Human Interaction in the Use of Health Information Systems

Author(s):  
Irja N. Shaanika

In developing countries, Health Information Systems (HISs) are increasingly used to enable and support both clinical and administrative processes for healthcare services. The use of the HISs in developing countries' healthcare centres is influenced and impacted by humans' interactions which manifests from culture and traditions. Due to the diverse nature of culture and traditions, it is near impossible to have single formula in addressing the patients' needs. As a result, the aim to improve quality of healthcare through HISs is challenged, and many stakeholders do not seem to understand the problem. The challenge continues to significantly contribute to poor service delivery, as the need for healthcare services increases. This study focused on the interaction between the healthcare professionals and the HISs, to understand how and why the challenges of using the ICT systems exist. This includes examining the implication, and how the challenges impact the recipients of healthcare services.

Author(s):  
Irja N. Shaanika

In developing countries, Health Information Systems (HISs) are increasingly used to enable and support both clinical and administrative processes for healthcare services. The use of the HISs in developing countries' healthcare centres is influenced and impacted by humans' interactions which manifests from culture and traditions. Due to the diverse nature of culture and traditions, it is near impossible to have single formula in addressing the patients' needs. As a result, the aim to improve quality of healthcare through HISs is challenged, and many stakeholders do not seem to understand the problem. The challenge continues to significantly contribute to poor service delivery, as the need for healthcare services increases. This study focused on the interaction between the healthcare professionals and the HISs, to understand how and why the challenges of using the ICT systems exist. This includes examining the implication, and how the challenges impact the recipients of healthcare services.


2010 ◽  
Vol 19 (01) ◽  
pp. 25-29 ◽  
Author(s):  
A.B. Marcelo

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.


2020 ◽  
Author(s):  
Nikki Ann Percival ◽  
Priscilla Boucher ◽  
Kathleen Conte ◽  
Kate Robertson ◽  
Julie Cook

Abstract Background: In Australia, health services are seeking innovative ways to utilize data stored in health information systems to report on, and improve, health care quality and health system performance for Aboriginal Australians. However, there is little research about the use of health information systems in the context of Aboriginal health promotion. In 2008, the Northern Territory’s publicly funded healthcare system introduced the Quality Improvement Program Planning System (QIPPS) as the centralized online system for recording information about health promotion programs. The purpose of this study was to explore the potential for utilizing data stored in QIPPS to report on quality of Aboriginal health promotion, using chronic disease prevention programs as exemplars. We identify the potential benefits and limitations of health information systems for enhancing Aboriginal health promotion. Methods: A retrospective audit was undertaken on a sample of health promotion projects delivered between 2013 and 2016. A validated, paper-based audit tool was used to extract information stored in the QIPPS online system and report on Aboriginal health promotion quality. Simple frequency counts were calculated for dichotomous and categorical items. Text was extracted and thematically analyzed to describe community participation processes and strategies used in Aboriginal health promotion. Results: 39 Aboriginal health promotion projects were included in the analysis. 34/39 projects recorded information pertaining to the health promotion planning phases, such as statements of project goals, ‘needs assessment’ findings, and processes for consulting Aboriginal people in the community. Evaluation findings were reported in approximately one third of projects and mostly limited to a recording of numbers of participants. For almost half of the projects analyzed, community participation strategies were not recorded. Conclusion: This is the first Australian study to shed light on the feasibility of utilizing data stored in a purposefully designed health promotion information system. Data availability and quality were limiting factors for reporting on Aboriginal health promotion quality. Based on our learnings of QIPPS, strategies to improve the quality and accuracy of data entry together with the use of quality improvement approaches are needed to reap the potential benefits of future health promotion information systems.


2018 ◽  
Vol 119 (7/8) ◽  
pp. 358-376
Author(s):  
Cathrine Tambudzai Nengomasha ◽  
Ruth Abankwah ◽  
Wilhelm Uutoni ◽  
Lilian Pazvakawambwa

Purpose This paper aims to report some findings of a study that investigated health information systems (HISs) in Namibia with a view of establishing the nature of these systems and coming up with recommendations on how these could be enhanced. Design/methodology/approach This study applied a mixed methods research approach, using interviews and survey questionnaire to collect data. Survey data were analysed for descriptive statistics using SPSS and data from interviews were analysed applying content analysis for data analysis. Findings The findings of this study indicate fragmented HISs resulting in duplication of diagnosis, tests and treatment. The findings show that there were errors in capturing data into the systems, which could compromise the reliability of the data and compromise service delivery. Research limitations/implications This study was limited to two (Khomas and Oshana) of the fourteen regions in Namibia; therefore, further studies could look at other regions, as the study findings cannot be generalised to the entire country. Practical implications The findings and recommendations, particularly those relating to the public health sector, could inform policies and procedures, especially those relating to the patient health passport (card), and the way health information is shared within and across health sectors. Originality/value This study focused on health information sharing, whereas a previous study on HISs concentrated on quality of healthcare.


Author(s):  
Mohammed Elhadi ◽  
Ahmed Al-Hosni ◽  
Khaled Day ◽  
Adbullah Al-Hamadani ◽  
Abdulrahman Al-Toqi ◽  
...  

This paper is a review of Oman's major Health Information Systems (HISs) and their enabling technologies. The work assesses the scope, functionality, security, and interoperability of the used systems. The review aids in achieving the objectives of HIS systems of improving the global quality of health care, attaining increased coordination between health care providers and consumers, promoting the use of guidelines and policies, and improving the speed of simultaneous access and distribution of medicalrecords and other resources. This paper, which can be considered as a building block towards the development of a nation-wide health care system, studies existing systems and identifies their functions and structures.  


With cloud computing (CC) becoming popular in recent years, variety of institutions, organizations, businesses and individual users are creating interest. They are adopting the technology in order to take advantage of shared web applications, low infrastructure cost, utility and distributed computing, cluster computing as well as reliable IT architecture. In the area of health, Cloud Health Information Systems (CHIS) play a key role not only on the healthcare businesses but patients as well. On the patient side, CHIS aid in sharing of medical data and health information, timely access of critical patient information and coordination of clinical services. Patients, who continue to demand for instantaneous and quality healthcare services are now able to access the services from experts even when they are not necessarily in the same physical location. This is being aided by proliferation of telemedicine through hosted cloud architecture. From the business perspective, CC has helped to cut down operational expenses by way of cost-effective clinical information system infrastructure through the implementation of a distributed platform. The platform has therefore saved businesses millions of dollars that would have gone to infrastructural and human resource investment. Even with these immense opportunities, cloud computing uptake has been serious inhibited by the privacy and security concerns. Due to the sensitivity of personal health information, businesses and individuals are apprehensive when it comes to adopting the technology or releasing the data to the cloud. This study is a results discussion of an enhanced model for attainment of data privacy on the cloud through use of multi factor authentication.


Author(s):  
Ronald Karon

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.


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