Prioritization of Hospital Information System's Executive Barriers to Patient Payment Reduction and Visitation Quality Improvement Packages of Health System Reform Plan from the Perspectives of Users and Experts in Selected Academic Hospitals of Yazd
-
Mohammadhossein Dehghani
,
Hojjat Rahmani
,
Farhad Habibi
,
Ghasem Rajabi Vasokolaei
,
Somayeh Abedini
,
Mehdi Raadabadi
,
Fatemeh Pourshariati
Abstract
Background: Healthcare facilities are dependent on hospital information systems due to the high volume and variation of information in different fields. These systems are a prerequisite for effective and high-quality healthcare provision in hospitals.
Objectives: The present study intended to prioritize the executive barriers to these systems in patient payment reduction and visitation quality improvement packages of the health system reform plan (HSRP) from the perspectives of users and experts in selected university hospitals of Yazd, Iran, in 2019.
Methods: The population of this descriptive-analytical study included 110 participants, including experts of information technology (IT) unit, hospital managers, and personnel of the administrative and medical units dealing with the hospital information system. The data collection tool was a researcher-made questionnaire based on similar studies, the validity of which was evaluated by a committee of experts. Also, the reliability of the questionnaire was investigated and confirmed before the study using the Cronbach’s alpha method and a sample of 30 participants. Data analysis was performed using SPSS software version 21.
Results: Among the six barrier dimensions, the highest mean score belonged to the professional factors (3.46 ± 1.03), followed by human barriers (3.44 ± 0.83). Among professional barriers, the lack of motivation of the personnel in IT learning and get training on the IT-related skills had the highest mean score of 3.67.
Conclusions: According to the results, outsourcing such services and special budget allocation for hardware and software update and support, holding conferences, and provision of practical training in this field are suitable strategies for better implementation of such systems.
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28. Murphy TH, Terry HR. Opportunities and obstacles for distance education in agricultural education. J Agric Educ. 1998;39(1):28-36. doi:10.5032/jae.1998.01028.
29. Mungania P. Employees’ perceptions of barriers in e-learning: The relationship among barriers, demographics, and e-learning self-efficacy [dissertation]. Kentucky, USA: University of Louisville; 2004.
30. Berge Z, Leary J. Trends and challenges of eLearning in national and international agricultural development. Int J Educ Dev Using ICT. 2006;2(2):51-9.
31. Cantoni V, Cellario M, Porta M. Perspectives and challenges in elearning: Towards natural interaction paradigms. J Vis Lang Comput. 2004;15(5):333-45. doi:10.1016/j.jvlc.2003.10.002.
32. Torero M, Von Braun J. Information and communication technologies for development and poverty reduction: The potential of telecommunications. Maryland, USA: Intl Food Policy Res Inst; 2006.
33. Chang IC, Hwang HG, Hung MC, Lin MH, Yen DC. Factors affecting the adoption of electronic signature: Executives’
perspective of hospital information department. Decis Support Syst. 2007;44(1):350-9. doi:10.1016/j.dss.2007.04.006.
[PubMed:32287564]. [PubMed Central:PMC7114195].
Service Quality: An International Journal. 2002;12(1):54-66. doi:10.1108/09604520210415399.
2. Khalilnezhad R, Barati Marnani A. [Measuring hospital performance]. J Health Adm. 2004;7(15):56-68.
3. Maly W, Strojwas AJ. Statistical simulation of the IC manufacturing process. IEEE Transactions on Computer-Aided Design of Integrated Circuits and Systems. 1982;1(3):120-31. doi:10.1109/tcad.1982.1270003.
4. Handayani PW, Hidayanto AN, Pinem AA, Hapsari IC, Sandhyaduhita PI, Budi I. Acceptance model of a Hospital Information System. Int J Med Inform. 2017;99:11-28. doi:10.1016/j.ijmedinf.2016.12.004. [PubMed:28118918]. 5. Farajzadegan Z, Javadi AA, Asgari GR, Manzouri L. [Indicators of utilization as a means for assessment of health information management systems]. Health Inf Manag. 2007;4(1 (7)):23-31.
6. Ebadi Azar F, Kahooei M, Soleimani M, Ghazavi S, Ghods AA, Alaei S, et al. [The impact of hospital information computerized network on clinical departments curative services personnel (Semnan University of Medical Sciences-Amir Al-Momenin Hospital)]. Journal of Health Administration. 2008;11(31):7-16.
7. Moradi GR, Sarbaz M, Kimiafar K, Shafiei N, Setayesh Y. [The role of hospital information system on dr Sheikh Hospital performance promotion in Mashhad]. Health Inf Manag. 2009;5(2 (10)):159-66.
8. Moghaddasi H, Hosseini A, Sheikhtaheri A. A new model for the organizational structure of medical record departments in hospitals in Iran. Perspect Health Inf Manag. 2006;3:4. [PubMed:18066362]. [PubMed Central:PMC2047300].
9. Kimiafar K, Moradi GR, Sadoughi F, Sarbaz M. [Views of users towards the quality of hospital information system in training hospitals affiliated to Mashhad University of Medical Sciences-2006]. Health Inf Manag. 2007;4(1 (7)):43-50.
10. Amirkhani AH, Motaghi SM. [Scrutinizing the obstacles of einsurance development in Asia insurance company]. SANAAT-EBIMEH. 2010;25(1 (97)):157-77.
11. Atashak M, Mahzadeh P. [Identify and ranke effective barriers of non-use information communication technology from view of teachers]. J Technol Educ. 2011;5(2):115-22.
