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Predictors of electronic health management information system for improving the quality of care for women and people with disabilities
Information Development ( IF 2.0 ) Pub Date : 2020-09-10 , DOI: 10.1177/0266666920947147
Edda Tandi Lwoga 1 , Raphael Zozimus Sangeda 2 , Restituta Mushi 2
Affiliation  

The electronic Hospital management Information System (eHMIS) can improve care for vulnerable patients, help collect important disability and maternal health data, and improve the hospital’s overall data management. This study assessed the use of HMIS and factors influencing the usage and behavioral intentions to use the eHMIS at the Comprehensive Community Based Rehabilitation in Tanzania (CCBRT). We investigated both clinical and non-clinical staff (n=69) using tablets and online surveys, with a rate of return of 71.9%. The ICT staff were also interviewed to supplement data from the survey. The survey questionnaire was guided by the updated Information System Success (ISS) model. Most health workers (81.2%) used the eHMIS several times a day to support different decision-making activities. The better educated personnel were more likely to enter data more effectively into eHMIS as compared to their counterparts. Among six predictors, self-efficacy positively influenced self-reported use and user satisfaction of HMIS, while service quality negatively affected self-reported use of eHMIS. The system quality positively influenced health workers to be satisfied with the eHMIS, and user satisfaction positively influenced continued usage intention of the eHMIS. Both user satisfaction and continued usage intention were positively related to individual impact of eHMIS. Individual impact had positive effects on organizational impact of eHMIS. This is a comprehensive study conducted in Tanzania regarding the implementation of eHMIS, and factors influencing post-adoptive use of HMIS to improve quality of care of women and people with disabilities.



中文翻译:

电子健康管理信息系统的预测指标,用于提高妇女和残疾人的护理质量

电子医院管理信息系统(eHMIS)可以改善对弱势患者的护理,帮助收集重要的残疾和产妇健康数据,并改善医院的整体数据管理。这项研究评估了HMIS的使用以及影响坦桑尼亚基于社区的综合康复(CCBRT)中使用eHMIS的使用和行为意图的因素。我们使用平板电脑和在线调查对临床和非临床人员(n = 69)进行了调查,回报率为71.9%。还对ICT人员进行了采访,以补充调查数据。调查问卷以更新的信息系统成功(ISS)模型为指导。大多数卫生工作者(81.2%)每天使用eHMIS来支持不同的决策活动。与同行相比,受过良好教育的人员更有可能更有效地将数据输入eHMIS。在六个预测指标中,自我效能感积极影响了HMIS的自我报告使用和用户满意度,而服务质量负面影响了eHMIS的自我报告使用。系统质量积极影响卫生工作者对eHMIS的满意度,而用户满意度则积极影响eHMIS的持续使用意愿。用户满意度和持续使用意愿都与eHMIS的个人影响成正相关。个人影响对eHMIS的组织影响具有积极影响。这是在坦桑尼亚进行的有关eHMIS实施的综合研究,

更新日期:2020-09-10
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