Assessing the efficient use of the lightwave health information management system for health service delivery in Ghana.

IF 4.1 Q1 HEALTH CARE SCIENCES & SERVICES BMJ Health & Care Informatics Pub Date : 2023-08-01 DOI:10.1136/bmjhci-2023-100769
Edward Agyemang, Kobina Esia-Donkoh, Addae Boateng Adu-Gyamfi, Juabie Bennin Douri, Prince Owusu Adoma, Emmanuel Kusi Achampong
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Abstract

Background: In achieving the WHO's Universal Health Coverage and the Global Developmental Agenda: Sustainable Development Goal 3 and 9, the Ministry of Health launched a nationwide deployment of the lightwave health information management system (LHIMS) in the Central Region to facilitate health service delivery. This paper assessed the efficient use of the LHIMS among health professionals in the Central Region.

Methods: A non-interventional descriptive cross-sectional study design was employed for this research. The study used stratified and simple random sampling for selecting 1126 study respondents from 10 health facilities that use the LHIMS. The respondents included prescribers, nurses, midwives and auxiliary staff. Descriptive statistics (weighted mean) was computed to determine the average weighted score for all the indicators under efficiency. Also, bivariate (χ2) and multivariate (ordinal logistic regression) analyses were conducted to test the study's hypotheses.

Results: Findings revealed that the LHIMS enhanced efficient health service delivery. From the bivariate analysis, external factors; sex, educational qualification, work experience, profession type and computer literacy were associated with the efficient use of the LHIMS. However, training offered prior to the use of the LHIMS, and the duration of training had no association. At the multivariate level, only work experience and computer literacy significantly influenced the efficient use of the LHIMS.

Conclusion: The implementation of LHIMS has the potential to significantly improve health service delivery. General computing skills should be offered to system users by the Ministry of Health to improve literacy in the use of computers. Active participation in the use of LHIMS by all relevant healthcare professionals should be encouraged.

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评估加纳光波卫生信息管理系统在卫生服务提供方面的有效使用。
背景:为实现世卫组织全民健康覆盖和《全球发展议程:可持续发展目标3》和《目标9》,卫生部在中部地区启动了在全国范围内部署光波卫生信息管理系统(LHIMS),以促进卫生服务的提供。本文评估了中部地区卫生专业人员对LHIMS的有效使用情况。方法:采用非干预性描述性横断面研究设计。该研究采用分层和简单随机抽样的方法,从使用LHIMS的10个卫生机构中选择了1126名调查对象。受访者包括处方医生、护士、助产士和辅助人员。计算描述性统计(加权平均值)以确定效率项下所有指标的平均加权得分。此外,还进行了双变量(χ2)和多变量(有序逻辑回归)分析来检验研究的假设。结果:研究结果表明,LHIMS提高了卫生服务的效率。从双变量分析来看,外部因素;性别、教育程度、工作经验、职业类型和电脑知识与有效使用LHIMS有关。然而,在使用LHIMS之前提供的培训与培训的持续时间没有关联。在多变量水平上,只有工作经验和计算机素养显著影响LHIMS的有效使用。结论:LHIMS的实施有可能显著改善卫生服务的提供。卫生部应向系统用户提供一般计算技能,以提高使用计算机的能力。应鼓励所有相关医疗保健专业人员积极参与LHIMS的使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.10
自引率
4.90%
发文量
40
审稿时长
18 weeks
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