Stylianides Antonis, Mantas John, Pouloukas Stavros, Roupa Zoe, Yamasaki Edna N
Department of Life and Health Sciences, University of Nicosia, Nicosia, Cyprus.
Health Informatics Laboratory, School of Health Sciences, National and Kapodistrian University of Athens, Greece.
Acta Inform Med. 2019 Dec;27(4):240-244. doi: 10.5455/aim.2019.27.240-244.
The Ministry of Health of the Republic of Cyprus has implemented an Integrated Health Information System (IHIS) in two hospitals. However, no evaluation of IHIS has been conducted to assess its safety, efficiency and effectiveness. The proper utilization of IHIS is essential for the provision of quality healthcare services.
The purpose of this study was to evaluate the current IHIS in public hospitals in Cyprus utilizing the DIPSA evaluation framework.
A total of 309 subjects, including doctors, nurses and other healthcare professionals, participated in the study. The DIPSA evaluation framework assessed the users' perception in five categories namely, satisfaction, collaboration, system quality, safety and procedures, using Likert scale and 3 open questions. Correlation between the categories was assessed using the Pearson correlation coefficient, and multiple regression analysis was used to examine the relationship between the demographic characteristics and categories. Data analysis was done using SPSS v24.
All five categories were rated moderately, between 2.5 and 3, by the participants. All categories were correlated ( < 0.01). Multiple regression analysis indicated the need for improvement between the professionals (mainly doctors and nurses) and the categories. The open questions pointed out the need for improvement in all 3 factors examined (Technology, Human Factor, Organization).
The moderately rated categories, in the Cyprus IHIS, suggest that there is a lot of room for improvement. Some interventions are suggested that could positively and simultaneously affect one or more categories.
塞浦路斯共和国卫生部已在两家医院实施了综合健康信息系统（IHIS）。然而，尚未对IHIS进行评估以评估其安全性、效率和有效性。正确使用IHIS对于提供优质医疗服务至关重要。
本研究的目的是利用DIPSA评估框架评估塞浦路斯公立医院目前的IHIS。
共有309名受试者参与了该研究，包括医生、护士和其他医疗专业人员。DIPSA评估框架使用李克特量表和3个开放式问题，从满意度、协作、系统质量、安全性和程序五个类别评估用户的看法。使用皮尔逊相关系数评估类别之间的相关性，并使用多元回归分析来检验人口统计学特征与类别之间的关系。数据分析使用SPSS v24完成。
参与者对所有五个类别的评分均为中等，在2.5至3之间。所有类别均具有相关性（<0.01）。多元回归分析表明专业人员（主要是医生和护士）与类别之间需要改进。开放式问题指出在所考察的所有三个因素（技术、人为因素、组织）方面都需要改进。
塞浦路斯IHIS中类别评分中等表明有很大的改进空间。建议采取一些干预措施，这些措施可以对一个或多个类别产生积极且同时的影响。
