The design and application of an e-health readiness assessment tool

Gholamhosseini, Leila; Ayatollahi, Haleh

doi:10.1177/1833358316661065

Cited by 30 publications

(18 citation statements)

References 12 publications

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“…Electronic Health Records implementation is usually accompanied by perceptions of an increased workload associated with data entry, disruptions to workflow, fears in transitioning from paper records to computerized records, and changes in organizational culture required to effectively utilize EHR [10]. Conducting readiness assessment can reduce these fears and reduce the risk of losing substantial amounts of money, prevent delays and disappointments among staff and service users, reduce the risk of medical errors and motivate staff to support implementation strategies [11,12].…”

Section: Introductionmentioning

confidence: 99%

Health providers’ readiness for electronic health records adoption: A cross-sectional study of two hospitals in northern Ghana

Abdulai

Adam

2020

PLoS ONE

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Introduction Electronic Health Records are receiving considerable attention as a valuable tool for managing clinical information. Despite the prospects of Electronic Health Records in developing countries, many pre-implementation assessments target organizational, managerial, and infrastructural readiness, but barely include a detailed examination of health provider readiness. Meanwhile, health provider readiness is a critical success factor for electronic health records in settings where the majority of the workforce is less likely to have basic computer skills. We sought to assess the readiness of health providers for electronic health records in Ghana. Materials and method An institutional-based cross-sectional study was conducted among 350 health providers in northern Ghana from June-September 2019. Data were collected using a modified questionnaire on provider readiness. The mean overall readiness was calculated for each respondent. Providers with readiness score below the overall mean score were categorized as not being ready while those at or above the mean score were considered ready. Multiple linear regression was conducted to determine the factors that determine provider readiness. Results Two hundred and nine health providers responded to the questionnaire (59.7 response rate). The mean overall readiness was 3.61 (SD = .76), mean core readiness was 3.74 (SD = .80), and mean engagement readiness was 3.47 (SD = .67). Using the average overall readiness score as the cutoff for determining being ready and not ready for electronic health records, overall readiness was 54.9%, core readiness was 67.2%, while engagement readiness was 43.1%. Age, sex, old employees compared to new employees, computer literacy, and knowledge of electronic health records were significant determinants of health providers' readiness to adopt electronic health records.

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Section: Introductionmentioning

confidence: 99%

Health providers’ readiness for electronic health records adoption: A cross-sectional study of two hospitals in northern Ghana

Abdulai

Adam

2020

PLoS ONE

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“…Establishing a new radiotherapy service without an in-depth understanding of the LMIC's preparedness can contribute to sub-optimal outcomes. While there are several readiness assessment tools, such as: 'Ready, Set, Change' Readiness Support Tool (27); e-health Readiness Assessment Tool (28); and Organizational readiness for change (29), few are relevant for appraising LMICs' readiness to establish safe and sustainable radiotherapy services. The '10-Step Framework' (30) is considered not broad enough to cover the necessary critical success factors to enable establishment of new radiotherapy services in LMICs.…”

Section: Discussionmentioning

confidence: 99%

Development of the ‘REadiness SElf-Assessment (RESEA) Guide’ to assist low and middle-income countries with establishing safe and sustainable radiotherapy services: a pragmatic sequential mixed qualitative methods project

Donkor

Luckett

Aranda

et al. 2020

Preprint

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Background: Improving access to radiotherapy services in low and middle-income countries (LMICs) is challenging. Many LMICs’ radiotherapy initiatives fail because of multi-faceted barriers leading to significant wastage of scarce resources. Supporting LMICs to self-assess their readiness for establishing radiotherapy services will help to improve cancer outcomes by ensuring safe, effective and sustainable evidenced-based cancer care. The aim of the study was to develop practical guidance for LMICs on self-assessing their readiness to establish safe and sustainable radiotherapy services.Methods: The Access to Radiotherapy for Cancer treatment (ARC) Project was a pragmatic sequential mixed qualitative methods design underpinned by the World Health Organisation’s ‘Innovative Care for Chronic Conditions Framework’ and ‘Health System Building Blocks Framework for Action’ conceptual frameworks. This paper reports on the process of overall data integration and meta-inference from previously published components comprising a systematic review and two-part qualitative study (semi-structured interviews and a participant validation process). The meta-inferences enabled a series of radiotherapy readiness self-assessment requirements to be generated, formalised as a REadiness SElf-Assessment (RESEA) Guide’ for use by LMICs.Findings: The meta-inferences identified a large number of factors that acted as facilitators and/or barriers, depending on the situation. ‘Commitment’, ‘cooperation’, ‘capacity’ and ‘catalyst’ were identified as the key domains enabling development of radiotherapy services. Across these four domains, the RESEA Guide included 37 requirements and 120 readiness questions that LMICs need to consider and answer as part of establishing a new radiotherapy service.Conclusions: The RESEA Guide provides a new resource for LMICs to self-assess their capacity to establish safe and sustainable radiotherapy services. Future evaluation of the acceptability and feasibility of the RESEA Guide is needed to inform further refinements.

