A comprehensive assessment of the government of Tanzania health operation management information system using participatory action research

Records Management Journal, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 23, 2025

Purpose This study uses a participatory action research (PAR) approach to evaluate the implementation and impact of government Tanzania health operation management information system (GoTHOMIS) on healthcare services in Tanzania. The primary objective is assess strengths, weaknesses overall GoTHOMIS. Design/methodology/approach PAR methodology, involving active engagement with stakeholders from facilities, administrators technology experts. Data collection methods consist key informant interviews document analysis. strategically examines various aspects, including pre-implementation planning, challenges during implementation, features strengths Furthermore, focus extends understanding GoTHOMIS services. Findings findings underscore critical areas for improvement, particularly planning stage. reveals issues related top-down insufficient user participation, hindering successful Challenges such as inadequate infrastructure, power outages, missing diagnostic codes compatibility peripheral devices are identified. Despite these hurdles, exhibits like improved accessibility, integration reporting by MTUHA automation clinical tasks. Originality/value study’s originality lies applying methodology provides valuable insights into suggests potential improvements. contributes existing body knowledge offering detailed GoTHOMIS’s weaknesses, enhancing effective systems.

Language: Английский

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Barriers to the implementation of large-scale electronic health record systems in primary healthcare centers: a mixed-methods study in Saudi Arabia

Frontiers in Medicine, Journal Year: 2025, Volume and Issue: 12

Published: April 15, 2025

Background In the past two decades, policymakers have increasingly prioritized integration of technology to enhance healthcare quality and efficiency. However, nearly half these initiatives failed achieve their intended objectives due various challenges, including financial constraints implementation complexities. The Saudi Ministry Health (MoH) launched a nationwide initiative implement an Electronic Record System (EHRS) across approximately 2,200 Primary Healthcare Centers (PHCs). previous attempts at deployment encountered significant obstacles, leading project failure. Key challenges identified by MoH included inadequate infrastructure, limited connectivity, lack system interoperability. Aim To explore key barriers hindering effective EHRS in PHCs Arabia, with focus on technical, organizational, user-related challenges. Method This study adopted mixed methods approach using exploratory sequential design capture both strategic operational perspectives implementation. qualitative phase involved semi-structured interviews 14 informants from who were directly deployment, aiming identify structural policy-related barriers. quantitative consisted online survey completed 351 PHC practitioners assess user-level usability, training adequacy, technical support availability. ensured that was informed insights gained phase. Results Findings phases revealed multiple affecting large-scale nature project, resistance change, insufficient training, support, poor interoperability, geographical limitations, user engagement. Additionally, unclear software selection criteria contributed difficulties. address barriers, proposes several strategies, collaborating telecom providers improve implementing phased regional strategy, enhancing frameworks. Conclusion highlights high turnover leadership positions as major contributors failures. Notably, ongoing emerged critical whereas concerns related privacy confidentiality found be less significant. ensure successful adoption, decision-makers must allocate sufficient resources for selection, infrastructure improvements, workforce continuous support. fills research gap providing evidence-based recommendations optimizing settings, particularly resource-constrained environments.

Language: Английский

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Overcoming Obstacles STEP By STEP: A Comprehensive Review of Challenges and Strategies in Implementing Hospital Management Information Systems in India

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: July 1, 2024

The adoption of Hospital Management Information Systems (HMIS) is crucial for modernizing healthcare services in India. However, the transition from traditional paper-based methods to sophisticated digital solutions poses significant challenges, particularly medical personnel involved this shift. This comprehensive review examines multifaceted obstacles faced during HMIS implementation, ranging technical and financial constraints human factors regulatory considerations. By analyzing case studies, current research, unique Indian context, paper offers practical insights strategies overcome these barriers effectively. findings underscore importance a strategic, informed approach tailored landscape, addressing issues such as system integration, data migration, cybersecurity, constraints, resistance change, training needs, user experience, compliance. Potential include modular design, cloud-based services, aids, public-private partnerships, programs, change management strategies, user-centric adherence evolving regulations like proposed Digital Security Healthcare Act (DISHA).

Language: Английский

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Challenges in the Implementation of Technology in effective Hospital Management System: A quantitative study

Journal of Informatics Education and Research, Journal Year: 2024, Volume and Issue: 4(3)

Published: Dec. 2, 2024

To provide excellent care to patients and maintain seamless functioning of healthcare facilities it is crucial have effective hospital management system. Hospital system presently incorporating analytical approach optimize work flow, for enhancement resource utilization, providing comprehensive insurance assistance patients. The technologies are highly workflow optimization, allocation resources, scheduling patients, finances. There various challenges faced by like integration data from diversified sources billing system, administrative database, EHRs, accuracy consistency. Safeguarding security important that need strong adhering rules regulation as per the “Health Insurance Portability Accountability Act.” importance Information Technology reducing rising costs improving quality services. a address such identify best way technology implementation. A sample 249 was collected different departments in Hospital. factors Challenges Implementation Management System High Initial Costs, Resistance Change, Training Skill Development, Regulatory Compliance Challenges.

Language: Английский

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