The factors that influence performance-based financing in primary health care provision in Muramvya province, Burundi

Abstract

Background: This study aimed to identify the factors affecting the successful operation of electronic health records (EHRs) during the initial pilot implementation period from 2015 to 2017. The EHR system in Timor-Leste was first launched in 2015 after the VI Constitutional Government introduced the “Saúde na Familia” initiative. In January 2019, the system was discontinued after being disrupted by a political impasse between 2017 and 2018. The new Minister of Health reactivated the adoption of the EHR system as of August 2020. Methods: This study included a cross-sectional survey. The questionnaire covered benefits, barriers, and satisfaction categories along with sociodemographic variables. Results: Statistically significant differences between age groups were noted for the benefits, perceived barriers (such as the ability to use computers), and overall satisfaction of the EHR system. The slope of the benefit category (β = 0.497, t = 11.361) was a statistically significant predictor of satisfaction with EHR system implementation. However, the slope of the barrier category had a negative statistical significance for satisfaction (β = −0.086, t = −1.794). Satisfaction with the EHR system was influenced by its perceived benefit and reduced perceived barriers due to individuals’ utilization of the information and communication technology system. Conclusion: Continuous political commitment to health policy, financial support, friendly end-user applications, improved quality of Internet service, and a positive attitude toward the system were crucial for its successful implementation.

Keywords: