نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار، مدیریت اطلاعات سلامت، مرکز تحقیقات فن‌آوری اطلاعات در امور سلامت و گروه مدیریت و فن‌آوری اطلاعات سلامت، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 دانشیار، مدیریت اطلاعات سلامت، مرکز تحقیقات مدیریت و اقتصاد سلامت و گروه مدیریت خدمات بهداشتی و درمانی، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 کارشناس ارشد، فن‌آوری اطلاعات سلامت، مرکز تحقیقات فن‌آوری اطلاعات در امور سلامت و گروه مدیریت و فن‌آوری اطلاعات سلامت، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: نظارت و کنترل دقیق سیستم اطلاعات بیمارستانی HIS (Hospital Information System)، مستلزم استفاده از شاخص‏های ‏مناسبی است که منجر به کارایی و اثربخشی و در نهایت، تحقق اهداف ‏و ارتقای سطح کیفیت و ایمنی سازمان می‏گردد. این مهم از طریق شاخص‏های ‏کلیدی عملکرد الگوبرداری HIS امکان‏پذیر می‌باشد. بنابراین، هدف از انجام مطالعه حاضر، ارایه چارچوب شاخص‏های کلیدی عملکرد الگوبرداری HIS بود.روش بررسی: این پژوهش به روش کیفی، در سال 1395 و در دو مرحله انجام شد. در مرحله اول، شاخص‏ها‏ی کلیدی عملکرد الگوبرداری HIS از طریق مصاحبه نیمه‏ ساختار یافته و روش تحلیل محتوای موضوعی استخراج گردید. در مرحله دوم، به منظور اجماع در خصوص شاخص‌های مذکور، از دو راند تکنیک Delphi و محاسبه شاخص‏های ‏مرکزی و پراکندگی آمار توصیفی (فراوانی، درصد، میانگین و میانه) استفاده شد.یافته‌ها: 76 شاخص کلیدی عملکرد الگوبرداری حاصل از داده‌های به دست آمده، در قالب 8 محور اصلی تبیین گردید. این محورها شامل شاخص‏های نرم‏افزار‏‏، سخت‌افزار، معماری و رابط کاربری، شرکت فروشنده HIS، خدمات پشتیبانی، گردش کار، برون‌داد و هزینه‏ها‏ی HIS بیمارستانی بود.نتیجه‌گیری: شاخص‏ها‏ی شناسایی شده چهارچوب جامعی را برای الگوبرداری HIS فراهم می‌کند که با به‏‏ کارگیری آن، فرصت خوبی جهت بهبود عملکرد این سیستم‏ها ‏و عملکرد بیمارستان در طول زمان ایجاد خواهد شد.

کلیدواژه‌ها

عنوان مقاله [English]

Key Performance Indicators of Benchmarking in Hospital Information Systems

نویسندگان [English]

  • Asghar Ehteshami 1
  • Ahmad Reza Raeisi 2
  • Maedeh Rashedi 3

1 Assistant Professor, Health Information Management, Health Information Technology Research Center AND Department of Health Information Technology, School of School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran

2 Associate Professor, Health Information Management, Health Management and Economic Research Center AND Department of Health Care Management, School of School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran

3 MSc, Health Information Technology, Health Information Technology Research Center AND Department of Health Information Technology, School of School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran

چکیده [English]

Introduction: Monitoring hospital information systems requires developing key indicators and criteria for efficiency and effectiveness, and consequently fulfillment of organizational objectives, including safety and quality. The purpose of this study was benchmarking of key indicators of hospital information systems.Methods: This research was based on qualitative methodology with two phases. It was carried out in Ahwaz City, Iran, during the years 2015 and 2016. In the first phase, we conducted purposeful sampling using snowball technique. In the second phase, ranking of the key indicators of benchmarking operation of hospital information system (HIS) was conducted using Delphi technique. The method of data analysis in the first phase was based on a thematic content analysis, and primary and secondary themes were extracted through descriptive, interpretative, and explanatory coding. For the second phase, SPSS software was used to analyze quantitative findings and their ranking.Results: After performing 14 semi-structured interviews with the study participants, the key benchmarking indicators for hospital information system were identified with 8 main themes including hardware, software, support services, vendors, output quality, workflow process, design/interface, and costs, and 76 subthemes, prioritized through Delphi method.Conclusion: Benchmarking intended for comparison and improvement of the various hospital systems such as hospital information system, is one of the very helpful instruments in the hands of the managers working in this field. The indicators identified during this research will provide a comprehensive tool for benchmarking of hospital information system. By applying these benchmarks continuously, there is a good possibility to improve the operation of such systems.

کلیدواژه‌ها [English]

  • Indicator
  • Performance
  • Hospital Information Systems
  • Benchmarking
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