@2024 Afarand., IRAN
ISSN: 2383-2568 International Archives of Health Sciences 2015;2(1):31-37
ISSN: 2383-2568 International Archives of Health Sciences 2015;2(1):31-37
Evaluation of Different Hospital Information Systems Software to Meet the Self-Care Management Informational Needs of Patients
ARTICLE INFO
Article Type
Original ResearchAuthors
Rangraz Jeddi F. (* )Rangraz Jeddi M. (1 )
(* ) Health Information Management Department, Paramedical Faculty, Kashan University of Medical Sciences, Kashan, Iran
(1 ) Deputy of Food and Drug, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Correspondence
Address: Health Information Management Department, Kashan University of Medical sciences, Ravand Avenue, Kashan, IranPhone: +983155548883
Fax: +983155548883
rangrazejeddi_f@kaums.ac.ir
Article History
Received: July 23, 2014Accepted: October 23, 2014
ePublished: January 10, 2015
ABSTRACT
Aims
Hospital information system may offer a way to increased self-care management.
The aim of this study was to determine the patients’ informational needs for self-care
management and evaluation of different HIS software according to these needs.
Materials & Methods This descriptive cross-sectional study was done during 2011-2012 in Kashan City, Iran at two phases; compiling the required information, and evaluation. The questionnaire items were discussed in three conversation sessions with 20 faculty members by Delphi technique. 15 HIS software provider companies in Iran were selected purposefully and 2 hospitals from each company were participated in the study. Data were analyzed by SPSS 16 software using Chi-square test.
Findings 7 items in the health protection dimension were covered by HIS software; “Need to consult with attending physicians”, “Length of disease duration”, “Diagnostic and treatment cost resource”, “Different treatment approach”, “Convenient information recourses”, “Offer good information resources”, and “Prognosis”. No item of health promotion dimension were supported by any HIS software. 6 items in the health maintenance dimension were covered completely by all HIS software; “Blood Sugar”, “hct”, “hb”, “Blood Group Type”, “CBC/Diff”, and “Electrolytes”.
Conclusion Present HIS software can not meet the self-care management informational needs of recently discharged patients and should be improved.
Materials & Methods This descriptive cross-sectional study was done during 2011-2012 in Kashan City, Iran at two phases; compiling the required information, and evaluation. The questionnaire items were discussed in three conversation sessions with 20 faculty members by Delphi technique. 15 HIS software provider companies in Iran were selected purposefully and 2 hospitals from each company were participated in the study. Data were analyzed by SPSS 16 software using Chi-square test.
Findings 7 items in the health protection dimension were covered by HIS software; “Need to consult with attending physicians”, “Length of disease duration”, “Diagnostic and treatment cost resource”, “Different treatment approach”, “Convenient information recourses”, “Offer good information resources”, and “Prognosis”. No item of health promotion dimension were supported by any HIS software. 6 items in the health maintenance dimension were covered completely by all HIS software; “Blood Sugar”, “hct”, “hb”, “Blood Group Type”, “CBC/Diff”, and “Electrolytes”.
Conclusion Present HIS software can not meet the self-care management informational needs of recently discharged patients and should be improved.
Keywords:
Information Literacy,
Hospital Information Systems,
Self Care,
Patient Education as Topic,
CITATION LINKS
[1]Schulz PJ, Nakamoto K. Health literacy and patient empowerment in health communication: The importance of separating conjoined twins. Patient Educ Couns. 2013;90(1):4-11.
[2]Hätönen H, Suhonen R, Warro H, Pitkänen A, Välimäki M. Patients' perceptions of patient education on psychiatric inpatient wards: A qualitative study. J Psychiatr Ment Health Nurs. 2010;17(4):335-41.
[3]Tseng KJ, Liou TH, Chiu HW. Development of a computer-aided clinical patient education system to provide appropriate individual nursing care for psychiatric patients. J Med Syst. 2012;36(3):1373-9.
[4]Bakhtiari M, Islami M, fesharaki M, Kosha S. Effect of self care education on mental health of breast cancer women undergoing chemotherapy in cancer Institute of Tehran. Iran J Breast Dis. 2011;4(1-2):42-7. [Persian]
[5]Michie S, Miles J, Weinman J. Patient-centredness in chronic illness: what is it and does it matter?. Patient Educ Couns. 2003;51(3):197-206.
[6]Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA. 2002;288(19):2469-75.
[7]Corriveau EA, Durso PJ, Kaufman ED, Skipper BJ, Laskaratos LA, Heintzman KB. Effect of Carelink, an internet-based insulin pump monitoring system, on glycemic control in rural and urban children with type 1 diabetes mellitus. Pediatr Diabetes. 2008;9(4Pt2):360-6.
[8]Cegala DJ, McClure L, Marinelli TM, Post DM. The effects of communication skills training on patients' participation during medical interviews. Patient Educ Couns. 2000;41(2):209-22.
[9]Hudson LR, Hamar GB, Orr P, Johnson JH, Neftzger A, Chung RS, et al. Remote physiological monitoring: clinical, financial, and behavioral outcomes in a heart failure population. Dis Manag. 2005;8(6):372-81.