12. Kazemi M, Fayazi M, Mirzadeh M. [The barriers for implementing information technology (it) in Iran insurance industry]. Knowledge and Development. 2008;15(23):73-90.
13. Omidi Najafabadi M, Farajollah Hosseini J, Moghadasi R, Mirdamadi M. Designing an efficient information and communication technology (Ict) system to train private agricultural insurance brokers in Iran. Aust J Basic & Appl Sci. 2008;2(4):1041-51.
14. Sarrafizadeh A, Alipour V. [A feasibility study of applying the einsurance in presenting the existing insurance products]. JOURNAL OF DEVELOPMENT & EVOLUTION MANAGEMENT. 2011;3(7):39-48.
15. Yuen AHK, Ma WWK. Knowledge sharing and teacher acceptance of web based learning system. In: Atkinson R, McBeath C, Jonas-Dwyer D, Phillips R, editors. Beyond the comfort zone: Proceedings of the 21st ASCILITE Conference; Perth, Australia. Citeseer; 2004. p. 975-83.
16. Robertson J. Does permeation work? Promoting the use of information technology in teacher education. Journal of Information Technology for Teacher Education. 1997;6(2):169-84. doi:10.1080/14759399700200009.
17. Smith HL, Bullers WI, Piland NF. Does information technology make a difference in healthcare organization performance? A multiyear study. Hosp Top. 2000;78(2):13-22. doi:10.1080/00185860009596548. [PubMed:11184676].
18. Kazanjian A, Green CJ. Beyond effectiveness: The evaluation of information systems using a comprehensive health technology assessment framework. Comput Biol Med. 2002;32(3):165-77.
19. Garrido T, Raymond B, Jamieson L, Liang L, Wiesenthal A. Making the business case for hospital information systems--A Kaiser Permanente investment decision. J Health Care Finance. 2004;31(2):16-25. [PubMed:15839526].
20. Gupta P, Seetharaman A, Raj JR. The usage and adoption of cloud computing by small and medium businesses. Int J Inf Manage. 2013;33(5):861-74. doi:10.1016/j.ijinfomgt.2013.07.001.
21. Toprakci E. Obstacles at integration of schools into information and communication technologies by taking into consideration the opinions of the teachers and principals of primary and secondary schools in Turkey. Journal of Instructional Science and Technology (e-JIST). 2006;9(1):1-16.
22. Drent M, Meelissen M. Which factors obstruct or stimulate teacher educators to use ICT innovatively? Comput Educ. 2008;51(1):187- 99. doi:10.1016/j.compedu.2007.05.001.
23. Whittaker B. What went wrong? Unsuccessful informationtechnology projects. Inf Manag Comput Secur. 1999;7(1):23-30. doi:10.1108/09685229910255160.
24. Kwok LF, Longley D. Information security management and modelling. Inf Manag Comput Secur. 1999;7(1):30-40.
doi:10.1108/09685229910255179.
25. Bellone J, de Basquiat S, Rodriguez J. Reaching escape velocity. Information Management & Computer Security. 2008;16(1):49-57. doi:10.1108/09685220810862742.
26. Siponen M, Willison R. Information security management standards: Problems and solutions. Inf Manag. 2009;46(5):267-70. doi:10.1016/j.im.2008.12.007.
27. Sanayei A, Khazaei Pool J, Shamsi AH, Soltan Hoseini M. [Analysis of obstacles to the application of information technology in sport and youth offices of fars province using fuzzy topsis technique]. J Sport Manag. 2014;6(2):325-41.
28. Murphy TH, Terry HR. Opportunities and obstacles for distance education in agricultural education. J Agric Educ. 1998;39(1):28-36. doi:10.5032/jae.1998.01028.
29. Mungania P. Employees’ perceptions of barriers in e-learning: The relationship among barriers, demographics, and e-learning self-efficacy [dissertation]. Kentucky, USA: University of Louisville; 2004.
30. Berge Z, Leary J. Trends and challenges of eLearning in national and international agricultural development. Int J Educ Dev Using ICT. 2006;2(2):51-9.
31. Cantoni V, Cellario M, Porta M. Perspectives and challenges in elearning: Towards natural interaction paradigms. J Vis Lang Comput. 2004;15(5):333-45. doi:10.1016/j.jvlc.2003.10.002.
32. Torero M, Von Braun J. Information and communication technologies for development and poverty reduction: The potential of telecommunications. Maryland, USA: Intl Food Policy Res Inst; 2006.
33. Chang IC, Hwang HG, Hung MC, Lin MH, Yen DC. Factors affecting the adoption of electronic signature: Executives’
perspective of hospital information department. Decis Support Syst. 2007;44(1):350-9. doi:10.1016/j.dss.2007.04.006.
[PubMed:32287564]. [PubMed Central:PMC7114195].
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| Issue | Vol 5, No 1 (2021) | |
| Section | Articles | |
| DOI | https://doi.org/10.18502/htaa.v5i1.7383 | |
| Keywords | ||
| Health System Reform Plan Hospital Information System Hospital | ||
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How to Cite
1.
Dehghani M, Rahmani H, Habibi F, Rajabi Vasokolaei G, Abedini S, Raadabadi M, Pourshariati F. Prioritization of Hospital Information System’s Executive Barriers to Patient Payment Reduction and Visitation Quality Improvement Packages of Health System Reform Plan from the Perspectives of Users and Experts in Selected Academic Hospitals of Yazd. Health Tech Ass Act. 2021;5(1).
