scholarly journals Information System Management in Health Institutions of Kosovo: Case Study

2021 ◽  
Vol 4 (2) ◽  
pp. 54
Author(s):  
Afrim Loku ◽  
Nadire Shehu Loku ◽  
Lindita Loku

Introduction: The main point in this paper is dedicated to the role and importance of the information system in public institutions with emphasis on health system: system preparation, establishment, implementation, and its application.Objective: The aim of this study is to increase the awareness and importance of health information system in health institutions and management and, to present a concept model of health information system to health institutions in Kosovo.  Results: Presented Health Information System model shows the benefits and the role if implemented. The main aspects this concept takes in consideration is overall network, strategic flexibility and cost-reducing. Conclusion: This study highlights the benefits possible when new electronic health information system is fully integrated in health system of Kosovo. This case study illustrates the importance of developing new health information system that meets the actual challenges of health system, improve the system quality, usage and care quality.    Received: 21 February 2021 / Accepted: 5 August 2021 / Published: 5 November 2021

Author(s):  
AS Shastin ◽  
VB Gurvich ◽  
VG Gazimova ◽  
VM Baratov ◽  
TS Ustyugova ◽  
...  

Background: As of today, there is no unified health information system that registers and systematizes the results of periodic medical examinations of workers exposed to occupational hazards in the Russian Federation. Our objective was to examine the results of periodic medical examinations in the Sverdlovsk Region over a five-year period. Materials and methods: We reviewed medical reports and conclusions issued by regional health facilities in 2015–2019 and submitted to the Regional Occupational Health Center of the Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers, and analyzed completeness and timeliness of their submission. Results: We established that occupational health assessment based on the results of periodic medical examinations is complicated by late and incomplete data reporting by healthcare facilities of the Sverdlovsk Region. Conclusions: Our findings prove the importance of creating a “Periodic Medical Examination” subsystem of the unified state health information system. Providing access to standardised results of periodic medical examinations based on a single digital platform to all professional participants of the national occupational health system will enable data recording, analysis and assessment at the interregional and intersectoral levels, as well as at the level of business entities, and facilitate their use for the purposes of workers’ health risk management. Timeliness of reporting and completeness of date entry in the “Periodic Medical Examination” subsystem (or a Federal Registry of Periodic Medical Examinations) may be monitored and verified by local Rospotrebnadzor bodies to be connected to the unified state health information systems of constituent entities of the Russian Federation.


2016 ◽  
Vol 4 (2) ◽  
pp. 129-138 ◽  
Author(s):  
Viera Juniver Thenu ◽  
Eko Sediyono ◽  
Cahya Tri Purnami

Purworejo District Health Office (DHO) has developed Health Center Management Information System (HCMIS) to provide quick, precise, and accurate information for supporting the process of decision making and the policy of services at Health Center. However, there was still any empty forms and did not use the system. To standardize Health Information System, Ministry of Health has released a concept of Generic SIKDA. Therefore, the system applied by Purworejo DHO needs to be evaluated using the method of HOT fit. This was qualitative research using indepth interview and direct observation. Main informants were nine data operators and informants for triangulation purpose was six persons from health centers and five persons from DHO. Furthermore, data were analyzed using content analysis. The result of this research revealed that the application of HCMIS at Purworejo DHO was equal to Generic SIKDA. The system had been applied routinely but there was no a guidance book and training. Number of human resources was sufficient. However, there needed to make an implementer team of Health Information System in accordance with competency. There was no routine monitoring and current budget was not sufficient to maintain hardware to support the system. Quality of the system used was good, easy to use, and available of menu to communicate data. Unfortunately, quality of resulted information had still been inaccurate and incomplete because it did not cover data of services at Subsidiary Health Centers (SHC) and Village Health Posts (VHP). The lateness of services was related to a funding procedure. HCMIS at Purworejo DHO was equal to Generic SIKDA but it had not been used to make a decision. As a suggestion, DHO needs to conduct training, monitor, and provide hardware and a network. Meanwhile, Health Centers needs to make a commitment for applying the HCMIS maximally by SHC and VHP.


