Practice, enablers and barriers of health information system accountability framework in Northwest Ethiopia 2023.

IF 3.3 3区 医学 Q2 MEDICAL INFORMATICS
Biniyam Tilahun, Berhanu Fikadie Endehabtu, Amare Minyihun, Tajebew Zayede, Adane Nigusie, Asmamaw Atnafu, Lemma Derseh, Tesfahun Hialemarima, Getasew Amare
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引用次数: 0

Abstract

Background: The government of Ethiopia has designed different initiatives for the Health Information Systems (HIS), including an Information Revolution (IR) transformation agenda by 2015. Various interventions and working documents have also been developed and implemented targeting the different aspects of the HIS program. However, there is no nationally designed accountability framework to govern HIS activities. Besides, how health institutions follow and monitor HIS activities is unknown. Therefore, this study aimed to assess the practice and barriers of HIS accountability framework at the selected public health institutions.

Method: A descriptive qualitative study design was employed from June 05 to July 12, 2023. Purposively selected informants from public health institutions were recruited for key informant interviews. A prepared pilot-tested semi-structured interview guide was used. The conventional content approach was used to summarize and synthesize the information explored.

Findings: The study revealed that most respondents described the concept and advantages of the HIS accountability framework in different ways. The participants believed the HIS accountability framework would help to govern and manage behavioral-related HIS challenges. It was indicated that the framework will help to control the recurrence of HIS errors, enhance the commitment and adherence of health professionals, and improve data handover practice, data security and privacy, data quality, informed decision, and finality quality of care. Lack of national guidelines on the HIS accountability framework, the poor culture of accountability, multiple responsibilities and workload, high staff and leadership turnover, lack of motivation, and security problems were stated barriers to implementation of the HIS accountability framework. It was suggested to create a conducive work environment, engage health professionals and other actors during the intervention development, build the skills on HIS leadership, and have the national HIS accountability framework document to implement the intervention effectively.

Conclusions: Even if there is a better understanding of the concept and advantages of the HIS accountability framework, its practice across the system is limited. It would be better to design the HIS accountability framework using a human-centered design/approach by engaging the key HIS actors and understanding their working environment.

2023年埃塞俄比亚西北部卫生信息系统问责框架的实践、推动因素和障碍。
背景:埃塞俄比亚政府为卫生信息系统(HIS)设计了不同的举措,包括到2015年的信息革命(IR)转型议程。针对卫生信息系统方案的不同方面,还制定和实施了各种干预措施和工作文件。然而,没有国家设计的问责框架来管理卫生信息系统的活动。此外,卫生机构如何跟踪和监测卫生保健活动尚不清楚。因此,本研究旨在评估选定的公共卫生机构的卫生保健问责制框架的实践和障碍。方法:于2023年6月05日至7月12日采用描述性定性研究设计。有目的地从公共卫生机构中选择举报人进行关键举报人访谈。我们使用了事先准备好的、经过试点测试的半结构化访谈指南。采用传统的内容法对所探索的信息进行总结和综合。研究结果:研究表明,大多数受访者以不同的方式描述了卫生信息系统问责制框架的概念和优势。与会者认为,卫生信息系统问责框架将有助于治理和管理与行为有关的卫生信息系统挑战。结果表明,该框架将有助于控制医疗卫生系统错误的再次发生,增强卫生专业人员的承诺和依从性,并改善数据移交实践、数据安全和隐私、数据质量、知情决策和最终护理质量。缺乏关于卫生信息系统问责制框架的国家指导方针、问责制文化欠佳、多重职责和工作量、员工和领导层高更替率、缺乏动力以及安全问题是实施卫生信息系统问责制框架的障碍。建议创造有利的工作环境,在干预措施制定过程中让卫生专业人员和其他行为者参与进来,培养卫生保健知识的领导技能,并制定国家卫生保健问责框架文件,以有效实施干预措施。结论:即使对卫生信息系统问责框架的概念和优势有了更好的理解,其在整个系统中的实践也是有限的。最好采用以人为本的设计/方法,让关键的信息系统参与者参与进来,了解他们的工作环境,从而设计信息系统问责框架。
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来源期刊
CiteScore
7.20
自引率
5.70%
发文量
297
审稿时长
1 months
期刊介绍: BMC Medical Informatics and Decision Making is an open access journal publishing original peer-reviewed research articles in relation to the design, development, implementation, use, and evaluation of health information technologies and decision-making for human health.
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