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Background: The usage of modern technology in healthcare record system is now a must throughout the world. However, many doctors and nurses has been reporting facing numerous challenges and obstacles in the implementation. The aim of the present study is to determine the prevalence of depression, anxiety and stress among doctors and nurses who utilize EMR (electronic medical record) and its associated factor. Methods: A comparative cross-sectional study was conducted from January till April 2012 among doctors and nurses in two public tertiary hospitals in Johor in which one of them uses EMR and the other one still using the MMR (manual medical record) system. Data was collected using self-administered validated Malay version of DASS-21 (Depression, Anxiety, and Stress Scales-21) items questionnaire. It comprises of socio-demogra phic and occupational characteristics. Findings: There were 130 respondents with a response rate of 91% for EMR and 123 respondents with a response rate of 86% for MMR. The mean (SD) age of respondents in EMR and MMR groups were 34.7 (9.42) and 29.7 (6.15) respectively. The mean (SD) duration of respondents using EMR was 46.1 (35.83) months. The prevalence of depression, anxiety and stress among respondents using EMR were 6.9%, 25.4% and 12.3%. There were no significant difference between the study groups related to the depression, anxiety and stress scores. In multivariable analysis, the significant factors associated with depression among respondents using EMR was age (OR 1.10, 95% CI 1.02, 1.19). The significant factors associated with stress among respondents using EMR was marital status (OR 3.33, 95% CI 1.10, 10.09) and borderline significant was computer skill course (OR 2.94, 95% CI 0.98, 8.78). Conclusion: The prevalence of depression, anxiety and stress of those who uses EMR were within acceptable range. Age, marital status and computer skill are the identified factor associated with the depression and stress level which need to be considered in its implementation.

Effect of Electronic Medical Record Utilization on Depression, Anxiety and Stress among Doctors and Nurses in Johor, Malaysia