What does this research mean for the field?

Electronic Health Record (EHR) adoption in Nigerian healthcare facilities is hindered by a substantial socio-technical gap, where power instability, high implementation costs, and poor IT infrastructure are the primary barriers despite high staff satisfaction and willingness to use the systems. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate the adoption status, operational maturity, and specific performance bottlenecks of electronic health record systems in Nigerian healthcare facilities.

September 2, 2026BMC Digital HealthOpen Access

Cloud-based Electronic Health Records (EHR) adoption rate in Nigeria: barriers and performance bottlenecks

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Authors

OAOlumhense Benedict AdogheAchievers University IBIkharo A. BraimohOhio University HAHenry E. AmhenriorEdo State University Uzairue

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Implication

Mixed-methods study reveals critical infrastructural bottlenecks limiting electronic health record adoption in healthcare facilities, highlighting the need for stable power and cloud solutions.

Key Points

To evaluate the adoption status, operational maturity, and specific performance bottlenecks of electronic health record systems in Nigerian healthcare facilities.
Conducted an exploratory sequential mixed-methods study assessing primary survey data from 26 healthcare facilities across 11 states alongside secondary institutional baseline data from 130 facilities.
Applied descriptive statistics, Chi-square tests, Pareto analysis, Ishikawa diagrams, and the Technology Acceptance Model framework to evaluate user acceptance and isolate key operational bottlenecks.
Although 75% of facilities in the secondary baseline had installed digital systems, the primary survey showed only 23% operated fully electronic records, while 42% remained in hybrid paper-digital workflows.
Pareto analysis showed that power instability (76.9%), high implementation costs (69.2%), and poor IT infrastructure (65.4%) constituted the vital barriers accounting for over 80% of system underperformance.
Overall healthcare staff satisfaction with electronic health record systems reached 57.7%, demonstrating positive user acceptance despite persistent infrastructural constraints.

Cite This Study

Adoghe et al. (2026) studied this question.

synapsesocial.com/papers/6a97e20ec562ede874ec616f https://doi.org/10.1186/s44247-026-00297-2

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Implication

Mixed-methods study reveals critical infrastructural bottlenecks limiting electronic health record adoption in healthcare facilities, highlighting the need for stable power and cloud solutions.

Cloud-based Electronic Health Records (EHR) adoption rate in Nigeria: barriers and performance bottlenecks

Discussion

Member takes

Implication

Key Points

Cite This Study

Cloud-based Electronic Health Records (EHR) adoption rate in Nigeria: barriers and performance bottlenecks

Discussion

Member takes

Implication

Key Points

Cite This Study

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