Implementation of an information system for tuberculosis in healthcare facilities in Indonesia: evaluation of its effectiveness and challenges.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Archives of Public Health Pub Date : 2025-01-24 DOI:10.1186/s13690-025-01507-5

Rita Dian Pratiwi, Bachti Alisjahbana, Yanri Wijayanti Subronto, Sigit Priyanta, Suharna Suharna

{"title":"Implementation of an information system for tuberculosis in healthcare facilities in Indonesia: evaluation of its effectiveness and challenges.","authors":"Rita Dian Pratiwi, Bachti Alisjahbana, Yanri Wijayanti Subronto, Sigit Priyanta, Suharna Suharna","doi":"10.1186/s13690-025-01507-5","DOIUrl":null,"url":null,"abstract":"Background: Tuberculosis (TB) surveillance in Indonesia is currently supported by the recording and reporting technology Tuberculosis Information System (Sistem Informasi Tuberkulosis [SITB]). SITB is used by all health workers responsible for TB programs in health facilities or hospitals throughout Indonesia. The satisfaction and ease of use of SITB affect the speed and accuracy of TB case reporting. Therefore, evaluating the information system's quality is crucial. SITB utilization is comprehensively assessed using the End-User Computing Satisfaction (EUCS) method, which considers the dimensions of content, accuracy, timeliness, and ease of use. Furthermore, the effectiveness of the user interface using heuristic evaluation methods is critical. The primary objective of this study is to conduct a comprehensive evaluation of the System for Information on Tuberculosis (SITB) focusing on its usability and user satisfaction.Methods: This study employed a multi-method design approach. First, a heuristic evaluation was conducted by three expert user experience designers. Second, a cross-sectional survey of 115 SITB users was carried out across all health facilities in the Special Region of Yogyakarta, Indonesia, for reporting TB cases, using the EUCS method. Finally, in-depth interviews were conducted in 10 health facilities, focusing on identifying specific attributes that needed improvement to enhance user satisfaction.Results: The evaluation indicated that user convenience and timeliness require improvement, as well as the match between the system and the real world and error prevention, as shown in the heuristic evaluation of the SITB user interface. These findings were confirmed through interviews that identified the need for user manuals, server repairs, and information and SITB forms that are suitable for TB management in the field. The overarching assessment of the SITB reveals persistent challenges in data entry, attributed to the functionality of the application, thereby potentially impacting user satisfaction.Conclusions: SITB application requires \"major\" improvements to make recording, reporting, and tracing activities more efficient and precise. Moreover, the integration of existing information systems in healthcare facilities is essential to support the tuberculosis surveillance reporting system in Indonesia.","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"22"},"PeriodicalIF":3.2000,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761181/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s13690-025-01507-5","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Tuberculosis (TB) surveillance in Indonesia is currently supported by the recording and reporting technology Tuberculosis Information System (Sistem Informasi Tuberkulosis [SITB]). SITB is used by all health workers responsible for TB programs in health facilities or hospitals throughout Indonesia. The satisfaction and ease of use of SITB affect the speed and accuracy of TB case reporting. Therefore, evaluating the information system's quality is crucial. SITB utilization is comprehensively assessed using the End-User Computing Satisfaction (EUCS) method, which considers the dimensions of content, accuracy, timeliness, and ease of use. Furthermore, the effectiveness of the user interface using heuristic evaluation methods is critical. The primary objective of this study is to conduct a comprehensive evaluation of the System for Information on Tuberculosis (SITB) focusing on its usability and user satisfaction.

Methods: This study employed a multi-method design approach. First, a heuristic evaluation was conducted by three expert user experience designers. Second, a cross-sectional survey of 115 SITB users was carried out across all health facilities in the Special Region of Yogyakarta, Indonesia, for reporting TB cases, using the EUCS method. Finally, in-depth interviews were conducted in 10 health facilities, focusing on identifying specific attributes that needed improvement to enhance user satisfaction.

Results: The evaluation indicated that user convenience and timeliness require improvement, as well as the match between the system and the real world and error prevention, as shown in the heuristic evaluation of the SITB user interface. These findings were confirmed through interviews that identified the need for user manuals, server repairs, and information and SITB forms that are suitable for TB management in the field. The overarching assessment of the SITB reveals persistent challenges in data entry, attributed to the functionality of the application, thereby potentially impacting user satisfaction.

Conclusions: SITB application requires "major" improvements to make recording, reporting, and tracing activities more efficient and precise. Moreover, the integration of existing information systems in healthcare facilities is essential to support the tuberculosis surveillance reporting system in Indonesia.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

印度尼西亚卫生保健机构结核病信息系统的实施：对其有效性和挑战的评估。

背景：印度尼西亚的结核病监测目前由记录和报告技术结核病信息系统（System Informasi Tuberculosis [SITB]）提供支持。SITB由印度尼西亚各地卫生机构或医院负责结核病项目的所有卫生工作者使用。SITB的满意度和易用性影响结核病病例报告的速度和准确性。因此，评价信息系统的质量是至关重要的。使用终端用户计算满意度（EUCS）方法对SITB的利用率进行全面评估，该方法考虑了内容、准确性、及时性和易用性的维度。此外，使用启发式评估方法的用户界面的有效性是至关重要的。本研究的主要目标是对结核病信息系统（SITB）进行全面评价，重点是其可用性和用户满意度。方法：本研究采用多方法设计。首先，由三位专家用户体验设计师进行启发式评价。其次，使用EUCS方法对印度尼西亚日惹特区所有卫生设施的115名SITB用户进行了横断面调查，以报告结核病病例。最后，在10个卫生设施中进行了深入访谈，重点是确定需要改进的具体属性，以提高用户满意度。结果：对SITB用户界面的启发式评价表明，用户的便利性和及时性需要改进，系统与现实世界的匹配性和防错性需要改进。这些发现通过访谈得到了证实，访谈确定了对用户手册、服务器维修以及适用于实地结核病管理的信息和SITB表格的需求。对SITB的总体评估揭示了数据输入方面的持续挑战，这些挑战归因于应用程序的功能，因此可能会影响用户满意度。结论：SITB应用程序需要“主要的”改进，以使记录、报告和跟踪活动更加有效和精确。此外，整合卫生保健设施的现有信息系统对于支持印度尼西亚的结核病监测报告系统至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Archives of Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

3.00%

发文量

244

审稿时长

16 weeks

期刊介绍： rchives of Public Health is a broad scope public health journal, dedicated to publishing all sound science in the field of public health. The journal aims to better the understanding of the health of populations. The journal contributes to public health knowledge, enhances the interaction between research, policy and practice and stimulates public health monitoring and indicator development. The journal considers submissions on health outcomes and their determinants, with clear statements about the public health and policy implications. Archives of Public Health welcomes methodological papers (e.g., on study design and bias), papers on health services research, health economics, community interventions, and epidemiological studies dealing with international comparisons, the determinants of inequality in health, and the environmental, behavioural, social, demographic and occupational correlates of health and diseases.