Analysis of Barriers to the Deployment of Health Information Systems: a Stakeholder Perspective

Serrano, Alan; García-Guzmán, Javier; Xydopoulos, Georgios; Tarhini, Ali

doi:10.1007/s10796-018-9869-0

Cited by 23 publications

(21 citation statements)

References 44 publications

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“…In order to design a wound management application to support health care workers during wound documentation, we followed the first three stages of the iterative buildevaluate design science approach proposed by Sonnenberg et al (Sonnenberg and vom Brocke 2012). The incorporation of new information systems usually requires significant change to processes in an organization (Serrano et al 2018). By following a very user-centered approach, we aim to increase acceptance of new solutions.…”

Section: Research Approachmentioning

confidence: 99%

Digital Transformation in Health Care: Augmented Reality for Hands-Free Service Innovation

2019

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Health care professionals regularly require access to information systems throughout their daily work. However, existing smart devices like smartphones and tablets are difficult to use at the point of care, because health care professionals require both hands during their work. Following a design science research approach including ethnographic fieldwork and prototype tests with focus groups, we find that Augmented Reality smart glass applications offer potential for service innovation in the health care sector. Our smart glass prototype supports health care professionals during wound treatment by allowing them to document procedures hands-free while they perform them. Furthermore, we investigate the use of audio based and physical interaction with the smart glasses in a within-subjects design experiment.

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Section: Research Approachmentioning

confidence: 99%

Digital Transformation in Health Care: Augmented Reality for Hands-Free Service Innovation

2019

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“…However, uptake of technology-based recording and reporting is hampered by a lack of awareness and organizational support [ 34 , 43 ]. Other barriers include inadequate internet coverage [ 31 , 44 ], telecommunications network coverage [ 42 ] and electricity [ 45 ], limited budgets for system introduction, maintenance and repair of devices [ 46 – 48 ] and limited training of personnel in their use [ 49 , 50 ]. The expansion of computerized recording and reporting in Solomon Islands need to address these barriers for expanding it to the health centres.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the malaria reporting system supported by the District Health Information System 2 in Solomon Islands

Wangdi

Sarma

Leaburi³

et al. 2020

Malar J

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Background District Health Information Systems 2 (DHIS2) is used for supporting health information management in 67 countries, including Solomon Islands. However, there have been few published evaluations of the performance of DHIS2-enhanced disease reporting systems, in particular for monitoring infectious diseases such as malaria. The aim of this study was to evaluate DHIS2 supported malaria reporting in Solomon Islands and to develop recommendations for improving the system. Methods The evaluation was conducted in three administrative areas of Solomon Islands: Honoria City Council, and Malaita and Guadalcanal Provinces. Records of nine malaria indicators including report submission date, total malaria cases, Plasmodium falciparum case record, Plasmodium vivax case record, clinical malaria, malaria diagnosed with microscopy, malaria diagnosed with (rapid diagnostic test) (RDT), record of drug stocks and records of RDT stocks from 1st January to 31st December 2016 were extracted from the DHIS2 database. The indicators permitted assessment in four core areas: availability, completeness, timeliness and reliability. To explore perceptions and point of view of the stakeholders on the performance of the malaria case reporting system, focus group discussions were conducted with health centre nurses, whilst in-depth interviews were conducted with stakeholder representatives from government (province and national) staff and World Health Organization officials who were users of DHIS2. Results Data were extracted from nine health centres in Honoria City Council and 64 health centres in Malaita Province. The completeness and timeliness from the two provinces of all nine indicators were 28.2% and 5.1%, respectively. The most reliable indicator in DHIS2 was ‘clinical malaria’ (i.e. numbers of clinically diagnosed malaria cases) with 62.4% reliability. Challenges to completeness were a lack of supervision, limited feedback, high workload, and a lack of training and refresher courses. Health centres located in geographically remote areas, a lack of regular transport, high workload and too many variables in the reporting forms led to delays in timely reporting. Reliability of reports was impacted by a lack of technical professionals such as statisticians and unavailability of tally sheets and reporting forms. Conclusion The availability, completeness, timeliness and reliability of nine malaria indicators collected in DHIS2 were variable within the study area, but generally low. Continued onsite support, supervision, feedback and additional enhancements, such as electronic reporting will be required to further improve the malaria reporting system.

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“…However, uptake of technology-based recording and reporting is hampered by a lack of awareness and organizational support [34,43]. Other barriers include inadequate internet coverage [31,44], telecommunications network coverage [42] and electricity [45], limited budgets for system introduction, maintenance and repair of devices [46][47][48] and limited training of personnel in their use [49,50]. The expansion of computerised recording and reporting in Solomon Islands need to address these barriers for expanding it to the health centres.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the District Health Information System 2 supported malaria reporting system in Solomon Islands

Wangdi

Sarma

Leaburi³

et al. 2020

Preprint

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BackgroundDistrict Health Information Systems 2 (DHIS2) is used for supporting health information management in 67 countries, including Solomon Islands. However, there have been few published evaluations of the performance of DHIS2-enhanced disease reporting systems, in particular for monitoring infectious diseases such as malaria. The aim of this study was to evaluate DHIS2 supported malaria reporting in Solomon Islands and to develop recommendations for improving the system.MethodsThe evaluation was conducted in three administrative areas of Solomon Islands: Honoria City Council, and Malaita and Guadalcanal Provinces. Records of nine malaria indicators from 1st January to 31st December 2016 were extracted from the DHIS2 database. The indicators permitted assessment in four core areas: availability, completeness, timeliness and reliability. To obtain more detailed information on the performance of the malaria case reporting system, focus group discussions were conducted with health centre nurses, whilst in-depth interviews were conducted with stakeholder representatives from government (province and national) staff and WHO officials who were users of DHIS2. ResultsData were extracted from nine health centres in Honoria City Council and 64 health centres in Malaita Province. The completeness and timeliness from the two provinces of all nine indicators were 28.2% and 5.1% respectively. The most reliable indicator in DHIS2 was ‘clinical malaria’ (i.e. numbers of clinically diagnosed malaria cases) with 62.4% reliability. Challenges to completeness were a lack of supervision, limited feedback, high workload, and a lack of training and refresher courses. Health centres located in geographically remote areas, a lack of regular transport, high workload and too many variables in the reporting forms led to delays in timely reporting. Reliability of reports was impacted by a lack of technical professionals such as statisticians and unavailability of tally sheets and reporting forms. ConclusionThe availability, completeness, timeliness and reliability of nine malaria indicators collected in DHIS2 were variable within the study area, but generally low. Continued onsite support, supervision, feedback and additional enhancements such as electronic reporting will be required to further improve the malaria reporting system.

show abstract

Analysis of Barriers to the Deployment of Health Information Systems: a Stakeholder Perspective

Cited by 23 publications

References 44 publications

Digital Transformation in Health Care: Augmented Reality for Hands-Free Service Innovation

Digital Transformation in Health Care: Augmented Reality for Hands-Free Service Innovation

Evaluation of the malaria reporting system supported by the District Health Information System 2 in Solomon Islands

Evaluation of the District Health Information System 2 supported malaria reporting system in Solomon Islands

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