Evaluation of Hospital Information Management System with Information Systems Success Model

Year 2021, Volume: 14 Issue: 4, 403 - 410, 31.10.2021

İbrahim Türkmen , Belkıs Özkara

Abstract

The most important and most common of the information systems used in hospitals is the hospital information management system. There is not much research on whether these costly systems actually perform as expected. Researchers evaluate the success of the information system based on users' perceptions and benefits obtained. In this study, the success of the hospital information management system was evaluated using the information systems success model developed by DeLone and McLean in terms of healthcare workers. Information systems success model evaluates the success of information management system with system quality, information quality, user satisfaction, system usage and net benefit components. The population of the study consists of healthcare workers using the hospital information management system in Usak Training and Research Hospital. Convenience sampling method was used in the sample selection. In the analysis of data obtained from 302 healthcare professionals, the structural equation model was used through SPSS 22.0 and AMOS 22.0 programs. Research findings show that; improving the system quality and information quality of the hospital information management system increases user satisfaction and system usage. The increased satisfaction of users contributes to the formation of positive perceptions about the voluntary use of the system by healthcare professionals and the benefits they obtain from the system.

Keywords

Electronic Health Records, Information Systems, Information Systems Success Model, Hospital Information Management Systems

Supporting Institution

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Project Number

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Hastane Bilgi Yönetim Sisteminin Bilişim Sistemleri Başarı Modeli ile Değerlendirilmesi

Abstract

Hastanelerde kullanılan bilgi sistemlerinden en önemlisi ve en yaygını, hastane bilgi yönetim sistemidir. Maliyeti yüksek olan bu sistemlerin gerçekte beklenen performansı gösterip göstermediği hakkında çok fazla araştırma yoktur. Araştırmacılar bilgi sisteminin başarısını, kullanıcıların algılarına ve elde edilen faydalara bağlı olarak değerlendirmektedir. Bu araştırmada, hastane bilgi yönetim sisteminin başarısı, DeLone ve McLean tarafından geliştirilen bilişim sistemleri başarı modeli kullanılarak sağlık çalışanlarının bakış açısıyla değerlendirilmesi amaçlanmıştır. Bilişim sistemleri başarı modeli, bilgi yönetim sisteminin başarısını; sistem kalitesi, bilgi kalitesi, kullanıcı memnuniyeti, sistem kullanımı ve net fayda bileşenleri ile değerlendirmektedir. Araştırmanın evrenini, Uşak Eğitim ve Araştırma Hastanesi’nde hastane bilgi yönetim sistemini kullanan sağlık çalışanları oluşturmaktadır. Örneklem seçiminde kolayda örnekleme yöntemi kullanılmıştır. 302 sağlık çalışanından elde edilen verilerin analizinde, SPSS 22.0 ve AMOS 22.0 programları aracılığıyla yapısal eşitlik modeli kullanılmıştır. Araştırma bulguları göstermektedir ki; hastane bilgi yönetim sisteminin sistem kalitesi ve bilgi kalitesinin geliştirilmesi kullanıcı memnuniyetini ve sistem kullanımını artırmaktadır. Kullanıcıların artan memnuniyeti, sağlık çalışanlarının gönüllü sistem kullanımına ve sistemden elde ettikleri faydaya yönelik olumlu algıların oluşmasına katkı sağlamaktadır.

Keywords

Elektronik Sağlık Kayıtları, Bilişim Sistemleri, Bilişim Sistemleri Başarı Modeli, Hastane Bilgi Yönetim Sistemleri

