficiency of healthcare process, improve access,
enabling continuity of care, patient safety, optimal use of limited resources and enhancement of equity
of care are among nation.(Rathnayake & Hewapathirana, 2009)
• Implementing of EMRs in Sri Lankan health care system that leads to cost reductions (Amarasiri &
Dorabawila, 2018)

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• The overall of adoption rate is low for EMRs among physicians. (Jeyakodi & Herath, 2015) (Ajami &
Bagheri-Tadi, 2013) (Boonstra & Broekhuis, 2010) (Simon et al., 2007) (Meinert, 2005)
• Resistance from physicians are the one of the main reason for low adoption rate. (Jeyakodi &
Herath, 2015) (Meinert, 2005)
• A number of to computerized health care projects have failed in Sri Lanka. (Jeyakodi & Herath,
2015) (Pole, 2010)
• Physicians’ acceptance and willingness must be present in order to implement an EMR system
successfully (Lakbala et al., 2015)
• Therefor it is very important to identify the factors associated with readiness to adopt for
Electronic Medical Records (EMRs) by Ayurvedic Physicians?
Problem Statement

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Research Objectives
Conceptual Model
TAM Model
( I.Sanjaya, 2005)
TOE Model
(L. Tornatzky & Fleischer, 1990)
Research Questions

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Methodology

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How physicians believe that
use of EMR impact on
healthcare quality
Results & Discussion
• The reliability of the Questionnaire was calculated using
Cronbach’s Alpha value = 0.780. ( 0.7 – Acceptable) Exceeding
0.70 level is sufficient to measure reliability of a questionnaire.
(Taber, 2018)
• Out of 125 of physicians, majority were female physicians
(81.6%) while 18.4% were males
Physician Age group wise
Problems faced with
the use of paper
based records
Previous EMRs
experience
Risk reduction with use of
EMRs

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Results & Discussion
• The relationship between the factors and EMRs adoption
were analyzed using the Pearson Correlation
• All the correlations were significant (p<0.05 in all cases),
confirmed all hypotheses to be true
More than 98% of physicians they like to use
EMRs for medical activities in the future

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Results & Discussion
• For the interview seven female physicians and three male
physicians participated
• All physicians believe that paper based medical records
systems are very convenient, but there are lot of issues
related to paper-based records
• Ayurvedic physicians believe that PU, PEOU, Technological,
Organizational and Environmental factors are very important
for EMRs adoption among Ayurvedic physicians
• Physicians recommended
✓ Health facilities should be increased such as resources
and infrastructure that support the use of EMR
✓ Data should be protected and privacy of data should be
ensured
✓ Need to conduct awareness workshops with practical
guidance related to EMR
• Results of this study indicates perceived usefulness
(PU), perceived ease of use (PEOU), technological
factor, organizational factor and environmental factor
are affecting the EMRs adoption among Ayurvedic
physicians.
• This concludes that there is a positive relationship
between Perceived Usefulness (PU), Perceived Ease of
Use (PEOU), Technological factor, Organizational
factor, Environmental factor with EMRs adoption
among Ayurvedic physicians.

9. The Significance and Contribution of the study
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• Findings of this study provides valuable insights for researchers, decision and policy makers and
managers of healthcare domain to make more informed decisions about the adoption and use of
EMR systems
• This study helps to identify the barriers and significant factors to be considered when
implementing EMRs in the Ayurvedic medicine sector in Sri Lanka
• Further this will help for system developers and designers to build EMR with specific user
requirement according to Ayurvedic medicine perspective
• This study adds to the growing body of knowledge on issues related to the adoption of Electronic
Medical Records (EMRs) in the health care sector, focusing on adoption of EMRs among
physicians.

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References
Amarasiri, H. A. D. B., & Dorabawila, S. S. K. B. M. (2018). Does Electronic Medical Records make cost benefits to non-profit
seeking health care institutes? International Journal of Scientific and Research Publications (IJSRP).
https://doi.org/10.29322/ijsrp.8.5.2018.p7726
Ajami, S., & Bagheri-Tadi, T. (2013). Barriers for adopting electronic health records (EHRs) by physicians. Acta Informatica
Medica. https://doi.org/10.5455/aim.2013.21.129-134
Boonstra, A., & Broekhuis, M. (2010). Barriers to the acceptance of electronic medical records by physicians from systematic
review to taxonomy and interventions. BMC Health Services Research. https://doi.org/10.1186/1472-6963-10-231
Jeyakodi, T., & Herath, D. (2015). Physicians’ Intention To Use Electronic Medical Records In Sri Lanka. INTERNATIONAL JOURNAL
OF TECHNOLOGY ENHANCEMENTS AND EMERGING ENGINEERING RESEARCH.
Jeyakodi, T., & Herath, D. (2016). Acceptance and Use of Electronic Medical Records in Sri Lanka. Scientific Research Journal.
Kalogriopoulos, N. A., Baran, J., Nimunkar, A. J., & Webster, J. G. (2009). Electronic medical record systems for developing
countries: Review. Proceedings of the 31st Annual International Conference of the IEEE Engineering in Medicine and Biology
Society: Engineering the Future of Biomedicine, EMBC 2009. https://doi.org/10.1109/IEMBS.2009.5333561

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References
Lakbala, P., Lakbala, M., & Inaloo, K. D. (2015). Factors Affecting Electronic Medical Record Acceptance by Specialist
Physicians. Lecture Notes on Information Theory. https://doi.org/10.12720/lnit.2.4.316-321
Meinert, D. (2005). Resistance to Electronic Medical Records (EMRs): A Barrier to Improved Quality of Care. Proceedings of
the 2005 InSITE Conference. https://doi.org/10.28945/2896
Rathnayake, S., & Hewapathirana, R. (2009). Impact of Electronic Health Records in Sri Lanka : Case Study of Four
Government Hospitals .
https://s3.amazonaws.com/academia.edu.documents/38725595/IMPACT_OF_ELECTRONIC_HEALTH_RECORD_IN_SRI_LANK
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Sanjaya, I. (2005). Pengaruh Rasa Manfaat dan Kemudahan terhadap Minat Berperilaku
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Taber, K. S. (2018). The Use of Cronbach’s Alpha When Developing and Reporting Research
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https://doi.org/10.1007/s11165-016-9602-2

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Tornatzky, L. G., & Fleischer, M. (1990). Technology-organization-environment framework. In The processes of technological
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