2013 ◽  
Vol 21 (1) ◽  
pp. 30 ◽  
Author(s):  
Ahmad Raeisi ◽  
Sakineh Saghaeiannejad ◽  
Saeed Karimi ◽  
Asghar Ehteshami ◽  
Mahtab Kasaei

2020 ◽  
Author(s):  
C.O. Bagayoko ◽  
Jack Tcheente ◽  
Diakaridia Traoré ◽  
Gaetan Moukoumbi ◽  
Raymond Ondzigue ◽  
...  

Abstract Background The Health Information System (HIS) is a set of computerized tools for the collection, storage, management, and transmission of health data. The role of such tools in supporting the modernization of health systems, improving access to quality healthcare, and reducing costs in developing countries is unquestionable, but their implementation faces several challenges. In Gabon, a unique national electronic HIS has been launched. It will connect healthcare institutions and providers at all levels in the whole country. Objective This study aims to explore and identify the factors influencing healthcare providers’ perceptions of the national electronic HIS in Gabon. Methods A 44-item questionnaire based on the Information System Success Model (ISSM) was administered between February and April 2018 among 2,600 healthcare providers across the country. The questions assessed the different aspects of the HIS that could influence its perceived impact on a 5-level Likert scale (from fully agree to totally disagree). The reliability and construct validity of the questionnaire were checked using Cronbach alpha and congeneric reliability coefficients. A logistic regression was used to identify the factors influencing healthcare providers’ perceptions of the system. Results A total of 2,327 questionnaires were completed (i.e. 89.5% response rate). The logistic regression identified five elements that significantly influenced perceived system impact: System Quality (Odds Ratio–OR=1.70), Information Quality (OR=1.69), Actual Use (OR=1.41), Support Quality (OR=1.37), and Useful Functions (OR=1.14). The model explained 30% of the variance in providers’ perception that the national HIS leads to positive impacts. Discussion The results show that healthcare providers’ perceptions regarding the positive impact of the national HIS in Gabon are influenced by their previous use of an HIS, the scope of their usage, and the quality of the system, information, and support provided to users. These results could inform the development of strategies to ensure adequate change of management and user experience for the implementation of the national HIS in Gabon, and eventually in other low resource environments. Keywords: Health Information System, Information System Success, User Acceptance, Healthcare Providers, Gabon


2021 ◽  
Author(s):  
Beverly M. Ochieng ◽  
Dan C. Kaseje

Abstract Background A perennial problem in information systems is the unidirectional flow of information. Bidirectional information systems are mechanisms by which consumers and providers generate, discuss and use information at each level of data collection. This paper describes opportunities in the health service delivery system for bidirectional information flow that can be established as part of the health information system to inform decisions, planning, and action by both providers and consumers of care. Methods The study was quasi-experimental and involved pre and post-intervention, cross-sectional surveys at intervention and control sites. The intervention was a Community Based Health Information System. Quantitative and qualitative data were collected. The surveys covered five health facilities in the intervention sites and five in the control sites in each of the six study districts. Five clients were interviewed at each intervention and control health facility. Communities served by the selected health facilities were included in household cluster sample surveys. Thirty clusters of 10 households, each with under-five children, were included in each community served by the selected health facilities. Quantitative data were cross-tabulated to compare health outcomes at intervention and control sites. A content analysis was performed on the qualitative data; themes and sub-themes that identified opportunities for bidirectional information-sharing were identified. Results We identified five nodal points in the health system that provide opportunities for bidirectional information sharing at the household, community, and health facility levels. Immunization coverage, skilled delivery, water treatment, and latrine use improved more at the intervention than control sites. Where all of the mechanisms were implemented, there was better performance in outcomes. Conclusion A conscious engagement of service providers and consumers in dialogue, using available health system information to iteratively inform decisions and actions, improves health outcomes.


Author(s):  
Natalie Leon ◽  
Yusentha Balakrishna ◽  
Ameer Hohlfeld ◽  
Willem A Odendaal ◽  
Bey-Marrié Schmidt ◽  
...  

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