Organizational Culture as a Predictor for the Use of Electronic Health Records in the University of Benin Teaching Hospital, Edo State, Nigeria

Abstract

This study examined organizational culture as a predictor of the use of Electronic Health Records among health information managers in the University of Benin Teaching Hospital, Edo State, Nigeria. A descriptive survey research design was employed, and data were collected using a structured questionnaire administered to health information managers. The use of EHRs was measured in terms of purpose of use and frequency of use, while organizational culture was assessed using four dimensions: clan, adhocracy, hierarchy, and competing cultures. Data were analyzed using descriptive statistics and regression analysis. The findings revealed a high level of adoption and use of EHRs, particularly for patient documentation, clinical coding, follow-up registration, and tracking of patient health information (Mean = 3.24). Results further showed that hierarchy and adhocracy cultures were more dominant within the hospital than clan and competing cultures, indicating an organizational environment characterized by structured procedures, accountability, and adaptability to change. Regression analysis demonstrated that organizational culture had a significant influence on the adoption and use of EHRs, with hierarchy and adhocracy cultures contributing more strongly to EHR utilization (Beta = .622, t= 5.021, p<0.05). The study concludes that organizational culture is a critical determinant of effective EHR use in teaching hospitals. It recommends strengthening adaptive and well-structured cultural practices through continuous training, supportive leadership, and clear operational guidelines to enhance sustainable EHR utilization and improve health information management outcomes.