وجهات نظر العاملين اتجاه النظام الصحي المحوسب المطبق في مستشفيات وزارة الصحة الفلسطينية
Date
2013-12-28
Authors
محمد محمود مصطفى بني عوده
Mohammad Mahmoud Mustafa Baniode
Journal Title
Journal ISSN
Volume Title
Publisher
AL-Quds University
جامعة القدس
جامعة القدس
Abstract
Background: Health Management Information Technology, e-health, is rarely used in the
Palestinian health sector. The first pilot initiative in Palestine was implemented in the MoH
Rafedia and Darweesh hospitals. However, there is a lack of evidence on the impact of the
system and the challenges for the implementation.
Aim/objectives: To assess the users' perspectives toward the recently implemented
Computerized Health Management Information System (CHMIS) in MoH hospitals and the
challenges for implementation from user perspectives. The focus of the assessment was; ease
of use (user friendliness), efficiency (time and cost saving), effectiveness (patient safety),
Computer Ordering Physician Entry impact on the resources utilization, and extent using
system the reports in decision making.
Methods: A cross-sectional design was used. All the estimated 500 medical and paramedical
staff in the two hospitals was targeted. Data was collected using a self-administered
questionnaire.
Findings: The overall response rate was 80.5%. 72.1% of the participants were from Rafedia
hospital staff and (27.9 %) from Darweesh Nazzal hospital. Almost half of the respondents
were males (55.0%) compared to females (45.0 %). Of the total participants 92.8 % (283) are
using the system to perform their daily tasks and activities. This shows a high extent use of the
system. The general results for the main domains were as follow; ease of use domain (user
friendly and usability) was 76.0% of positive responses, effectiveness domain (patient safety
and accuracy of documentation) was 73.0% of positive responses, the COPE (rational use of
resources and communication speed) was 58.3%, the efficiency of CHMIS (time saving and
efficient communication) domain received an overall of (75%) positive responses. The main
challenges were (74.0%) limited number of distributed computers in hospital's departments,
and the lowest one was (28.0%) trusting in system's capability. T-test and one way-ANNOVA
test were used to examine the relationship between dependent and independent variables.
Whereas, females scored significantly higher than males toward the ease of use (P<0.001),
effectiveness (P=0.007). As for age groups the results show that there is significant association
iv
between the participants' age groups and the ease of use (P<0.001), effectiveness (P=0.05). A
relationship was found between profession (physician, nurse, laboratory technicians, radiology
technicians, and pharmacists) and study domain at (P< 0.05), where there are significant
differences between the following study domains: ease of use (P=0.001), effectiveness (P=P 0.
<001), and finally reports using (P=0.042). A strong relationship is found between previous
experience of using CHMIS outside the hospitals and study domain at (P< 0.05), where there
are significant differences between the following the study domains: ease of use (P=0.001),
effectiveness (P=0.001), COPE (P=0.001), and finally efficiency (P=P 0.<001).The highest
score was for those who didn‟t use the system before.
Conclusions: Obviously, the results show that using a cutting-edge information technology in
managing and monitoring health facilities has a significant effect on the patient's safety,
eliminating errors as well as on time saving. In addition it‟s enhancing evidence-based
decision making. However, the main challenges remain to be the lack of equipment and
financial resources for the system.
Description
Keywords
الإدارة الصحية , Health Management