BACKGROUND The implementation of the Electronic Medical Record (EMR) system initiated a significant transition in the healthcare system from traditional paper-based medical records to a digital version. Though EMR offers several benefits compared to Paper Medical Records (PMR), patient satisfaction with the EMR has been an area of concern. The objective of this study is to explore patient satisfaction with the EMR compared to the PMR of patients attending five Primary Healthcare Centers in the Western Region of Saudi Arabia. METHODS A cross-sectional survey was conducted with patients who attended five Primary Health Care centers (PHCs) in the Western Region during 2018. A sample of 377 participants was invited to complete a self-developed structured questionnaire with multiple choice and Likert Scale questions. The questionnaire was distributed to participants in the PHC waiting areas. RESULTS The sample size realized as (n = 377) participants, the majority (65.0%) were female. The overall patient satisfaction was 3.708. Patient satisfaction with the EMR was statistically significant compared to the PMR (3.7241 vs. 3.6919, p < 0.001). Several factors provided evidence of the overall satisfaction with the implementation of the EMR, including an increase in physician attention during the clinical consultation (82.3%), increased explanation of tests and medication (85.8%), increased time spent with the patient during the consultation (80.4%) and increased active listening by the physician (77.3%). Besides, the patients felt confident to ask the physician question related to health during clinical consultation (84.0%). CONCLUSION Patient satisfaction during the clinical consultation and overall satisfaction with various PHC services improved with the implementation of EMR.

中文翻译：

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2018年，沙特阿拉伯西部地区患者对电子病历实施的满意度。

背景技术电子病历（EMR）系统的实施引发了医疗保健系统从传统的基于纸张的病历到数字版本的重大转变。尽管与纸质病历（PMR）相比，EMR具有许多好处，但患者对EMR的满意度一直是关注的领域。这项研究的目的是探讨与沙特阿拉伯西部五个主要医疗中心就诊的患者的PMR相比，患者对EMR的满意度。方法对2018年期间在西部地区五个主要卫生保健中心（PHC）就诊的患者进行了横断面调查。我们邀请了377名参与者作为样本，完成了一份自行开发的结构化问卷，包括多项选择题和李克特量表问题。问卷已分发给PHC等待区的参与者。结果样本量实现为（n = 377）参与者，大多数（65.0％）是女性。总体患者满意度为3.708。与PMR相比，患者对EMR的满意度具有统计学意义（3.7241与3.6919，p <0.001）。有几个因素提供了对EMR实施总体满意度的证据，包括临床咨询期间医师的关注度增加（82.3％），测试和药物治疗的解释性增加（85.8％），咨询期间与患者花费的时间增加（80.4％）并增加了医生的积极聆听（77.3％）。此外，患者有信心在临床咨询期间向医生询问有关健康的问题（84.0％）。