Alzghaibi Haitham, Hutchings Hayley A
Department of Health Informatics, College of Applied Medical Sciences, Qassim University, Buraydah 51452, Saudi Arabia.
Medical School, Institute of Life Sciences 2, Swansea University, Singleton Park, Swansea SA2 8PP, UK.
Healthcare (Basel). 2024 Oct 10;12(20):2013. doi: 10.3390/healthcare12202013.
In the last three decades, Electronic Health Records Systems (EHRSs) have become one of the top priorities of policymakers globally. Nowadays, EHRS reform is fast becoming a priority in developed countries. The introduction of EHRSs in Saudi healthcare organizations is considered one of the highest priorities of policymakers. Saudi Arabian e-health strategy pays reasonable attention to the EHRS implementation project. According to Saudi Vision 2030, the e-health transformation will be on top of IT projects in the country. However, an estimated 50% of EHRS implementations have failed. Project leadership and type of project management have been found to be crucial components of effective EHRS implementation.
To evaluate the role of centralized project management (CPM) in the implementation of large-scale EHRSs in Primary Healthcare Centers (PHCs) in Saudi Arabia (SA).
A sequential explanatory mixed-methods approach involving a survey and semi-structured qualitative interview methods were utilized.
A total of 39 (75%) out of 53 policymakers at the Saudi Ministry of Health completed the survey, and 14 project team members were interviewed. Findings from both illustrated that adopting centralized project management approaches to implementation was beneficial in facilitating large-scale EHRS implementation and helped to overcome barriers that may have otherwise led to the failure of the project. EHRS interoperability and software selection were the factors that CPM influenced most positively.
在过去三十年中，电子健康记录系统（EHRSs）已成为全球政策制定者的首要任务之一。如今，EHRS改革在发达国家正迅速成为优先事项。在沙特医疗保健机构引入EHRSs被视为政策制定者的最高优先事项之一。沙特阿拉伯的电子健康战略对EHRS实施项目给予了合理关注。根据沙特2030年愿景，电子健康转型将位居该国信息技术项目之首。然而，估计有50%的EHRS实施项目失败了。项目领导力和项目管理类型已被发现是有效实施EHRS的关键组成部分。
评估集中式项目管理（CPM）在沙特阿拉伯（SA）初级医疗保健中心（PHCs）大规模实施EHRS中的作用。
采用了一种序贯解释性混合方法，包括调查和半结构化定性访谈方法。
沙特卫生部53名政策制定者中共有39人（75%）完成了调查，并对14名项目团队成员进行了访谈。两者的结果都表明，采用集中式项目管理方法进行实施有利于促进大规模EHRS的实施，并有助于克服可能导致项目失败的障碍。EHRS的互操作性和软件选择是CPM影响最积极的因素。