Project Number

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References

• Ministry of Health, Public Hospitals Statistics Yearbook 2017, General Directorate of Health Information Systems, Ankara, 2018.
• K. C. Laudon, J. P. Laudon, Management Information Systems, Pearson, Boston, 2014.
• A. C. Norris, J.M. Brittain, “Education, Training and The Development of Health İnformatics”, Health Informatics Journal, 6(4), 189-195, 2000.
• M. Azubuike, J. E. Ehiri, “Health Information Systems in Developing Countries: Benefits, Problems, And Prospects”, The Journal of the Royal Society for the Promotion of Health, 119(3), 180-184, 1999.
• A. Demirhan, İ. Güler, “Informatics and Health”, Journal of Information Technologies, 4(3), 13-20, 2011.
• Internet: Ministry of Health, Digital Agreement from Ministry of Health, https://sbsgm.saglik.gov.tr/TR,53214/ saglik-bakanligindan-dijital-anlasma.html, 12.06.2020.
• B. Ak, “Health Informatics in Turkey, a Personal Assessment and an İnternational Success Story”, XI. Academic Informatics Conference Proceedings, Harran University, Şanlıurfa, 333-341, February 2009.
• Internet: Ministry of Health, “2020 Active HIS List”, https://kayittescil.saglik.gov.tr/TR,54929/aktif-hbys-listesi.html, 16.06.2020.
• M. Kumar, J. Mostafa, R. Ramaswamy, “Federated Health Information Architecture: Enabling Healthcare Providers and Policymakers to Use Data for Decision-Making”, Health Information Management Journal, 48(2), 85-93, 2018.
• C. Kanjo, “Pragmatism or Policy: Implications on Health Information Systems Success”, The Electronic Journal of Information Systems in Development Countries, 48(2), 1-20, 2017.
• H. Hah, J. Khuntia, A. Kathuria, J. Tan, “Rationalizing Personal Health Management (PHM) Policy: Identifying Health it Use Patterns via Observations of Daily Living (Odls) Data”, Health Policy and Technology, 9(2), 185-193, 2020.
• G. Walsham, V. Symons, T. Waema, “Information Systems as Social Systems: Implications for Developing Countries”, Information Technology for Development, 3(3), 189-204, 1988.
• R. Haux, A. Winter, E. Ammenwerth, B. Brigl, Strategic Information Management in Hospital: An Introduction to Hospital Information Systems, Springer, New York, 2004.
• R. Z. Kou, “EMRS Adoption: Exploring the Effects of Information Security Management Awareness and Perceived Service Quality”, Health Policy and Technology, 7(4), 365-373, 2018.
• L. Kosherbayeva, S. Kalmakhanov, D. Hailey, S. Pazilov, S. Laura, R. Kozhamkul, et al, “Rethinking Priorities in Hospital Management: A Case from Central Asia”, Health Policy and Technology, 9(3), 391-396. 2020.
• P. T. Houngbo, M. Zweekhorst, J. Bunders, H. L. Coleman, D. Medenou, L. Dakpanon, et al, “The Root Causes of Ineffective and Inefficient Healthcare Technology Management in Benin Public Health Sector”, Health Policy and Technology, 6(4), 446-456, 2017.
• W. Wang, X. Zhao, J. Sun, G. Zhou, “Exploring Physicians' Extended Use of Electronic Health Records (EHRS): A Social Influence Perspective” Health Information Management Journal, 45(3), 134-143, 2016.
• L. Ericson, T. Hammar, N. Schönström, G. Peterson, “Stakeholder Consensus on the Purpose of Clinical Evaluation of Electronic Health Records is Required”, Health Policy and Technology, 6(2), 152-160, 2017.
• G. Gürsel, “User Expectations from Healthcare Information Systems: Nurses’ perspective”, Journal of Information Technologies, 11(3), 287-294, 2018.
• W. H. DeLone, E. R McLean, “Information Systems Success: The Quest for the Dependent Variable”, Information Systems Research, 3(1), 60-95, 1992.
• W. H. DeLone, E. R McLean, “The DeLone and McLean Model of Information Systems Success: A Ten-Year Update”, Journal of Management Information Systems, 19(4), 9-30, 2003.
