Electronic Medical Records Usage among Health Information Management Practitioners: A Scoping Review
Keywords:
Electronic medical records, electronic health records, health information management, health records officers, EMR adoption, health informaticsAbstract
The study presents the findings of a scoping review aimed at charting the range and scope of EMR adoption and use among HIM professionals in various contexts, identifying the drivers of this use, and highlighting how the roles and responsibilities of HIM professionals are evolving. The review is based on the 2005 framework by Arksey and O'Malley and reported following the PRISMA extension for scoping reviews (PRISMA-ScR), with data drawn from peer-reviewed empirical literature and from other review papers on adoption, competencies, and organisation roles relevant to the HIM workforce. Our results suggest that there are interconnected factors influencing EMR adoption and HIM professionals, including technology literacy, readiness of infrastructure, institutional support, availability of training, perception of utility and the regulatory climate. Our review reveals HIM professionals shifting away from their role as records managers toward one involving data management, quality assurance, informatics, although such shifts are more advanced in high-income settings compared to low-and middle-income settings. The paper concludes with a series of recommendations for health information management education, certification bodies and health system policy.
References
Akwaowo, C. D., Sabi, H. M., Ekpenyong, N., Isiguzo, C. M., Andem, N. F., Maduka, O., Dan, E., Umoh, E., Ekpin, V., & Uzoka, F.-M. (2022). Adoption of electronic medical records in developing countries - A multi-state study of the Nigerian healthcare system. Frontiers in Digital Health, 4, Article 1017231. https://doi.org/10.3389/fdgth.2022.1017231
Alhassan, A., Offei, F. O., Adu, B. O., et al. (2025). A scoping review of acceptance and utilization of electronic health records among healthcare professionals in Ghana. Discover Public Health, 22, Article 730. https://doi.org/10.1186/s12982-025-01146-9
Arksey, H., & O'Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616
ICMHS. (2026, May 28). What is health records and information technology? Career guide. Institute of Community and Medical Health Sciences. https://icmhs.co.ke/blog/what-is-health-records-and-information-technology
Mugauri, H. D., Chimsimbe, M., Shambira, G., Shamhu, S., Nyamasve, J., Munyanyi, M., Gongora, R., Zizhou, S., Gabida, M., & Makurumidze, R. (2025). A decade of designing and implementing electronic health records in Sub-Saharan Africa: A scoping review. Global Health Action, 18(1), Article 2492913. https://doi.org/10.1080/16549716.2025.2492913
Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18, Article 143. https://doi.org/10.1186/s12874-018-0611-x
Oo, H. M., Htun, Y. M., Win, T. T., Han, Z. M., Zaw, T., & Tun, K. M. (2021). Information and communication technology literacy, knowledge and readiness for electronic medical record system adoption among health professionals in a tertiary hospital, Myanmar: A cross-sectional study. PLOS ONE, 16(7), Article e0253691. https://doi.org/10.1371/journal.pone.0253691
Peters, M. D. J., Godfrey, C., McInerney, P., Khalil, H., Larsen, P., Marnie, C., Pollock, D., Tricco, A. C., & Munn, Z. (2022). Best practice guidance and reporting items for the development of scoping review protocols. JBI Evidence Synthesis, 20(4), 953–968. https://doi.org/10.11124/JBIES-21-00242
Profolio. (2026a, March 10). Health information manager salary in Nigeria: Pay by industry, company & role. https://www.profolio.ng/health-information-manager/salary-guide
Profolio. (2026b, April 27). Health information manager job description: Duties, skills & salary in Nigeria. https://www.profolio.ng/health-information-manager/job-description
Raimi, M. O., Abaya, S. T., & Kakwi, D. J. (2023). Level of professional awareness among health record officers in Bayelsa State and their implications for patient care, health systems, and health policy. American Journal of Physical Education and Health Science. https://journals.e-palli.com/home/index.php/ajpehs/article/view/1582
Sibiya, M. N., Akinyemi, O. R., & Oladimeji, O. (2023). Computer skills and electronic health records (EHRs) in a state tertiary hospital in Southwest Nigeria. Epidemiologia, 4(2), 137–147. https://doi.org/10.3390/epidemiologia4020015
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., ... Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Zayyad, M. A., & Toycan, M. (2018). Factors affecting sustainable adoption of e-health technology in developing countries: An exploratory survey of Nigerian hospitals from the perspective of healthcare professionals. Peer J, 6, Article e4436. https://doi.org/10.7717/peerj.4436
Zeng, X., Reynolds, R., & Sharp, M. (2009). Redefining the roles of health information management professionals in health information technology. Perspectives in Health Information Management, 6 (Summer).
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