Implementation of a national electronic health information system in Gabon: a survey of healthcare providers’ perceptions

Autor: Jack Tchuente, Gaetan Moukoumbi Lipenguet, Myriam Corille Ondjani, Diakaridia Traore, Cheick Oumar Bagayoko, Marie-Pierre Gagnon, Olive Lea Ndjeli, Aimé Patrice Koumamba, Raymond Ondzigue Mbenga
Rok vydání: 2020
Předmět:
Adult
Male
020205 medical informatics
Attitude of Health Personnel
Health Personnel
media_common.quotation_subject
Healthcare providers
Developing country
Health Informatics
02 engineering and technology
lcsh:Computer applications to medicine. Medical informatics
Health informatics
Likert scale
Health Information Systems
03 medical and health sciences
0302 clinical medicine
Cronbach's alpha
Surveys and Questionnaires
Health care
Health information system
0202 electrical engineering
electronic engineering
information engineering
Information system
Humans
Quality (business)
Gabon
030212 general & internal medicine
media_common
Medical education
business.industry
Health Policy
Reproducibility of Results
Information quality
Middle Aged
Computer Science Applications
User acceptance
Information system success
lcsh:R858-859.7
Female
Perception
business
Psychology
Research Article
Zdroj: BMC Medical Informatics and Decision Making
BMC Medical Informatics and Decision Making, Vol 20, Iss 1, Pp 1-9 (2020)
ISSN: 1472-6947
Popis: Background The Health Information System (HIS) is a set of computerized tools for the collection, storage, management, and transmission of health data. The role of such tools in supporting the modernization of health systems, improving access to quality healthcare, and reducing costs in developing countries is unquestionable, but their implementation faces several challenges. In Gabon, a unique national electronic HIS has been launched. It will connect healthcare institutions and providers at all levels in the whole country. Objective This study aims to explore and identify the factors influencing healthcare providers’ perceptions of the national electronic HIS in Gabon. Methods A 44-item questionnaire based on the Information System Success Model (ISSM) was administered between February and April 2018 among 2600 healthcare providers across the country. The questions assessed the different aspects of the HIS that could influence its perceived impact on a 5-level Likert scale (from fully agree to totally disagree). The reliability and construct validity of the questionnaire were checked using Cronbach alpha and congeneric reliability coefficients. A logistic regression was used to identify the factors influencing healthcare providers’ perceptions of the system. Results A total of 2327 questionnaires were completed (i.e. 89.5% response rate). The logistic regression identified five elements that significantly influenced perceived system impact: System Quality (Odds Ratio–OR = 1.70), Information Quality (OR = 1.69), Actual Use (OR = 1.41), Support Quality (OR = 1.37), and Useful Functions (OR = 1.14). The model explained 30% of the variance in providers’ perception that the national HIS leads to positive impacts. Discussion The results show that healthcare providers’ perceptions regarding the positive impact of the national HIS in Gabon are influenced by their previous use of an HIS, the scope of their usage, and the quality of the system, information, and support provided to users. These results could inform the development of strategies to ensure adequate change of management and user experience for the implementation of the national HIS in Gabon, and eventually in other low resource environments.
Databáze: OpenAIRE
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