• B. H. Wixom, P. A. Todd, “A Theorical Integration of User Satisfaction and Technology Acceptance”, Information Systems Research, 16(1), 85-102, 2005.
• P. B. Seddon, “A Respecification and Extension of the Delone and Mclean Model of IS Success”, Information Systems Research, 8(3), 240-253, 1997.
• H. Barki, S. L. Huff, “Change, Attitude to Change, and Decision Support System Success”, Information & Management, 9(5), 261-268, 1985.
• K. N. Al-Gharbi, S. M. Gattoufi, A. H. Al-Badi, A. A. Al-Hasmi, “Al-Shıfa Healthcare Information System in Oman: A Debatable Implementation Success”, The Electronic Journal of Information Systems in Developing Countries, 66(1), 1-17, 2015.
• O. Işık, M. Akbolat, “The Use of Information Technology and Hospital Information Systems: A Study on Health Employees”, Information World, 11(2), 365-389, 2010.
• P. B. Seddon, M. Y. Kiew, “A Partial Test and Development of Delone and Mclean's Model of IS Success”, Australasian Journal of Information Systems, 4(1), 90-109, 1996.
• C. G. Bal, S. Ada, A. Çelik, “Information Systems Success Model and Family Health-Care Information Systems”, Journal of Management and Economics, 19(1), 35-46, 2012.
• R.D. Freeze, K. A. Alshare, P.L. Lane, H. J. Wen, “IS Success Model in E-Learning Context Based on Students' Perceptions”, Journal of Information Systems Education, 21(2), 173-184, 2010.
• V. Raghavan, X. Zhang, A. Jeyaraj, “Implementation Success of Clinician Information Systems in Healthcare Contexts”, Americas Conference on Information Systems, Lima, Peru, 2010.
• J. C. Nunnally, I. H. Bernstein, Psychometric Theory Third Edition, McGraw-Hill, New York, 1994.
• C. Fornell, DF. Lacker, “Evaluating Structural Equation Models with Unobservable Variables and Measurement Error”, Journal of Marketing Research, 18(1), 39-50, 1981.
• K. Schermelleh-Engel, H. Moosbrugger, H. Müller, “Evaluating the Fit of Structural EquationMmodels: Tests of Significance and Descriptive Goodness-of-Fit Measures” Methods of Psychological Research Online, 8(2), 23-74, 2003.
• CW. Holsapple, A. Lee-Post, “Defining, Assessing, and Promoting E-Learning Success: An Information Systems Perspective”, Decision Sciences Journal of Innovative Education, 4(1), 67-85, 2006.
• Ö. Sebetci, “Enhancing End-user Satisfaction through Technology Compatibility: An Assessment on Health Information System”, Health Policy and Technology, 7(3), 265-274, 2018.
• H. C. Chang, C. F. Liu, H. G. Hwang, “Exploring Nursing E-Learning Systems Success Based on Information System Success Model”, Computers, Informatics, Nursing, 29(12), 741-747, 2011.
• M. Yılmaz, A. E. Demirkan, “Usability Evaluation of Hospital Management and Information System”, Journal of Information Technologies, 5(3), 19-28, 2012.
• D. Alhuwail, “Understanding Health Information Management Practices in Public Hospitals in Kuwait” Health Information Management Journal, 49(2-3), 127-136, 2020.
• V. Jylha, D. W. Bates, K. Saranto, “Adverse Events and Near Misses Relating to Information Management in a Hospital”, Health Information Management Journal, 45(2), 55-63, 2016.
• A. Başar, S. Tarihçi Delice, M. N. İlhan, M. A. Ergün, H. Soncul, “Computer Usage in Nursing Care - A Model of Gazi University Hospital”, Journal of Information Technologies, 1(1), 43-46, 2008.
• H. H. Alshibly, “Evaluating E-HRM Success: A Validation of the Information Systems Success Model”, International Journal of Human Resource Studies, 4(3), 107-124, 2014.
• J. Livari, “An Empirical Test of the DeLone-McLean Model of Information System Success”, The Data Base for Advances in Information Systems, 36(2), 8-27, 2005.
• J. H. Wu, Y. M. Wang, “Measuring KMS Success: A Respecification of the DeLone and McLean’s Model”, Information & Management, 43, 728–739, 2006.