Abstract: | The utilization of information and communication technology (ICT) in the medical field in the form
of electronic medical record (EMR) system had been promoted as a way to reduce cost, increase
effectiveness and improve the quality of care. In Ethiopia, the EMR is being rapidly implemented
in both public and private sector healthcare facilities. However, the utilization of the EMR system
has been met with partial success. Therefore, the study sought to find out the factors affecting
utilization of electronic medical record (EMR) at Menelik ii comprehensive specialized hospital,
focusing on the attitudes of healthcare professionals, the influence of organizational culture, the
proficiency in computer skill among health professionals and the extent to which staff training
impacts EMR utilization. Using an explanatory research design, this study employs a quantitative
approach to gather and analyze data. Surveys were distributed to a diverse group of healthcare
professionals at Menelik ii comprehensive specialized hospital, including doctors, nurses, and
administrative staff. The survey was designed to capture data on their attitudes towards EMR
system, perceptions of the organizational culture, their proficiency in computer skill and the
impact of training. Statistical methods were used to analyze the collected data and identify
significant predictors of EMR utilization. Findings reveal that negative attitudes towards EMR
systems among healthcare professionals can result in reluctance or resistance towards effective
utilization. Additionally, inadequate organizational culture, lacking support or encouragement for
technology adoption, acts as a barrier to the seamless integration of EMR systems into daily
workflows. Deficient training programs contribute to healthcare staff not fully grasping how to
utilize EMRs efficiently. Moreover, deficiencies in computer skills among staff further impede their
ability to harness EMR systems full potential. Collectively, these findings underscore how these
factors negatively impact EMR utilization and subsequently affect the overall efficiency of
healthcare delivery. In conclusion, this study highlights the crucial role of positive attitudes
towards EMR systems, supportive organizational culture, and enhanced computer skill training
for healthcare professionals. Additionally, it recommends tailoring training programs based on
the knowledge level of the participants to ensure the content is appropriate and beneficial for all
skill levels. Addressing these factors is vital for optimizing EMR utilization, ultimately leading to
improved healthcare outcomes and more efficient clinical workflows |