Background The Health Information System (HIS) is a set of computerized tools for the collection, storage, management, and transmission of health data. The role of such tools in supporting the modernization of health systems, improving access to quality healthcare, and reducing costs in developing countries is unquestionable, but their implementation faces several challenges. In Gabon, a unique national electronic HIS has been launched. It will connect healthcare institutions and providers at all levels in the whole country. Objective This study aims to explore and identify the factors influencing healthcare providers’ perceptions of the national electronic HIS in Gabon. Methods A 44-item questionnaire based on the Information System Success Model (ISSM) was administered between February and April 2018 among 2,600 healthcare providers across the country. The questions assessed the different aspects of the HIS that could influence its perceived impact on a 5-level Likert scale (from fully agree to totally disagree). The reliability and construct validity of the questionnaire were checked using Cronbach alpha and congeneric reliability coefficients. A logistic regression was used to identify the factors influencing healthcare providers’ perceptions of the system. Results A total of 2,327 questionnaires were completed (i.e. 89.5% response rate). The logistic regression identified five elements that significantly influenced perceived system impact: System Quality (Odds Ratio–OR=1.70), Information Quality (OR=1.69), Actual Use (OR=1.41), Support Quality (OR=1.37), and Useful Functions (OR=1.14). The model explained 30% of the variance in providers’ perception that the national HIS leads to positive impacts. Discussion The results show that healthcare providers’ perceptions regarding the positive impact of the national HIS in Gabon are influenced by their previous use of an HIS, the scope of their usage, and the quality of the system, information, and support provided to users. These results could inform the development of strategies to ensure adequate change of management and user experience for the implementation of the national HIS in Gabon, and eventually in other low resource environments. Keywords: Health Information System, Information System Success, User Acceptance, Healthcare Providers, Gabon
Background: Health information systems bring several benefits for the health system, healthcare providers, and the population. As a set of tools for the collection, storage, management and transmission of health data, their role to support the modernization of health systems, improve access to quality health care and reduce costs in developing countries is unquestionable. However, HIS implementation in low-income countries face several challenges. In Gabon, a unique initiative called eGabon has been launched in order to modernize the country’s infrastructures, notably through the deployment of a unique national electronic HIS that will connect health care institutions and providers at all levels in the whole country. Objective: This study aims to identify the factors influencing the optimal use of the national electronic HIS by healthcare providers in Gabon. Methods: We used an adaptation of the Information System Success Model ( and developed a questionnaire that was distributed to 2600 healthcare providers across the country). Reliability and validity of the instrument were tested, and we performed a logistic regression to identify the factors influencing healthcare providers’ perceptions towards the national electronic HIS. Results: A total of 2327 questionnaires were received from healthcare providers, of which 1930 were usable in the analyses. The reliability and validity of the questionnaire were supported. The logistic regression identified five constructs that significantly influence perceived system impact: System quality, Information quality, Support quality, Actual use and Useful functions. The model explains 30% of the variance in providers’ perception that the HIS leads to positive impacts. Discussion: This study provides support to the use of an adapted ISSM in the context of HIS implementation in a low-income setting. The results show that health care providers’ perceptions regarding the positive impact of the HIS are influenced by their previous use of a HIS, the extent of their use, their perceptions of system quality, information quality and quality of the support provided to users. These results could inform the development of strategies to ensure adequate change management and user experience for the implementation of the national electronic HIS, and eventually in other low-resources settings.
BackgroundThe Health Information System (HIS) is a set of computerized tools for the collection, storage, management, and transmission of health data. The role of such tools in supporting the modernization of health systems, improving access to quality healthcare, and reducing costs in developing countries is unquestionable, but their implementation faces several challenges. In Gabon, a unique national electronic HIS has been launched. It will connect healthcare institutions and providers at all levels in the whole country.ObjectiveThis study aims to explore and identify the factors influencing healthcare providers’ perceptions of the national electronic HIS in Gabon. MethodsA 44-item questionnaire based on the Information System Success Model (ISSM) was administered between February and April 2018 among 2,600 healthcare providers across the country. The questions assessed the different aspects of the HIS that could influence its perceived impact on a 5-level Likert scale (from fully agree to totally disagree). The reliability and construct validity of the questionnaire were checked using Cronbach alpha and congeneric reliability coefficients. A logistic regression was used to identify the factors influencing healthcare providers’ perceptions of the system.ResultsA total of 2,327 questionnaires were completed (i.e. 89.5% response rate). The logistic regression identified five elements that significantly influenced perceived system impact: System Quality (Odds Ratio–OR=1.70), Information Quality (OR=1.69), Actual Use (OR=1.41), Support Quality (OR=1.37), and Useful Functions (OR=1.14). The model explained 30% of the variance in providers’ perception that the national HIS leads to positive impacts. DiscussionThe results show that healthcare providers’ perceptions regarding the positive impact of the national HIS in Gabon are influenced by their previous use of an HIS, the scope of their usage, and the quality of the system, information, and support provided to users. These results could inform the development of strategies to ensure adequate change of management and user experience for the implementation of the national HIS in Gabon, and eventually in other low resource environments.
Background: Health information System(HIS) is a set of computerized toolsfor the collection, storage, management and transmission of health data.Their role in supporting the modernization of health systems, improving access to quality healthcare and reducing costs in developing countries is unquestionable; but their implementation faces several challenges. In Gabon, a unique national electronic HIShas been launched.It will connect healthcare institutions and providers at all levels in the whole country.Objective: This study aims to explore and identify the factors influencing healthcare providers’ perceptions of the national electronic HIS. Methods: We adapted a questionnairebased on the Information System Success Model (ISSM).Twenty six hundreds(2600) healthcare providers,recruited across the country, took part in the research. We checked the reliability and validity of the application and performed a logistic regression to identify the factors influencing healthcare providers’ perceptions towards the system.Results: A total of 2327 questionnaires were completed (i.e. 89.5% response rate). The logistic regression identified five elements that significantly influenced perceived system impact: System Quality (Odds Ratio–OR=1.70), Information Quality (OR=1.69), Actual Use (OR=1.41), Support Quality (OR=1.37), and Useful Functions (OR=1.14). The model explained 30% of the variance in providers’ perceptionshow that the HIS leads to positive impacts. Discussion: The results show that healthcare providers’ perceptions regarding the positive impact are influenced by their use of a previous HIS, the scope of their usage and the quality of the system, information and support provided to users. These results could inform the development of strategies to ensure adequate change of management and user experience for the implementation of the national electronic HIS in Gabon, and eventually in other low resources environment.
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