The role of comprehensive international electronic medical file in improving the quality of medical services and achieving the satisfaction of stakeholders: An exploratory study in Jeddah, Saudi Arabia

Nayef Al-Ghamri
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Abstract

Objective: The current study investigates the possible impact of creating a comprehensive international electronic medical file that is part of a database which can be used in various areas to achieve the highest levels of satisfaction for patients and official bodies and enhance the quality of medical services at hospitals as well. One of the key purposes of this e-file is achieving the readiness and confidentiality of data so that it can be shared among hospitals whether inside the Kingdom of Saudi Arabia or even abroad. In addition, the medical e-file may contribute to reducing the costs of treatment, monitoring the performance of doctors and minimising medical errors. Moreover, the e-file may be used for even other purposes such as security or financial reasons.Methods: The study employed the quantitative research design where 171 questionnaires were distributed to patients, managers and staff in 19 small private hospitals in Jeddah city. The questionnaire 44 questions were designed after conducting a small pilot study on 15 participants. The response rate was about 82.5% in terms of the study questionnaire as only 141 questionnaires were collected. 84 male and 57 female participants took part in the study.Results: The study shows that there is a statistically significant correlation between the use of the international electronic medical file and the enhancement of the quality level of services provided at hospitals, the electronic rehabilitation, training, integrity and awareness of medical staff, and the productivity of hospital workers in line with the Kingdom’s 2030 vision. Moreover, there is a statistically significant correlation between the use of the comprehensive international electronic medical file and raising the level of patient satisfaction by working to protect their medical and financial information and speeding up the process of providing it whenever needed, whether inside the KSA or abroad, as well as reducing the costs of treatment locally and internationally and raising the rates of patient awareness of their medical rights. The results also reveal that using the comprehensive international electronic medical file helps to link patients’ data to all concerned authorities, which leads to enabling them to monitor the performance of hospitals and their staff, monitor the performance of doctors, reduce medical errors, and follow up on patients’ cases and rights to the fullest extent.Conclusions: The study recommends the necessity of selecting and training medical personnel in a professional manner, including those working in the field of the database, and the necessity of maintaining the confidentiality of personal information.
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综合国际电子医疗档案在提高医疗服务质量和实现利益相关者满意度方面的作用:在沙特阿拉伯吉达进行的探索性研究
目的:目前的研究调查了建立一个全面的国际电子医疗档案的可能影响,该档案是数据库的一部分,可用于各个领域,以达到患者和官方机构的最高满意度,并提高医院的医疗服务质量。这一电子档案的主要目的之一是实现数据的准备和保密,以便在沙特阿拉伯王国境内甚至国外的医院之间共享数据。此外,医疗电子档案可能有助于降低治疗费用、监测医生的工作表现和尽量减少医疗差错。此外,电子文件甚至可以用于其他目的,如安全或经济原因。方法:采用定量研究设计,对吉达市19家小型私立医院的患者、管理人员和工作人员共发放问卷171份。问卷共有44个问题,是在对15名参与者进行小规模试点研究后设计的。研究问卷的回复率约为82.5%,只回收了141份问卷。84名男性和57名女性参与了这项研究。结果:研究表明,使用国际电子医疗档案与提高医院提供的服务质量水平、医务人员的电子康复、培训、诚信和意识以及医院工作人员的生产力之间存在统计学上显著的相关性,符合沙特王国的2030年愿景。此外,综合国际电子医疗档案的使用与通过努力保护患者的医疗和财务信息并在需要时(无论是在沙特阿拉伯国内还是国外)加快提供这些信息的进程、降低当地和国际治疗费用以及提高患者对其医疗权利的认识比率来提高患者满意度之间存在统计学上显著的相关性。结果还表明,使用全面的国际电子医疗档案有助于将患者的数据与所有有关当局联系起来,从而使他们能够监测医院及其工作人员的绩效,监测医生的绩效,减少医疗差错,并最大限度地跟踪患者的病例和权利。结论:本研究建议有必要以专业的方式选择和培训医务人员,包括在数据库领域工作的医务人员,并有必要对个人信息保密。
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