Prioritization of Hospital Information System’s Executive Barriers to Patient Payment Reduction and Visitation Quality Improvement Packages of Health System Reform Plan from the Perspectives of Users and Experts in Hospitals of Yazd

Mohammadhossein  Dehghani; Hojjat Rahmani; Farhad Habibi; Ghasem Rajabi Vasokolaei; Somayeh Abedini; Mehdi Raadabadi; Fatemeh Pourshariati

doi:10.18502/htaa.v5i1.7383

Mohammadhossein Dehghani Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Hojjat Rahmani Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Farhad Habibi Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Ghasem Rajabi Vasokolaei Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Somayeh Abedini Health Policy and Management Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Mehdi Raadabadi Health Policy and Management Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Fatemeh Pourshariati Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

DOI: https://doi.org/10.18502/htaa.v5i1.7383

Keywords: Health System Reform Plan; Hospital Information System; Hospital

Abstract

Background: Healthcare facilities are dependent on hospital information systems due to the high volume and variation of information in different fields. These systems are a prerequisite for effective and high-quality healthcare provision in hospitals.

Objectives: The present study intended to prioritize the executive barriers to these systems in patient payment reduction and visitation quality improvement packages of the health system reform plan (HSRP) from the perspectives of users and experts in selected university hospitals of Yazd, Iran, in 2019.

Methods: The population of this descriptive-analytical study included 110 participants, including experts of information technology (IT) unit, hospital managers, and personnel of the administrative and medical units dealing with the hospital information system. The data collection tool was a researcher-made questionnaire based on similar studies, the validity of which was evaluated by a committee of experts. Also, the reliability of the questionnaire was investigated and confirmed before the study using the Cronbach’s alpha method and a sample of 30 participants. Data analysis was performed using SPSS software version 21.

Results: Among the six barrier dimensions, the highest mean score belonged to the professional factors (3.46 ± 1.03), followed by human barriers (3.44 ± 0.83). Among professional barriers, the lack of motivation of the personnel in IT learning and get training on the IT-related skills had the highest mean score of 3.67.

Conclusions: According to the results, outsourcing such services and special budget allocation for hardware and software update and support, holding conferences, and provision of practical training in this field are suitable strategies for better implementation of such systems.