ASSESS THE FACILITATORS AND BARRIERS OF THE MEDICAL INFORMATION SYSTEM IN THE TERTIARY CARE HOSPITAL OF FAISALABAD

Main Article Content

Khadija Bibi
Sidra Nawaz
Iqra Shafique
Hina Ramzan
Ghulam Sabri

Keywords

Medical Information System, Electronic Health Records, healthcare digitization, healthcare information management, healthcare technology, data analysis, healthcare stakeholders

Abstract

Background: The global implementation of Electronic Health Records (EHRs) has revolutionized healthcare, aiming for improved patient safety and efficient data management. In Faisalabad, Pakistan, the Madinah Teaching Hospital faces both challenges and opportunities in the digitization of medical information, necessitating a comprehensive assessment of the facilitators and barriers of the Medical Information System (MIS).


Objective: The objective of this study was to analyze and articulate the factors influencing the effective utilization of MIS at Madinah Teaching Hospital, Faisalabad, by exploring both the perceived facilitators and barriers as identified by stakeholders.


Methodology: The study utilizes a descriptive cross-sectional design to investigate the utilization of the Management Information System (MIS) at Madinah Teaching Hospital over a four-month period. The target population includes all stakeholders, and a sample size of 356, determined based on the entire MIS user population, is selected through convenient sampling. Data is collected using a self-structured questionnaire addressing facilitators and barriers of MIS usage. SPSS software version 23 is employed for data analysis, utilizing descriptive statistics to identify patterns and trends, ensuring a systematic and evidence-based interpretation of the findings.


Results: In a comprehensive study with 356 participants from Madinah Teaching Hospital, including 120 doctors, 136 nurses, and 100 individuals from various categories, all reported regular patient engagement, with 99.7% serving for over a month. The Management Information System (MIS) usage was widespread, with participants using it for tasks like reviewing patient problems (58.9%), obtaining information (53.9%), and result monitoring (54.2%). Notably, 56.2% referred patients using MIS, and 54.8% generated discharge summaries. Participants found MIS user-friendly, with 54.2% agreeing it provides precise information. Challenges included 5.6% feeling MIS interfered with clinical tasks and 9.6% experiencing a loss of access to medical records. The majority agreed on the need for IT staff support (56.7%) and high computer literacy (56.1%) for effective MIS use. Overall, 46.1% expressed satisfaction with their MIS experience.


Conclusion: The study at Madinah Teaching Hospital underscores the pivotal role of the Medical Information System (MIS) in daily healthcare practices, revealing substantial engagement and positive user experiences. While acknowledging the system's effectiveness, targeted improvements addressing specific challenges are essential for ensuring seamless integration and maximizing the benefits of healthcare digitization in Faisalabad.

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References

1. Wu, Z., & Trigo, V. (2021). Impact of information system integration on the healthcare management and medical services. International Journal of Healthcare Management, 14(4), 1348-1356.
2. Tubaishat, A. (2019). The effect of electronic health records on patient safety: A qualitative exploratory study. Informatics for Health and Social Care, 44(1), 79-91.
3. Moloko, S. M. (2021). Evaluating performance of routine health information system for reproductive health in Tshwane (Doctoral dissertation).
4. Hamid, M. A. (2001). Regulation of private health care in Pakistan (Doctoral dissertation, London School of Hygiene & Tropical Medicine).
5. Reza, F., Prieto, J. T., & Julien, S. P. (2020). Electronic health records: origination, adoption, and progression. Public Health Informatics and Information Systems, 183-201.
6. Ali, I., Ur-Rehman, A., & Ashfaq, M. (2020). Pakistan: archaeological museums. In Encyclopedia of Global Archaeology (pp. 8256-8272). Cham: Springer International Publishing.
7. MREMA, D. (2021). FACTORS AFFECTING IMPLEMANTATION OF MEDICAL RECORDS SYSTEM AT TERTIARY FACILITY CARE (Doctoral dissertation, IAA).
8. Weldeab, K. (2022). Health Professionals Readiness to Implement Electronic Medical Recording and Associated Factors in Public General Hospitals of Sidama Region, Ethiopia (Doctoral dissertation, HUCMHS).
9. Iftikhar, J., Ahmad, I., Asif, M., Qasim, M., Riaz, A., & Ali, T. (2016). Assessment of roadside landscape up-gradation: a case study of canal road, Faisalabad. Pakistan Journal of Agricultural Sciences, 53(4).
10. Asghar, Z. (2019). Towards an Integrated Health Management Information System in Pakistan (Master's thesis).
11. Ellingsen, G. A. (2003). Global reach, local use: design and use of electronic patient record systems in large hospitals.
12. Buntin, M. B., Jain, S. H., & Blumenthal, D. (2010). Health information technology: laying the infrastructure for national health reform. Health affairs, 29(6), 1214-1219.
13. Pineda, R. G. (2014). Technology in culture: A theoretical discourse on convergence in human-technology interaction. Jyväskylä studies in computing, (191).
14. Raddaha, A. A., Obeidat, A. A., Awaisi, H. A., & Hayudini, J. (2017). Opinions, perceptions and attitudes toward an electronic health record system among practicing nurses. J Nurs Educ Pract, 8, 12.
15. Rathert, C., Mittler, J. N., Banerjee, S., & McDaniel, J. (2017). Patient-centered communication in the era of electronic health records: What does the evidence say?. Patient education and counseling, 100(1), 50-64.
16. Wickham, M. H. (2019). Exploring data breaches and means to mitigate future occurrences in healthcare institutions: A content analysis (Doctoral dissertation, Northcentral University).
17. Ravasan, A. Z., Zare, A., & Bamakan, S. M. H. (2018). ERP Post-Implementation Success Assessment: An Extended Framework. In Innovative applications of knowledge discovery and information resources management (pp. 86-116). IGI Global.
18. Akhlaq, A., McKinstry, B., & Sheikh, A. (2020). Stakeholders perspectives and deployment strategies of health information exchange illustrated through an in-depth case study of Pakistan. Informatics for Health and Social Care, 45(2), 130-150.
19. Chaudhry, B., Wang, J., Wu, S., Maglione, M., Mojica, W., Roth, E., ... & Shekelle, P. G. (2006). Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Annals of internal medicine, 144(10), 742-752.
20. Tang, P. C., Ash, J. S., Bates, D. W., Overhage, J. M., & Sands, D. Z. (2006). Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption. Journal of the American Medical Informatics Association, 13(2), 121-126.
21. Nguyen, B. V., Burstein, F., & Fisher, J. (2015). Improving service of online health information provision: a case of usage-driven design for health information portals. Information Systems Frontiers, 17, 493-511.
22. Gagnon, M. P., Desmartis, M., Labrecque, M., Car, J., Pagliari, C., Pluye, P., ... & Légaré, F. (2012). Systematic review of factors influencing the adoption of information and communication technologies by healthcare professionals. Journal of medical systems, 36, 241-277.
23. Haux, R. (2006). Health information systems–past, present, future. International journal of medical informatics, 75(3-4), 268-281.
24. Yazdi-Feyzabadi, V., Emami, M., & Mehrolhassani, M. H. (2015). Health information system in primary health care: the challenges and barriers from local providers’ perspective of an area in Iran. International journal of preventive medicine, 6.
25. Marchak, J. G., Cherven, B., Williamson Lewis, R., Edwards, P., Meacham, L. R., Palgon, M., ... & Mertens, A. C. (2020). User-centered design and enhancement of an electronic personal health record to support survivors of pediatric cancers. Supportive Care in Cancer, 28, 3905-3914.