Assessment of Electronic Health Records Adoption in Federal Medical Center, Mubi, Adamawa State, Nigeria

Abstract

Electronic Health Records (EHR) are vital tools for enhancing healthcare delivery, improving data accuracy, and supporting clinical decision-making. Despite global progress, adoption in Nigerian healthcare institutions remains limited due to infrastructural and organizational challenges. This study assessed the level of EHR adoption at Federal Medical Center (FMC) Mubi, Adamawa State, and examined key factors influencing implementation. Using a descriptive cross-sectional design, data were collected from health records professionals and staff involved in patient information management through a structured, self-administered questionnaire. Analysis was conducted using SPSS, applying descriptive statistics, Chi-square tests, and logistic regression. Results showed that only 19% of respondents routinely used EHR systems, while 81% relied on manual records. Adoption was significantly associated with formal training (OR = 3.2, p < 0.01), computer literacy (OR = 2.5, p < 0.05), and management support (OR = 2.7, p < 0.05). Major barriers included inadequate training (70%), poor infrastructure (65%), and resistance to change (40%), often driven by generational skill gaps and organizational inertia. The findings suggest FMC Mubi is in the preparatory phase of EHR adoption. Addressing foundational gaps through strategic investment, behavioral interventions, and leadership engagement is essential for full-scale implementation. The study recommends future longitudinal research and alignment with national and global digital health frameworks to ensure sustainability and impact.