A Critical Analysis of the Implementation of Health Information Systems for Public Healthcare Service Delivery in Resource-Constrained Environments: A South African Study

2019 ◽  
pp. 568-578
Author(s):  
Mourine Achieng ◽  
Ephias Ruhode
Keyword(s):  
Information Systems ◽  
Service Delivery ◽  
Health Information ◽  
South African ◽  
Critical Analysis ◽  
Healthcare Service ◽  
Health Information Systems ◽  
Public Healthcare ◽  
African Study ◽  
Constrained Environments

Utilisation of Health Information Systems for Service Delivery in the Namibian Environment

2016 ◽  
pp. 169-183 ◽  
Author(s):  
Ronald Karon
Keyword(s):  
Developing Countries ◽  
Information Systems ◽  
Service Delivery ◽  
Health Information ◽  
Health Sector ◽  
Health Information Systems ◽  
Public Healthcare ◽  
Portable Devices ◽  
The Public

The use of Health Information Systems (HIS) is considered to be a major contributing factor to healthcare service delivery. However, the utilisation of HIS which includes use and management is critically challenging in the public health sector in many developing countries. The manifestation of the challenges results in poor service delivery, which includes patient deaths. This is the main motivation for this study, to investigate how HIS can be used to improve service delivering in the hospitals from developing countries perspective. The study was carried out in Namibia, using two hospitals in the public healthcare. The study adopted the qualitative case study. The study revealed that the use of parallel systems, lack of systems integration, lack of portable devices and users' incompetency are some of the factors which impact the use and management of HIS in hospitals.

scholarly journals Healthcare Information Systems Implementation Causal Mechanisms in Resource-constrained Environments

2020 ◽  
Author(s):  
Mourine Sarah Achieng ◽  
Ephias Ruhode
Keyword(s):  
Information Systems ◽  
Service Delivery ◽  
Healthcare Service ◽  
Public Healthcare ◽  
Resource Constrained ◽  
Healthcare Information ◽  
Healthcare Facilities ◽  
Healthcare Information Systems ◽  
Constrained Environments ◽  
Generative Mechanisms

Abstract Background: The implementation of healthcare information systems has regained new interest among scholars, policy makers and governments over the past decades. This is as a result of undesired outcomes of the existing implementation processes which has produced outcomes such as lack of integration between existing systems, uncoordinated thus fragmented silo systems and many more. The implications of such outcomes have been that in most public healthcare facilities, medical information are either never captured, or captured incorrectly or ineffectively. Consequently, the retrieval of such information for decision making purposes at various levels of the healthcare system, becomes a challenge.Objectives: This paper sought to establish causal mechanisms and context-based mediators that influence the implementation of healthcare information systems in public healthcare facilities in resource constrained environments. As such having negative implications of the delivery of healthcare services to people in need.Methods: A case-study strategy approach was employed using a critical realist methodology. Data collection was done through semi-structured interviews and document analysis.Results: The findings in this paper indicate that context-based mediators such as leadership and management, maldistribution of resources and health policies have enabling and impeding effects on the implementation of HISs for public healthcare service delivery. Further the results of this paper highlight generative mechanisms such as misinterpretation of polices from paper to practice at operational level of healthcare systems of policies and strategies trigger causal effects that may generate the outcomes experienced in public healthcare service delivery process.Conclusions: The results in this paper suggests that mediating factors and generative mechanisms with inhibiting causal powers in the implementation of healthcare information systems requires more focus during the pre-implementation phase.

scholarly journals Designing for scale: optimising the health information system architecture for mobile maternal health messaging in South Africa (MomConnect)

2018 ◽  
Vol 3 (Suppl 2) ◽  
pp. e000563 ◽  
Author(s):  
Christopher Seebregts ◽  
Pierre Dane ◽  
Annie Neo Parsons ◽  
Thomas Fogwill ◽  
Debbie Rogers ◽  
...  
Keyword(s):  
South Africa ◽  
Information Systems ◽  
Health Information ◽  
South African ◽  
Information Exchange ◽  
Health Information Systems ◽  
Public Healthcare ◽  
The South ◽  
National Implementation ◽  
Technical Platform

MomConnect is a national initiative coordinated by the South African National Department of Health that sends text-based mobile phone messages free of charge to pregnant women who voluntarily register at any public healthcare facility in South Africa. We describe the system design and architecture of the MomConnect technical platform, planned as a nationally scalable and extensible initiative. It uses a health information exchange that can connect any standards-compliant electronic front-end application to any standards-compliant electronic back-end database. The implementation of the MomConnect technical platform, in turn, is a national reference application for electronic interoperability in line with the South African National Health Normative Standards Framework. The use of open content and messaging standards enables the architecture to include any application adhering to the selected standards. Its national implementation at scale demonstrates both the use of this technology and a key objective of global health information systems, which is to achieve implementation scale. The system’s limited clinical information, initially, allowed the architecture to focus on the base standards and profiles for interoperability in a resource-constrained environment with limited connectivity and infrastructural capacity. Maintenance of the system requires mobilisation of national resources. Future work aims to use the standard interfaces to include data from additional applications as well as to extend and interface the framework with other public health information systems in South Africa. The development of this platform has also shown the benefits of interoperability at both an organisational and technical level in South Africa.

