Walle Agmasie Damtew, Demsash Addisalem Workie, Ferede Tigist Andargie, Wubante Sisay Maru
Department of Health Informatics, College of Health Science, Mettu University, Mettu, Ethiopia.
Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Front Digit Health. 2023 Jul 17;5:1140933. doi: 10.3389/fdgth.2023.1140933. eCollection 2023.
Ethiopia has the potential to use the district health information system, which is a building block of the health system. Thus, it needs to assess the performance level of the system by identifying the satisfaction of end users. There is little evidence about users' satisfaction with using this system. As a result, this study was conducted to fill this gap by evaluating user satisfaction and associated factors of district health information system among healthcare providers in Ethiopia, using the information system success model.
An institutional-based cross-sectional study was conducted from November to December 2022 in the Oromia region of southwest Ethiopia. A total of 391 health professionals participated in the study. The study participants were selected using a census. Using a self-administered questionnaire, data were collected. Measurement and structural equation modeling analyses were used to evaluate reliability, the validity of model fit, and to test the relationship between the constructs, respectively, using analysis of moment structure (AMOS) V 26.
System quality had a positive direct effect on the respondent's system use ( = 0.18, -value < 0.001), and satisfaction ( = 0.44, -value < 0.001). Service quality had also a direct effect on the respondent's system use ( = 0.37, -value < 0.01), and satisfaction with using the district health information system ( = 0.36, -value < 0.01). Similarly, system use had also a direct effect on the respondent's satisfaction ( = 0.53, -value < 0.05). Moreover, computer literacy had a direct effect on the respondent's system use ( = 0.63, -value < 0.05), and satisfaction ( = 0.51, -value < 0.01).
The overall user satisfaction with using the district health information system in Ethiopia was low. System quality, service quality, and computer literacy had a direct positive effect on system use and user satisfaction. In addition, system use and information quality had a direct positive effect on healthcare professionals' satisfaction with using the district health information system. The most important factor for enhancing system use and user satisfaction was computer literacy. Accordingly, for the specific user training required for the success of the district health information system in Ethiopia, the manager should offer additional basic computer courses for better use of the system.
埃塞俄比亚有潜力利用地区卫生信息系统，该系统是卫生系统的一个组成部分。因此，需要通过确定最终用户的满意度来评估该系统的绩效水平。关于用户对使用该系统的满意度的证据很少。因此，本研究旨在通过使用信息系统成功模型评估埃塞俄比亚医疗保健提供者对地区卫生信息系统的用户满意度及相关因素，以填补这一空白。
2022年11月至12月在埃塞俄比亚西南部的奥罗米亚地区进行了一项基于机构的横断面研究。共有391名卫生专业人员参与了该研究。研究参与者采用普查方式选取。使用自填式问卷收集数据。分别使用测量和结构方程模型分析来评估信度、模型拟合的效度，并使用矩结构分析（AMOS）V 26来检验各结构之间的关系。
系统质量对受访者的系统使用（β = 0.18，p值 < 0.001）和满意度（β = 0.44，p值 < 0.001）有正向直接影响。服务质量对受访者的系统使用（β = 0.37，p值 < 0.01）和对地区卫生信息系统的使用满意度（β = 0.36，p值 < 0.01）也有直接影响。同样，系统使用对受访者的满意度也有直接影响（β = 0.53，p值 < 0.05）。此外，计算机素养对受访者的系统使用（β = 0.63，p值 < 0.05）和满意度（β = 0.51，p值 < 0.01）有直接影响。
埃塞俄比亚对地区卫生信息系统的总体用户满意度较低。系统质量、服务质量和计算机素养对系统使用和用户满意度有直接的正向影响。此外，系统使用和信息质量对医疗保健专业人员对地区卫生信息系统的使用满意度有直接的正向影响。提高系统使用和用户满意度的最重要因素是计算机素养。因此，为了埃塞俄比亚地区卫生信息系统成功所需的特定用户培训，管理者应提供额外的基础计算机课程，以便更好地使用该系统。
