IMPROVEMENT OF MEDICAL INFORMATION SYSTEMS AS A COMPONENT IN DEVELOPMENT OF THE HEALTH CARE SYSTEM
DOI:
https://doi.org/10.11603/1681-2786.2023.3.14224Keywords:
health care, reform, information systems, development, users satisfaction, electronic healthcare system, e-health, medical information systemAbstract
Purpose: to determine the main initial aspects of improving the medical information systems available in the country based on a survey of their users.
Materials and Methods. A voluntary online survey of 213 MIS users who interacted with the Electronic Health Care System (EHCS) using the Google Forms service was performed. The list of questions in the questionnaire covered the main aspects of working with MIS, included an assessment of respondentsʼ satisfaction and allowed suggestions for improving certain aspects of interaction. The survey period is June-August 2023.
Results. The deepening of the informatization of the healthcare industry is a global process, and it occurs with different intensity in different countries. Ease of usage of medical information systems (MIS) is a critical issue in the work of individual health centers in different countries. Therefore, the research and development of the usability of such systems is an urgent issue of health care management, public health and computer science. In general, the definition of ease of use is recognized as a critical indicator in the successful implementation and optimization of information systems.
The results of the survey showed that only 29.5 % of the respondents used MIS in their work for more than 3 years. The most popular software products were “Helsi”, “Health24” and “Doctor Eleks”. The respondentsʼ overall satisfaction with the work of the EHCS was 5.51 points out of 10, the main problems arose in the functions “Speed of data transmission to the EHCS central database”, “Possibilities of interaction with “another” MIS” and “Changing the patient authentication method”. Satisfaction with the system of training to work with EHCS (“National Service of Health Academy”) was at the level of 5.87 points out of 10, there were most complaints about slow work, “freezing” and other technical failures of the system.
Conclusions. Performed anonymous surveys of users of the EHCS system showed an average level of satisfaction with the systemʼs work. The respondents identified a number of systemic problems in the work of the EHCS and its improvement, which can be used in the further development of electronic health care in Ukraine.
References
Berezovska, I., & Tryus, Yu. (2018). Medychna informatsiyna systema «Doktor Eleks»: osnovy roboty [Medical information system “Doctor Eleks”: basics of work]. Lviv: Liha Pres [in Ukrainian].
Mintser, O.P., Voronenko, Y.V., Babintseva, L.Y., Banchuk, M.V., Krasnov, V.V., Martsenyuk, V.P., … Shupyatsky, I.M. (2012). Kontseptsiya informatyzatsiyi okhorony zdorovya Ukrayiny [The concept of informatization of health care of Ukraine]. Medychna informatyka ta inzheneriya – Medical informatics and engineering, 3, 5-29 [in Ukrainian]. DOI: https://doi.org/10.11603/mie.1996-1960.2012.3.191
Lyshchynska, L.B., Yaremko, S.A., & Kopniak, K.V. (2018). Informatsiyni tekhnolohiyi u sferi okhorony zdorovya [Information technologies in the field of health care]. Vinnytsya: VTEI KNTEU [in Ukrainian].
Postanova Kabinetu Ministriv Ukrayiny Pro skhvalennya Kontseptsiyi rozvytku elektronnoyi okhorony zdorovya vid 28 hrudnya 2020 r. № 1671-r. [Resolution of the Cabinet of Ministers of Ukraine On the Approval of the Concept for the Development of Electronic Health Care dated December 28, 2020 No. 1671-r.]. zakon.rada.gov.ua. Retrieved from: https://zakon.rada.gov.ua/laws/show/1671-2020-%D1%80#Text [in Ukrainian].
Radzishevska, E.B., & Vysotska, O.V. (2019). Informatsiyni tekhnolohiyi v medytsyni. E-health [Information technologies in medicine. E-health]. Kharkiv: KHNMU [in Ukrainian].
Slabky, G.O., Kachur, O.J., & Kryvenko, E.M. (2014). Metodolohiya vyvchennya rivnya vprovadzhennya informatyzatsiyi v systemu okhorony zdorovya Ukrayiny [Methodology for studying the level of implementation of informatization in the healthcare system of Ukraine]. Kyiv [in Ukrainian].
Mintser, O.P., Romanov, V.O., Haleluka, I.B., & Voronenko, O.V. (2020). Tekhnolohiyi shtuchnoho intelektu v medychniy praktytsi [Technologies of artificial intelligence in medical practice]. Medychna informatyka ta inzheneriya – Medical informatics and engineering, 2, 17-27 [in Ukrainian].
BS EN ISO 9241–11:2018 Ergonomics of human-system interaction Usability: Definitions and concepts.
Dias, C.R., Pereira, M.R., & Freire, A.P. (2017). Qualitative review of usability problems in health information systems for radiology. J. Biomed. Inform., 76, 19-33. DOI: https://doi.org/10.1016/j.jbi.2017.10.004
Farzandipour, M., Nabovati, E., Tadayon, H., & Jabali, M.S. (2021). Identification and Classification of Usability Problems in a Nursing Information System: A Heuristic Evaluation. Comput. Inform. Nurs., 40(2), 12130. DOI: https://doi.org/10.1097/CIN.0000000000000803
Khajouei, R., & Farahani, F. (2020). A combination of two methods for evaluating the usability of a hospital information system. BMC Med. Inform. Decis. Mak., 20(1), 84. DOI: https://doi.org/10.1186/s12911-020-1083-6
Yu, X., Zhang, C., & Wang, C. (2022). Construction of Hospital Human Resource Information Management System under the Background of Artificial Intelligence. Comput. Math. Methods Med., 2022. DOI: https://doi.org/10.1155/2022/8377674
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