Utilisation of Health Information Systems for Service Delivery in the Namibian Environment

2017 ◽  
pp. 869-883
Author(s):  
Ronald Karon
Keyword(s):  
Developing Countries ◽  
Information Systems ◽  
Service Delivery ◽  
Health Information ◽  
Health Sector ◽  
Health Information Systems ◽  
Public Healthcare ◽  
Portable Devices ◽  
The Public

The use of Health Information Systems (HIS) is considered to be a major contributing factor to healthcare service delivery. However, the utilisation of HIS which includes use and management is critically challenging in the public health sector in many developing countries. The manifestation of the challenges results in poor service delivery, which includes patient deaths. This is the main motivation for this study, to investigate how HIS can be used to improve service delivering in the hospitals from developing countries perspective. The study was carried out in Namibia, using two hospitals in the public healthcare. The study adopted the qualitative case study. The study revealed that the use of parallel systems, lack of systems integration, lack of portable devices and users' incompetency are some of the factors which impact the use and management of HIS in hospitals.

Utilisation of Health Information Systems for Service Delivery in the Namibian Environment

2019 ◽  
pp. 398-412
Author(s):  
Ronald Karon
Keyword(s):  
Developing Countries ◽  
Information Systems ◽  
Service Delivery ◽  
Health Information ◽  
Health Sector ◽  
Health Information Systems ◽  
Public Healthcare ◽  
Portable Devices ◽  
The Public

The use of Health Information Systems (HIS) is considered to be a major contributing factor to healthcare service delivery. However, the utilisation of HIS which includes use and management is critically challenging in the public health sector in many developing countries. The manifestation of the challenges results in poor service delivery, which includes patient deaths. This is the main motivation for this study, to investigate how HIS can be used to improve service delivering in the hospitals from developing countries perspective. The study was carried out in Namibia, using two hospitals in the public healthcare. The study adopted the qualitative case study. The study revealed that the use of parallel systems, lack of systems integration, lack of portable devices and users' incompetency are some of the factors which impact the use and management of HIS in hospitals.

scholarly journals Health Information Systems: a Survey of Frame-works for Developing Countries

2010 ◽  
Vol 19 (01) ◽  
pp. 25-29 ◽  
Author(s):  
A.B. Marcelo
Keyword(s):  
Developing Countries ◽  
Information Systems ◽  
Health Information ◽  
Health Information Systems ◽  
Theoretical Frameworks ◽  
Scarce Resources ◽  
Analysis And Design ◽  
Excellent Research ◽  
World Demand ◽  
Constrained Environments

Summary Objectives: The objective of this paper is to perform a survey of excellent research on health information systems (HIS) analysis and design, and their underlying theoretical frameworks. It classifies these frameworks along major themes, and analyzes the different approaches to HIS development that are practical in resource-constrained environments. Method: Literature review based on PubMed citations and conference proceedings, as well as Internet searches on information systems in general, and health information systems in particular. Results: The field of health information systems development has been studied extensively. Despite this, failed implementations are still common. Theoretical frameworks for HIS development are available that can guide implementers. Conclusion: As awareness, acceptance, and demand for health information systems increase globally, the variety of approaches and strategies will also follow. For developing countries with scarce resources, a trial-and-error approach can be very costly. Lessons from the successes and failures of initial HIS implementations have been abstracted into theoretical frameworks. These frameworks organize complex HIS concepts into methodologies that standardize techniques in implementation. As globalization continues to impact healthcare in the developing world, demand for more responsive health systems will become urgent. More comprehensive frameworks and practical tools to guide HIS implementers will be imperative.

scholarly journals A Model for Acceptance and Use of Health Information Systems for South African Health Practitioners

2020 ◽  
Vol 5 (6) ◽  
pp. 1296-1310
Author(s):  
Million Mberi ◽  
Ray M Kekwaletswe
Keyword(s):  
Information System ◽  
Information Systems ◽  
Health Information ◽  
South African ◽  
Health Information System ◽  
Health Information Systems ◽  
Operational Costs ◽  
African Health ◽  
Health Practitioners ◽  
South African Health

This paper discusses the acceptance and use of Health Information Systems in the context of South African Health Practitioners. The paper argues that ideally, Health Practitioners who adopt HIS are poised to significantly improve their operations and services, and thereby offering patient satisfaction and adequately cover operational costs. Despite the continued investment in information system, there is still limited research and knowledge into what influences or affect the use of the system by health practitioners. The paper addresses the inadequacy of literature in addressing the use of health information system by health practitioners, especially in the context of South Africa. To this point this study sought to explore and explain what affects the use of HIS by individuals.

Modelling the utilization of cloud health information systems in the Iraqi public healthcare sector

2019 ◽  
Vol 36 ◽  
pp. 132-146 ◽  
Author(s):  
Ahmed Meri ◽  
MK Hasan ◽  
Mahmoud Danaee ◽  
Mustafa Jaber ◽  
Mu'taman Jarrar ◽  
...  
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Health Information Systems ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Public Healthcare Sector
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