Journal of Preventive Medicine and Public Health

  • 제55권6호
  • /
  • Pages.539-548
  • /
  • 2022
  • /
  • 1975-8375(pISSN)
  • /
  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
권호 표지
DOI QR코드

DOI QR Code

SWOT Analysis and Expert Assessment of the Effectiveness of the Introduction of Healthcare Information Systems in Polyclinics in Aktobe, Kazakhstan

  • Lyudmila, Yermukhanova (Department of Public Health and Health Care, West Kazakhstan Marat Ospanov Medical University) ;
  • Zhanar, Buribayeva (Department of Health Policy and Organization, Al-Farabi Kazakh National University) ;
  • Indira, Abdikadirova (Department of Public Health and Health Care, West Kazakhstan Marat Ospanov Medical University) ;
  • Anar, Tursynbekova (Department of Work with Regions, Research Institute of Cardiology and Internal Diseases) ;
  • Meruyert, Kurganbekova (Department of Public Health and Health Care, West Kazakhstan Marat Ospanov Medical University)
  • 투고 : 2022.08.15
  • 심사 : 2022.09.26
  • 발행 : 2022.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: The purpose of this study was to assess the organizational effectiveness of the introduction of a healthcare information system (electronic medical records and databases) in healthcare in Kazakhstan. Methods: The authors used a combination of 2 methods: expert assessment and strengths, weaknesses, opportunities, and threats (SWOT) analysis. SWOT analysis is a necessary element of research, constituting a mandatory preliminary stage both when drawing up strategic plans and for taking corrective measures in the future. The expert survey was conducted using 2 questionnaires. Results: The study involved 40 experts drawn from specialists in primary healthcare in Aktobe: 15 representatives of administrative and managerial personnel (chief doctors and their deputies, heads of medical statistics offices, organizational and methodological offices, and internal audit services) and 25 general practitioners. Conclusions: The following functional indicators of the medical and organizational effectiveness of the introduction of information systems in polyclinics were highlighted: first, improvement of administrative control, followed in descending order by registration and movement of medical documentation, statistical reporting and process results, and the cost of employees' working time. There has been no reduction in financial costs, namely in terms of the costs of copying, delivery of information in paper form, technical equipment, and paper.

키워드

과제정보

This work was carried out with the financial support of grant No. IRN09562783 "Improvement of geriatric and geriatric care in the Republic of Kazakhstan".

참고문헌

  1. Order of the Ministry of Health of the Republic of Kazakhstan. On approval of the concept for the development of e-health in the Republic of Kazakhstan for 2013-2020 [cited 2022 Aug 18]. Available from: https://cutt.ly/iEzdipm (Russian).
  2. Schleicher DJ, Baumann HM, Sullivan DW, Yim J. Evaluating the effectiveness of performance management: a 30-year integrative conceptual review. J Appl Psychol 2019;104(7):851-887. https://doi.org/10.1037/apl0000368
  3. Lawrie G, Cobbold I. Third-generation balanced scorecard: evolution of an effective strategic control tool. Int J Product Perform Manag 2004;53(7):611-623. https://doi.org/10.1108/17410400410561231
  4. Nielsen ME, Skaarup S. IT portfolio management as a framework for managing technical debt: theoretical framework applied on a case study. In: 14th International Conference on Theory and Practice of Electronic Governance (ICEGOV 2021), October 06-08, 2021, Athens, Greece. New York: Association for Computing Machinery; 2021, p. 89-96.
  5. Colicchio TK, Facelli JC, Del Fiol G, Scammon DL, Bowes WA 3rd, Narus SP. Health information technology adoption: understanding research protocols and outcome measurements for IT interventions in health care. J Biomed Inform 2016;63:33-44. https://doi.org/10.1016/j.jbi.2016.07.018
  6. Temnogrudova EA. Evaluation criteria of effectiveness of information techno logy in the organization. Models Syst Netw Econ Technol Nat Soc 2014;3(11):80-83 (Russian).
  7. Kano N, Seraku N, Takahashi F, Ichi Tsuji S. Attractive quality and must-be quality. J Jpn Soc Qual Control 1984;14(2):147-156 (Japanese).
  8. Wang SJ, Middleton B, Prosser LA, Bardon CG, Spurr CD, Carchidi PJ, et al. A cost-benefit analysis of electronic medical records in primary care. Am J Med 2003;114(5):397-403. https://doi.org/10.1016/S0002-9343(03)00057-3
  9. Stobbe EJ, Groenewegen PP, Schafer W. Job satisfaction of general practitioners: a cross-sectional survey in 34 countries. Hum Resour Health 2021;19(1):57.
  10. Dias C, Santos M, Portela F. A SWOT analysis of big data in healthcare. In: Proceedings of the 6th International Conference on Information and Communication Technologies for Ageing Well and e-Health (ICT4AWE 2020). Setubal: Science and Technology Publications; 2020, p. 256-263.
  11. Maysak OS. SWOT analysis: the difficulty of searching for links between factors. Casp J Manag High Technol 2013;1(21):151-157 (Russian).
  12. Zulin YV, Bortsov VA. Main directions of organizational improvement of ambulant and polyclinic care for population [cited 2022 Aug 8]. Available from: https://cyberleninka.ru/article/n/osnovnye-napravleniya-sovershenstvovaniya-organizatsii-ambulatorno-poliklinicheskoy-pomoschi-naseleniyu
  13. Imanova ZhA, Mukhanova GT, Sakhanova LKh, Imambaev NI, Naurzalieva AD. Creation of an effective model of providing medical care to the rural population, including drug provision, taking into account international experience. Nur-Sultan: Republican Center for Health Development; 2020, p. 1-44 (Russian).
  14. Stolyar V, Lyapunova T, Amcheslavskaya M, Lukianova E, Shimkevich E. Methodology of teaching on telemedicine technologies for medical students. Eurasia Proc Educ Soc Sci 2018;10:254-257.
  15. Thiyagarajan A, Grant C, Griffiths F, Atherton H. Exploring patients' and clinicians' experiences of video consultations in primary care: a systematic scoping review. BJGP Open 2020;4(1):bjgpopen20X101020.
  16. Order of the Acting Minister of Health of the Republic of Kazakhstan. On approval of forms of primary medical documentation for healthcare organizations [cited 2022 Aug 18]. Available from: https://adilet.zan.kz/rus/docs/V1000006697 (Russian).
  17. Spinazze P, Aardoom J, Chavannes N, Kasteleyn M. The computer will see you now: overcoming barriers to adoption of computer-assisted history taking (CAHT) in primary care. J Med Internet Res 2021;23(2):e19306.
  18. Patel S, Boulton KA, Redoblado-Hodge MA, Papanicolaou A, Barnett D, Bennett B, et al. The acceptability and efficacy of electronic data collection in a hospital neurodevelopmental clinic: pilot questionnaire study. JMIR Form Res 2021;5(1):e18214.
  19. Corley ST. Electronic prescribing: a review of costs and benefits. Top Health Inf Manage 2003;24(1):29-38.
  20. Beckmann M, Dittmer K, Jaschke J, Karbach U, Koberlein-Neu J, Nocon M, et al. Electronic patient record and its effects on social aspects of interprofessional collaboration and clinical workflows in hospitals (eCoCo): a mixed methods study protocol. BMC Health Serv Res 2021;21(1):377.