Sakeineh Saghaeiannejad Isfahani; Saeed Saeedbakhsh; Maryam Jahanbakhsh; Mahboobeh Habibi
Volume 8, Issue 5 , November and December 2011
Abstract
Introduction: Hospital Information Systems (HISs) have positive effects on patients' treatment process and organizational function. Therefore, it is necessary to evaluate the quality of services provided by such systems. The aim of this study was to assess and compare HISs in Isfahan hospitals based ...
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Introduction: Hospital Information Systems (HISs) have positive effects on patients' treatment process and organizational function. Therefore, it is necessary to evaluate the quality of services provided by such systems. The aim of this study was to assess and compare HISs in Isfahan hospitals based on the DeLone and McLean Model adjusted. Methods: This was an applied, analytical-descriptive study performed in public and private hospitals of Isfahan in 2010. Research population consisted of system users and designers and authorities of hospital information technology, directors and managers of official and clinical departments equipped by such systems. While users were selected by random sampling (n = 300), census method was used for the other two groups (n = 212). Data was collected using a questionnaire designed by the researcher based on three criteria (system quality, information quality and user satisfaction). It was adjusted to DeLone and McLean model. Content validity of the questionnaire was verified by faculty members as well as computer science specialists. The reliability of the questionnaire was estimated by Cronbach's alpha coefficient and data was analyzed by SPPS. Results: According to our findings, mean scores of system quality, information quality and satisfaction were significantly different between various kinds of HISs, as well as between different hospitals (P < 0.05). Total mean scores of system quality, information quality and satisfaction for all HISs were 58.6, 60.8 and 61.2, respectively. Conclusion: According to the results of this research, the criteria of HISs have been implemented in a rather optimum condition. Thus in order to reach desirable conditions, it is necessary to pay particular attention to factors improving system quality, information quality, type of specialty in a hospital, and users' expectations and specialty when designing HISs. Keywords: Technology Assessment; Hospitals; Software; Hospital Information System; DeLone and McLean Model.
Maryam Jahanbakhsh; Sakine Saghaeyannejad Isfahani
Volume 7, Issue 1 , March 2010
Abstract
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<!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:-1610611985 1107304683 0 0 159 0;} @font-face {font-family:Lotus; panose-1:0 0 4 0 0 0 0 0 0 0; mso-font-charset:178; mso-generic-font-family:auto; mso-font-pitch:variable; mso-font-signature:8193 0 0 0 64 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-unhide:no; mso-style-qformat:yes; mso-style-parent:""; margin:0in; margin-bottom:.0001pt; text-align:justify; text-justify:kashida; text-kashida:0%; text-indent:.5in; line-height:102%; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Lotus;} .MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; font-size:10.0pt; mso-ansi-font-size:10.0pt; mso-bidi-font-size:10.0pt;} @page Section1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.Section1 {page:Section1;} --> Introduction: There are many demands for accuracy coded data with purpose of the systemic recording, analysis, interperation and comparison of morbidity and mortality data collected in different countries. Therefore the importance of accurate coding cannot be ignore. Meaningful and comparative statistics needs accurate and comprehensive coding and it requires knowledge of rules and guidelines for ICD. So coders must be knowledge about guidelines for producing quality data. Goal of the research was determining coder's knowledge of coding Isfahan hospitals. Methods: It is a descriptive study carried out on all coders (N = 32) in hospitals affiliated with Isfahan University o Medical Sciences. The data was collected by a researcher-made questionnaire which was validated by experts and its reliability was confirmed by test retest. Results analyzed by SPSS. Results: The mean of accurate response of coders was approximately 45%. Maximum of the coders awareness of the questions was about selection of main diagnosis and related procedures (69%) and procedures guidelines (51%). Also minimum of the coders awareness was about selection main diagnosis among other diagnoses (32%) and general coding guidelines(35%).Conclusion: The coders awareness about axes except the first goal was lesser than 50%. It resulting in not missing of information but inaccurate classification and unreliable reporting. Outcome of its is inefficiency of coding units and alteration their mission specially research in educational hospitals.Keywords: Awareness; Diagnosis; Hospitals; Classification.