[10]Goldschmidt PG. HIT and MIS: implications of health information technology and medical information systems. Commun ACM. 2005;48(10):68-74.
[11]Pharow P, Blobel B, Hildebrand C. How can the German Electronic Health Card support patient’s role in care management. Stud Health Technol Inform. 2008;137:386-401.
[12]Head BA, Studts JL, Bumpous JM, Gregg JL, Wilson L, Keeney C, et al. Development of a Tele health Intervention for Head and Neck Cancer Patients. Telemed J E Health. 2009;15(1):44-52.
[13]Sadooqi F, Ahmadi M, Gohari M, Rangraz Jeddi F. Attitude of inpatients about information technologies. Payavard. 2010;3(3 and 4):85-95. [Persian]
[14]Ahmadi M, Sadoughi F, Gohari M, Rangraz-jeddi F. Personal Health Record, Patient- Oriented Care Through Patient- Oriented Information: Kashan Teaching Hospitals Patient`s Views. J Health Adm. 2011;13(42):7-16. [Persian]
[15]Chaudhry B, Wang J, Wu S, Maglione M, Mojica W, Roth E, et al. Systematic review: Impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med. 2006;144(10):742-52.
[16]Ryan D, Cobern W, Wheeler J, Price D, Tarassenko L. Mobile phone technology in the management of asthma. J Telemed Telecare. 2005;11(Suppl 1):43-6.
[17]Black AD, Car J, Pagliari C, Anandan C, Cresswell K, Bokun T, et al. The impact of eHealth on the quality and safety of healthcare: A systematic overview. PLoS Med. 2011;8(1):e1000387.
[18]Kerr C, Murray E, Stevenson F, Gore C, Nazareth I. Internet interventions for long-term conditions: Patient and caregiver quality criteria. J Med Internet Res. 2006;8(3):e13.
[19]Demiris G, Afrin LB, Speedie S, Courtney KL, Sondhi M, Vimarlund V, et al. Patient-centered applications: use of information technology to promote disease management and wellness. A white paper by the AMIA knowledge in motion working group. J Am Med Inform Assoc. 2008;15(1):8-13.
[20]Valimaki M, Anttila M, Hatonen H, Koivunen M, Jakobsson T, Pitkanen A, et al. Design and development process of patient-centered computer-based support system for patients with schizophrenia spectrum psychosis. Inform Health Soc Care. 2008;33(2):113-23.
[21]Street AF, Swift K, Annells M, Woodruff R, Gliddon T, Oakley A, et al. Developing a web-based information resource for palliative care: an action-research inspired approach. BMC Med Inform Decis Mak. 2007;7:26.
[22]Anttila M, Koivunen M, Välimäki M. Information technology-based standardized patient education in psychiatric inpatient care. J Adv Nurs. 2008;64(2):147-56.
[23]Gould MS, Munfakh JL, Lubell K, Kleinman M, Parker S. Seeking help from the internet during adolescence. J Am Acad Child Adolesc Psychiatry. 2002;41(10):1182-9.
[24]Clemens EV, Shipp AE, Pisarik CT. MySpace as a tool for mental health professionals. Child Adolesc Ment Health. 2008;13(2):97-8.
[25]Mac Neela P, Scott A, Treacy P, Hyde A. Nursing minimum data sets: A conceptual analysis and review. Nurs Inquiry. 2006;13(1):44-51.
[26]Sermeus W, Goossen WTA. Nursing minimum data set. In: Textbook in Health Informatics: A Nursing Perspective (Studies in Health Technology and Informatics. Mantas J, Hasman A. 1st ed. Amsterdam: IOS Press; 2002. Pp: 98-109.
[27]Chaudhry SI, Phillips CO, Stewart SS, Riegel B, Mattera JA, Jerant AF, et al. Telemonitoring for patients with chronic heart failure: A systematic review. J Card Fail. 2007;13(1):56-62.
[28]Abdelhak M, Hanken MA, Grostick S, Jacobs E. Health information management of a strategic. 4th ed. St. Louis: Saunders; 2011.
[29]Barabadi M, Ahmadi M, Kamkar Haghighi M. Evaluation of hospital information system in the medical records department. Health Inf Manag. 2010;7(1):16-23. [Persian]
[2]Hätönen H, Suhonen R, Warro H, Pitkänen A, Välimäki M. Patients' perceptions of patient education on psychiatric inpatient wards: A qualitative study. J Psychiatr Ment Health Nurs. 2010;17(4):335-41.
[3]Tseng KJ, Liou TH, Chiu HW. Development of a computer-aided clinical patient education system to provide appropriate individual nursing care for psychiatric patients. J Med Syst. 2012;36(3):1373-9.
[4]Bakhtiari M, Islami M, fesharaki M, Kosha S. Effect of self care education on mental health of breast cancer women undergoing chemotherapy in cancer Institute of Tehran. Iran J Breast Dis. 2011;4(1-2):42-7. [Persian]
[5]Michie S, Miles J, Weinman J. Patient-centredness in chronic illness: what is it and does it matter?. Patient Educ Couns. 2003;51(3):197-206.
