A study on the effect of work environment perception on user satisfaction in health information systems: HISs quality as mediator

Author(s):  
Chung Hung Tsai ◽  
Dauw Song Zhu
2018 ◽  
Author(s):  
Shahryar Eivazzadeh ◽  
Johan S Berglund ◽  
Tobias C Larsson ◽  
Markus Fiedler ◽  
Peter Anderberg

BACKGROUND Several models suggest how the qualities of a product or service influence user satisfaction. Models such as the Customer Satisfaction Index (CSI), Technology Acceptance Model (TAM), and Delone and McLean Information Systems Success demonstrate those relations and have been used in the context of health information systems. OBJECTIVE This study aimed to investigate which qualities foster greater satisfaction among patient and professional users. In addition, we are interested in knowing to what extent improvement in those qualities can explain user satisfaction and whether this makes user satisfaction a proxy indicator of those qualities. METHODS The Unified eValuation using ONtology (UVON) method was used to construct an ontology of the required qualities for 7 electronic health (eHealth) apps being developed in the Future Internet Social and Technological Alignment Research (FI-STAR) project, a European Union (EU) project in electronic health (eHealth). The eHealth apps were deployed across 7 EU countries. The ontology included and unified the required qualities of those systems together with the aspects suggested by the Model for ASsessment of Telemedicine apps (MAST) evaluation framework. Moreover, 2 similar questionnaires for 87 patient users and 31 health professional users were elicited from the ontology. In the questionnaires, the user was asked if the system has improved the specified qualities and if the user was satisfied with the system. The results were analyzed using Kendall correlation coefficients matrices, incorporating the quality and satisfaction aspects. For the next step, 2 partial least squares structural equation modeling (PLS-SEM) path models were developed using the quality and satisfaction measure variables and the latent construct variables that were suggested by the UVON method. RESULTS Most of the quality aspects grouped by the UVON method are highly correlated. Strong correlations in each group suggest that the grouped qualities can be measures that reflect a latent quality construct. The PLS-SEM path analysis for the patients reveals that the effectiveness, safety, and efficiency of treatment provided by the system are the most influential qualities in achieving and predicting user satisfaction. For the professional users, effectiveness and affordability are the most influential. The parameters of the PLS-SEM that are calculated allow for the measurement of a user satisfaction index similar to CSI for similar health information systems. CONCLUSIONS For both patients and professionals, the effectiveness of systems highly contributes to their satisfaction. Patients care about improvements in safety and efficiency, whereas professionals care about improvements in the affordability of treatments with health information systems. User satisfaction is reflected more in the users’ evaluation of system output and fulfillment of expectations but slightly less in how far the system is from ideal. Investigating satisfaction scores can be a simple and fast way to infer if the system has improved the abovementioned qualities in treatment and care.


2021 ◽  
Vol 10 (1) ◽  
pp. 69
Author(s):  
Ahmad Azizi ◽  
Mahmood Maniati ◽  
Hadis Ghanbari-Adivi ◽  
Zeinab Aghajari ◽  
Sedigheh Hashemi ◽  
...  

Introduction: There are various applications and health information systems which have been developed to promote the effective retrieval of patient information, statistics, research, and education. Therefore, there is a need to design them in consistency with scientific principles of usability. To this end, the usability of hospital information sub-systems employed at the hospitals of Ahvaz were compared using heuristic evaluation method. The objective of the study was to assess the usability of hospital information system according to heuristic evaluation.Material and Methods: Six trained evaluators, independently determined the ADT subsystem, HIM subsystem, and NIS according to Nielsen’s 10 Heuristic Principles. Since more than half of the hospitals (about 54%) employed Sib application, no specific sampling method was used. After combining the usability problems, the average severity ratings of the problems were calculated, and then the subsystems were compared.Results: The number of the usability problems of the ADT information subsystem, HIM subsystem, and NIS were 40, 39, and 37, respectively. After merging the problems, the features of “user control and freedom” with 20 cases and “flexibility and efficiency of use” with six cases had the highest and the lowest inconsistencies with usability principles. The average severity ratings of the problems also varied between 1.7 and 3.Conclusion: Heuristic evaluation method is regarded as one of the approaches appropriate to identify usability problems in health information systems. Thus, it is advisable to utilize this method to modify the design of the systems and to improve their efficiency before their implementation in order to increase user satisfaction.


