Health Information Technology Department, Paramedical School, Zahedan University of Medical Sciences, Zahedan, Iran; Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Health Information Technology Department, Paramedical School, Zahedan University of Medical Sciences, Zahedan, Iran.
Int J Med Inform. 2017 Dec;108:49-54. doi: 10.1016/j.ijmedinf.2017.10.005. Epub 2017 Oct 5.
After implementation, evaluation of hospital information systems (HISs) is critical to ensure the fulfillment of the system goals. This study aimed to assess the success or failure of HISs in public hospitals affiliated with Zahedan University of Medical Sciences.
A cross-sectional descriptive and analytic study was performed in 2016. The study population comprised IT and HIS authorities and hospital information system users. The sample consisted of 468 participants. The data were collected using two questionnaires and analyzed with the SPSS software using descriptive and analytical statistics.
The mean score of functional, behavioral, ethical, organizational, cultural and educational factors from the users' perspective was 3.14±0.66, 2.97± 0.60, 3.39±0.70, 2.96±0.642, 3.09±0.63, and 2.95±0.74, respectively. The mean score of organizational, behavioral, cultural, technological, educational and legal factors from IT and HIS authorities' perspective was 3.51±0.54, 3.35±0.45, 2.75±0.61, 3.58±0.32, and 3.96±0.59, respectively.
The evaluated hospital information systems were considered relatively successful in terms of functional, ethical, and cultural factors but were considered as a relative failure in terms of behavioral, organizational, and educational factors form the users' perspective. Only the legal factor showed success, while organizational, behavioral, technical and educational factors showed relative success and the cultural factor showed relative failure from HIS and IT authorities' perspective. Therefore, assessing the users' needs before implementing the system, involving them in various stages of implementation, training them, and improving their computer skills seem to be necessary to achieve a better level of system success.
医院信息系统（HIS）实施后，对其进行评估对于确保系统目标的实现至关重要。本研究旨在评估扎黑丹医科大学附属医院 HIS 的成败。
这是一项 2016 年进行的横断面描述性和分析性研究。研究对象包括 IT 和 HIS 部门负责人以及医院信息系统用户。样本由 468 名参与者组成。使用两份问卷收集数据，并使用 SPSS 软件进行分析，采用描述性和分析性统计方法。
从用户的角度来看，功能、行为、伦理、组织、文化和教育因素的平均得分分别为 3.14±0.66、2.97±0.60、3.39±0.70、2.96±0.642、3.09±0.63 和 2.95±0.74。从 IT 和 HIS 部门负责人的角度来看，组织、行为、文化、技术、教育和法律因素的平均得分分别为 3.51±0.54、3.35±0.45、2.75±0.61、3.58±0.32 和 3.96±0.59。
从功能、伦理和文化因素的角度来看，评估的医院信息系统被认为是相对成功的，但从用户的角度来看，行为、组织和教育因素被认为是相对失败的。只有法律因素显示成功，而组织、行为、技术和教育因素显示相对成功，文化因素则显示相对失败。因此，在实施系统之前评估用户的需求，让他们参与实施的各个阶段，对他们进行培训，提高他们的计算机技能，似乎是实现更高水平系统成功的必要条件。