[6]Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA. 2002;288(19):2469-75.
[7]Corriveau EA, Durso PJ, Kaufman ED, Skipper BJ, Laskaratos LA, Heintzman KB. Effect of Carelink, an internet-based insulin pump monitoring system, on glycemic control in rural and urban children with type 1 diabetes mellitus. Pediatr Diabetes. 2008;9(4Pt2):360-6.
[8]Cegala DJ, McClure L, Marinelli TM, Post DM. The effects of communication skills training on patients' participation during medical interviews. Patient Educ Couns. 2000;41(2):209-22.
[9]Hudson LR, Hamar GB, Orr P, Johnson JH, Neftzger A, Chung RS, et al. Remote physiological monitoring: clinical, financial, and behavioral outcomes in a heart failure population. Dis Manag. 2005;8(6):372-81.
[10]Goldschmidt PG. HIT and MIS: implications of health information technology and medical information systems. Commun ACM. 2005;48(10):68-74.
[11]Pharow P, Blobel B, Hildebrand C. How can the German Electronic Health Card support patient’s role in care management. Stud Health Technol Inform. 2008;137:386-401.
[12]Head BA, Studts JL, Bumpous JM, Gregg JL, Wilson L, Keeney C, et al. Development of a Tele health Intervention for Head and Neck Cancer Patients. Telemed J E Health. 2009;15(1):44-52.
[13]Sadooqi F, Ahmadi M, Gohari M, Rangraz Jeddi F. Attitude of inpatients about information technologies. Payavard. 2010;3(3 and 4):85-95. [Persian]
[14]Ahmadi M, Sadoughi F, Gohari M, Rangraz-jeddi F. Personal Health Record, Patient- Oriented Care Through Patient- Oriented Information: Kashan Teaching Hospitals Patient`s Views. J Health Adm. 2011;13(42):7-16. [Persian]
[15]Chaudhry B, Wang J, Wu S, Maglione M, Mojica W, Roth E, et al. Systematic review: Impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med. 2006;144(10):742-52.
[16]Ryan D, Cobern W, Wheeler J, Price D, Tarassenko L. Mobile phone technology in the management of asthma. J Telemed Telecare. 2005;11(Suppl 1):43-6.
[17]Black AD, Car J, Pagliari C, Anandan C, Cresswell K, Bokun T, et al. The impact of eHealth on the quality and safety of healthcare: A systematic overview. PLoS Med. 2011;8(1):e1000387.
[18]Kerr C, Murray E, Stevenson F, Gore C, Nazareth I. Internet interventions for long-term conditions: Patient and caregiver quality criteria. J Med Internet Res. 2006;8(3):e13.
[19]Demiris G, Afrin LB, Speedie S, Courtney KL, Sondhi M, Vimarlund V, et al. Patient-centered applications: use of information technology to promote disease management and wellness. A white paper by the AMIA knowledge in motion working group. J Am Med Inform Assoc. 2008;15(1):8-13.
[20]Valimaki M, Anttila M, Hatonen H, Koivunen M, Jakobsson T, Pitkanen A, et al. Design and development process of patient-centered computer-based support system for patients with schizophrenia spectrum psychosis. Inform Health Soc Care. 2008;33(2):113-23.
[21]Street AF, Swift K, Annells M, Woodruff R, Gliddon T, Oakley A, et al. Developing a web-based information resource for palliative care: an action-research inspired approach. BMC Med Inform Decis Mak. 2007;7:26.
[22]Anttila M, Koivunen M, Välimäki M. Information technology-based standardized patient education in psychiatric inpatient care. J Adv Nurs. 2008;64(2):147-56.
[23]Gould MS, Munfakh JL, Lubell K, Kleinman M, Parker S. Seeking help from the internet during adolescence. J Am Acad Child Adolesc Psychiatry. 2002;41(10):1182-9.
[24]Clemens EV, Shipp AE, Pisarik CT. MySpace as a tool for mental health professionals. Child Adolesc Ment Health. 2008;13(2):97-8.
[25]Mac Neela P, Scott A, Treacy P, Hyde A. Nursing minimum data sets: A conceptual analysis and review. Nurs Inquiry. 2006;13(1):44-51.
[26]Sermeus W, Goossen WTA. Nursing minimum data set. In: Textbook in Health Informatics: A Nursing Perspective (Studies in Health Technology and Informatics. Mantas J, Hasman A. 1st ed. Amsterdam: IOS Press; 2002. Pp: 98-109.
[27]Chaudhry SI, Phillips CO, Stewart SS, Riegel B, Mattera JA, Jerant AF, et al. Telemonitoring for patients with chronic heart failure: A systematic review. J Card Fail. 2007;13(1):56-62.
[28]Abdelhak M, Hanken MA, Grostick S, Jacobs E. Health information management of a strategic. 4th ed. St. Louis: Saunders; 2011.
[29]Barabadi M, Ahmadi M, Kamkar Haghighi M. Evaluation of hospital information system in the medical records department. Health Inf Manag. 2010;7(1):16-23. [Persian]