2019 ◽  
Vol 6 (3) ◽  
pp. 315
Author(s):  
Admaja Dwi Herlambang ◽  
Satrio Hadi Wijoyo ◽  
Aditya Rachmadi ◽  
Cindy Felita Nur Alimah

<p>Penelitian bertujuan untuk mengevaluasi kesuksesan implementasi sistem informasi kesehatan (Homedika.com). Pengukuran dilakukan berdasarkan DeLone &amp; McLean Model. Pengumpulan data dilakukan melalui kuesioner yang telah lolos uji validitas dan reliabilitas. Sampel penelitian berjumlah 30 responden yang dipilih dengan menggunakan teknik <em>purposive sampling</em> dan data dianalisis dengan statistik jenis deskriptif. Hasil analisis kesuksesan pada variabel <em>system quality, information quality</em>, <em>service quality</em>, <em>user satisfaction</em>, dan <em>net benefits</em> masuk ke dalam kategori Tinggi, dan variabel <em>use</em> masuk ke dalam kategori Cukup Tinggi. Kesuksesan implementasi sistem informasi kesehatan dapat ditingkatkan dengan cara melakukan perbaika pada variabel <em>use</em> dengan indikator <em>frequency of use</em>.</p><p><strong><em>Abstract</em></strong></p><p class="Judul2"><em>The study aims to evaluate the success of health information systems (Homedika.com) implementation. Measurements are carried out based on DeLone &amp; McLean Model. Data collection was done through  questionnaire that had passed the validity and reliability test. The research sample consisted of 30 respondents who were selected using purposive sampling technique and ata were analyzed using descriptive statistics formula. The results of success analysis in the system quality, information quality, service quality, user satisfaction, and net benefits</em><em> variable</em><em> </em><em>categorized as</em><em> High, and use variable </em><em>categorized as </em><em>Quite High. The success of the implementation of health information systems can be improved by improving the use variable with frequency of use</em><em> indicator</em><em>.</em></p><p><strong><em><br /></em></strong></p>


1998 ◽  
Vol 37 (04/05) ◽  
pp. 518-526 ◽  
Author(s):  
D. Sauquet ◽  
M.-C. Jaulent ◽  
E. Zapletal ◽  
M. Lavril ◽  
P. Degoulet

AbstractRapid development of community health information networks raises the issue of semantic interoperability between distributed and heterogeneous systems. Indeed, operational health information systems originate from heterogeneous teams of independent developers and have to cooperate in order to exchange data and services. A good cooperation is based on a good understanding of the messages exchanged between the systems. The main issue of semantic interoperability is to ensure that the exchange is not only possible but also meaningful. The main objective of this paper is to analyze semantic interoperability from a software engineering point of view. It describes the principles for the design of a semantic mediator (SM) in the framework of a distributed object manager (DOM). The mediator is itself a component that should allow the exchange of messages independently of languages and platforms. The functional architecture of such a SM is detailed. These principles have been partly applied in the context of the HEllOS object-oriented software engineering environment. The resulting service components are presented with their current state of achievement.


1979 ◽  
Vol 18 (04) ◽  
pp. 214-222
Author(s):  
K. Sauter

The problems encountered in achieving data security within computer-supported information systems increased with the development of modern computer systems. The threats are manifold and have to be met by an appropriate set of hardware precautions, organizational procedures and software measures which are the topic of this paper. Design principles and software construction rules are treated first, since the security power of a system is considerably determined by its proper design. A number of software techniques presented may support security mechanisms ranging from user identification and authentication to access control, auditing and threat monitoring. Encryption is a powerful tool for protecting data during physical storage and transmission as well.Since an increasing number of health information systems with information-integrating functions are database-supported, the main issues and terms of database systems and their specific security aspects are summarized in the appendix.


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