Hospital Information System for Decision Making: A Qualitative Study

Mussa Suliman Mohamed
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Abstract

Abstract: Background: Information technology applications play a major role in improving the services provided to patients in healthcare settings. Hospital Information System HIS is expected to facilitate information management and decision making, thus enhancing patient services. Purpose of this study is to explore the obstacles that healthcare practitioners in PKU Muhammadiyah Bantul Hospital faces during using HIS for decision making. Method: This research is a qualitative study. Depth-interviews were carried out with six respondents (Two Clinicians, Three Managers, and One Director), interviews were recorded and transcribed for analysis, a list of codes has produced representing themes identified in the textual data. Results: Data in the HIS were not optimal due to the insufficiency of the system in generating the necessary information for decision-making. Raw data, not real time data, unstable connection, and incomplete data between units were the most obstacles that decision makers faced. Conclusion: One of the crucial keys of a good performance of healthcare providers is hospital information system that ensures the production, analysis, and providing a reliable and timely information, making it easy for managers and doctors to make managerial and clinical decisions more effectively. Upgrading HIS to enable data analysis is suggested.   Keywords: Hospital Information System, Obstacles, Decision Making.
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医院决策信息系统的定性研究
摘要:背景:信息技术的应用在改善医疗机构为患者提供的服务方面发挥着重要作用。医院资讯系统(HIS)期望能促进资讯管理和决策,从而改善对病人的服务。本研究的目的是探讨北京大学穆罕默迪亚班图尔医院医护人员在使用HIS进行决策时所面临的障碍。方法:本研究为定性研究。对六名受访者(两名临床医生、三名管理人员和一名主任)进行了深度访谈,对访谈进行了记录和转录以供分析,生成了代表文本数据中确定的主题的代码列表。结果:由于系统在产生决策所需信息方面的不足,HIS中的数据不是最优的。原始数据、非实时数据、不稳定的连接、不完整的数据是决策者面临的最大障碍。结论:医院信息系统能够保证信息的生成、分析并提供可靠、及时的信息,便于管理者和医生更有效地进行管理和临床决策,是医疗服务提供者取得良好绩效的关键之一。建议升级HIS以支持数据分析。关键词:医院信息系统,障碍,决策。
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