Document Type : Original Article
Authors
- Leila Shahmoradi 1
- Alireza Darrudi 2
- Faezeh Shamsi 3
- Azadeh Norouzinejad-Dastenayi 3
- Farshid Nasrolahbeigi 3
1 Assistant Professor, Health Information Technology, Department of Health Information Management, School of Allied Medicine, Tehran University of Medical Sciences, Tehran, Iran
2 MSc Student , Health Economics, Health Economic Management Association, Students Scientific Research Center, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3 BSc Student, Health Care Management, Department of Health Care Management, School of Allied Medicine, Tehran University of Medical Sciences, Tehran, Iran
Abstract
Introduction: Changes in the health care system and society along with increase in the power of technology have imposed a mounting pressure on policymakers, healthcare providers, and the health care system to develop electronic medical record systems. Therefore, the aim of this study was to analyze the strengths, weaknesses, opportunities, and threats (SWOT) of implemented electronic health record systems from the perspective of hospital managers of Tehran University of Medical Sciences, Iran, in 2015.Methods: This was a cross-sectional, descriptive, and analytical study. The study population included all managers of hospitals affiliated to Tehran University of Medical Sciences. The research instrument was a questionnaire which gathered information on internal factors (strengths and weaknesses) and external factors (opportunities and threats) of electronic health record systems. Data analysis was performed using descriptive statistics and SWOT analysis.Results: The most important strength of electronic records was quick and timely access to information (weight rating: 0.147) and the most important weakness was lack of equipment and hardware necessary for the implementation of electronic health records (weight score: 0.094). Moreover, the sharing of information between health service providers and better management of information (weight score: 0.121) were reported as the most important opportunities, and lack of strategic planning in the field of electronic health records (weight score: 0.127) as the most important threat for these record systems.Conclusion: Politicians and investors in healthcare can use the strategies presented in this research to improve and accelerate the implementation of electronic health records in Iran. Furthermore, drawing a strategic plan, designing standards for security, privacy, and sharing of information, and increasing resources and financing are the steps that can be taken to better implement electronic health records.
Keywords
- Rezae P, Ahmadi M, Sadughi F. Comparative study on EHR content, structure, and terminology standards in selected organizations and design a model for Iran. J Health Adm 2007; 10(29): 55-64. [In Persian].
- Sadoughi F, Delgoshaei B, Foozonkhah S, Tofighi S, Khalesi N. Designing an object-oriented model for some key messages to support the electronic health record . J Health Adm 2006; 9(25): 21-30. [In Persian].
- Safdari R, Seied Farajollah SS. Strategies to protect the rights of patients in Electronic Health Record systems. Teb Tazkiyeh 2009; 18(1-2): 48-56. [In Persian].
- Tamas P, Voyiatzis AG, Anastasiadou D, Jovanovich Z. SWOT analysis on ICT theme "e-health [Online]. [cited 2012]; Available from: URL: http://ct3.ijs.si/wp-content/uploads/2012/12/FORSEE-SWOT-Analysis-eHealth_5p_2013_01_18.pdf
- Orlova AO, Dunnagan M, Finitzo T, Higgins M, Watkins T, Tien A, et al. Electronic health record - public health (EHR-PH) system prototype for interoperability in 21st century healthcare systems. AMIA Annu Symp Proc 2005; 575-9.
- Sadari R, Masoori N, Seied Farajollah SS. A comparative study on the functions of pioneer organizations (Astm, Hl7 And Iso) in developing electronic health record. Health Inf Manage 2011; 8(3): 422-32. [In Persian].
- Lorenzi NM, Kouroubali A, Detmer DE, Bloomrosen M. How to successfully select and implement electronic health records (EHR) in small ambulatory practice settings. BMC Med Inform Decis Mak 2009; 9: 15.
- Meeks DW, Smith MW, Taylor L, Sittig DF, Scott JM, Singh H. An analysis of electronic health record-related patient safety concerns. J Am Med Inform Assoc 2014; 21(6): 1053-9.
- Farzandipour M, Ahmady M, Sadoughi F, Karimi I. Designing a model for security requirements of electronic health records in Iran. J Qazvin Univ Med Sci 2009; 13(1): 79-86. [In Persian].
- Bouraghi H, Valinejadi A, Kiani MA, Hodadadi M, Yazdanyar M, Vakilimofrad H, et al. A survey on the knowledge of managers of Hamadan University of Medical Sciences about applications of hospital information system. J Health Syst Res 2012; 8(2): 275-81. [In Persian].
- Asadnia A, Jalilpour P. A feasible study on the privatization of public libraries: a SWOT analysis approach. Research on Information Sciences and Public Libraries 2013; 2013(19): 2-213.
- Jebraeily M, Ahmadi M, Hajavi A, Gohari M, Sedghi Jahromi M, Zareh Z. Electronic health records: Personnel readiness assessment. J Health Adm 2010; 13(39): 17-24. [In Persian].
- Mirani N, Ayatollahi H, Haghani H. A survey on barriers to the development and adoption of electronic health records in Iran. J Health Adm 2013; 15(50): 65-75. [In Persian].