Ehteshami Asghar, Raeisi Ahamad-Reza, Rashedi Maedeh, Kouhanjani Yasin Sabet
Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Health Management and Economic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
BMC Med Inform Decis Mak. 2025 Jul 1;25(1):213. doi: 10.1186/s12911-025-03038-z.
Developing key benchmarking indicators (KBIs) for Hospital Information Systems (HIS) has the potential to enhance operational efficiency and effectiveness, resulting in the successful achievement of hospital goals. This study endeavored to develop a comprehensive framework of KBIs for HIS to address the need for structured evaluation in healthcare systems.
This qualitative study was conducted at Ahvaz Jundishapour University of Medical Sciences' academic hospitals. The study comprised two distinct phases. In the initial phase, data collection involved purposive sampling with a snowball technique, consisting of 14 semi-structured interviews with health information technology, medical informatics, and health information management experts. During the second phase, benchmarking indicators were extracted through conventional content analysis and prioritized using two rounds of the Delphi technique.
The study identified three main themes and eight sub-themes, including Technical (software, hardware, architecture and user interface, and outputs), Human and Organizational (vendors, IT support, and HIS workflows), and Financial (costs). A total of 76 KBIs were developed and prioritized, with key indicators such as user-friendliness and response time scoring 100% in importance, while others like cost-effectiveness and interoperability quality scored 96.4% and 98.8%, respectively.
The proposed framework incorporates essential benchmarking indicators intended to enhance HIS efficiency, effectiveness, and successful attainment of its objectives. These indicators may serve as a comprehensive tool for Health Information Technology managers to benchmark their HISs. Practical implications include the potential for hospital administrators to identify gaps in system performance, optimize resource allocation, and improve user satisfaction by applying the KBIs. The framework may also guide decision-making processes, supporting alignment with organizational goals and promoting the long-term sustainability of HIS implementations.
为医院信息系统（HIS）制定关键基准指标（KBI）有潜力提高运营效率和效果，从而成功实现医院目标。本研究致力于开发一个全面的HIS关键基准指标框架，以满足医疗系统中结构化评估的需求。
本定性研究在阿瓦士·军迪沙普尔医科大学的附属医院进行。该研究包括两个不同阶段。在初始阶段，数据收集采用目的抽样和滚雪球技术，对健康信息技术、医学信息学和健康信息管理专家进行了14次半结构化访谈。在第二阶段，通过传统内容分析提取基准指标，并使用两轮德尔菲技术进行优先级排序。
该研究确定了三个主要主题和八个子主题，包括技术（软件、硬件、架构和用户界面以及输出）、人力和组织（供应商、IT支持和HIS工作流程）以及财务（成本）。总共制定并确定了76个关键基准指标的优先级，其中用户友好性和响应时间等关键指标的重要性得分100%，而成本效益和互操作性质量等其他指标的得分分别为96.4%和98.8%。
所提出的框架纳入了旨在提高HIS效率、效果并成功实现其目标的基本基准指标。这些指标可作为健康信息技术管理人员对其HIS进行基准测试的综合工具。实际意义包括医院管理人员有可能通过应用关键基准指标识别系统性能差距、优化资源分配并提高用户满意度。该框架还可指导决策过程，支持与组织目标保持一致，并促进HIS实施的长期可持续性。
