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Conclusion: EMR utilization by health care professionals from private health facilities was better than government facilities. Key informants mentioned power fluctuation, shortage of capable EMR administrator, phase-out of vendors, absence of guidelines and policies, shortage of equipment and legal issues as major barriers to utilize EMR. However, individuals aged 35 & above were 66.4% less likely to use EMR than individuals aged 23-28. Factors such as access to basic EMR training (AOR=5.8, 95% CI=1.6-20.7), a favorable attitude of health care providers (AOR=2.3, 95% CI=1.2-4.5), and user-friendly EMR interface (AOR=2.7, 95% CI=1.4-5.1) were positively associated with the use of EMR. Overall, 68.6% (95% CI= 63.773.4%) of health care professionals were utilizing the EMR system. Most of the respondents (48.2%) were nurses, followed by physicians (11.6%). Result: A total of 353 respondents participated, making the response rate of 96.2%. Finally, variables with a p-value of less than 0.05 were considered statistically significant. Variables with a p-value of less than 0.25 were entered into the multivariable logistic analysis model. Binary logistic regression with odds ratio and along with 95% confidence interval was used. Descriptive statistical summary measures were used to describe variables. An ethical clearance letter was obtained from Addis Ababa University. Atlas.ti version 7 was used to manage qualitative data. Data were entered by epi-data and analyzed by STATA version 15. A multi-stage sampling technique was used. Four government and three private health facilities were included. Method: A mixed study design was used among 367 health care providers and 12 key-informants. The aim of this study is, therefore, to assess the current utilization of EMR and its determinant factors among health care professionals working in Ababa city administration, 2020.

Limited studies have been conducted to determine the progress and determinants of utilization of Electronic Medical Record. In Ethiopia, Electronic Medical Record is one part of the information revolution road map to transform the culture of data use. Background: Electronic Medical Record (EMR) is a longitudinal collection of health-related information that can be created and managed by authorized clinicians.