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“…Teknologi informasi kesehatan (e-health) merupakan Teknologi Informasi dan Komunikasi (TIK) yang mendukung kegiatan dibidang kesehatan mencakup ; pelayanan, perawatan, literasi, dan penelitian pendidikan dan pengetahuan kesehatan. E-health dapat digunakan untuk kegiatan yang terintegrasi antara pekerjaan adiministrasi dalam memberikan pelayanan kesehatan kepada masyarakat, informasi dari kegiatan professional/dokter dan pemamnfaatan konsep e-commerce dan e-business [3]. Pemanfataan teknologi informasi ini tidak hanya digunakan oleh negara maju saja, namun juga diterapkan oleh negara-negara sedang berkembang, karena di era globalisasi saat sekarang ini para pemimpin organisasi lebih cenderung mengambil keputusan pada perubahan solusi yang akan digantikan dengan sistem informasi yang didukung dengan Teknologi Informasi (TI) yang tepat guna [4].…”

Section: Pendahuluanunclassified

Kesiapan Mengadopsi Sistim Informasi Pada Rumah Sakit Pemerintah di Kota Padang

Pujani

Sermiaty

Kotama

2019

TEKNOSI

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Studi ini bertujuan untuk mengevaluasi pengaruh faktor kesiapan rumah sakit daerah milik pemerintah di kota Padang dalam mengadopsi E-health atau sistim informasi manajemen rumah sakit. Faktor kesiapan yang akan diukur adalah adanya kesiapan pokok (core), kesiapan structural teknologi (structural), kesiapan social (societal), kesiapan untuk menggunakan (engagement), upaya yang dilakukan (effort), dan capaian kinerja (performance) terhadap adopsi e-health. Penelitian ini menggunakan metode kuantitatif dan survey terhadap 80 orang pengguna sistim informasi pada tiga rumah sakit pemerintah di Kota Padang. Pemilihan sampel berdasarkan metode purposive sampling, karena hanya dtujukan bagi yang pernah mengoperasikan sistim informasi di rumah sakit. Data yang diperoleh dari kusioner akan diolah menggunakan analisis regresi berganada dengan aplikasi Stata. Studi ini menguji 6 hipotesis dan menghasilkan bahwa semua faktor kesiapan mempengaruhi adopsi e-health di rumah sakit milik negara di Kota Padang. Dari semua variabel diteliti, ditemukan rata-rata tertinggi pada variabel capaian kinerja, artinya rumah sakit yang bisa mengadopsi e-health, mesti memiliki kinerja yang baik juga. Implikasi dan saran di jelaskan pada bagian akhir dari penelitian ini. Untuk studi lanjut mesti dipertimbangkan factor lain seperti komitmen pimpinan, dan keersediaan dana dalam mengadopsi e-health di rumah sakit pemerintah di Indonesia.UMMI untuk melakukan manajemen risiko.

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The design and application of an e-health readiness assessment tool

Cited by 30 publications

References 12 publications

Health providers’ readiness for electronic health records adoption: A cross-sectional study of two hospitals in northern Ghana

Health providers’ readiness for electronic health records adoption: A cross-sectional study of two hospitals in northern Ghana

Development of the ‘REadiness SElf-Assessment (RESEA) Guide’ to assist low and middle-income countries with establishing safe and sustainable radiotherapy services: a pragmatic sequential mixed qualitative methods project

Kesiapan Mengadopsi Sistim Informasi Pada Rumah Sakit Pemerintah di Kota Padang

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