Assessment of Health Information Systems Implementations in West Bank Governmental Hospitals: A Survey of Health Providers Perceptions رسالة ماجستير

Abstract

Background: Adopting Health Information Systems (HIS) successfully is a complex procedure. A system must first successfully influence its users to be effective and benefit the company. Palestinian Ministry of Health has adopted a health information system in its hospitals in the West Bank; evaluation must be applied to assess the success of the HIS based-on users’ perceptions and satisfaction with the quality and net benefits of the system. Aim of this study: this study aims to assess the health information system success in governmental hospitals in West Bank by identifying the perception of health providers, based on DeLone and McLean's framework for information system success, and determining the characteristics of the system by studying user’s perception on its components: the system quality, information quality, service quality, use, user satisfaction, and net benefit. Methods: This was a cross-sectional study conducted among Palestinian health providers in the three governmental hospitals, Jenin (Khalil Suliman Hospital), Ramallah (Palestine Medical Complex), and Beit Jala (Al Husein) Hospital. Data were collected by a self-administered questionnaire based on DeLone and McLean's framework for information system success from a Stratified simple random sample of 250 health providers. Data were analyzed using the IBM Statistical Package for Social Sciences (SPSS) version 25. Descriptive analysis, and Linear regression analysis, are to find out if there is a relationship, effect, and statistical significance between the dependent variables and the independent variables. VI Results: Results indicated that there was a high degree of (User Satisfaction) according to respondents’ point of view, where the total degree was (mean=3.54) with (70.9%) acceptance. Among the three qualities, information quality got the highest quality (mean=3.82) with (76.3%) of acceptance, followed by system quality (mean=3.51) with (70.2%) of acceptance, service quality was the lowest (mean=3.22) with (64.5%) of acceptance. System use (mean 3.85) with (77.0%) of acceptance, while net benefit (mean=3.76) with (75.2%) of acceptance. A significant and positive relationship was detected between the three quality factors and user satisfaction, between system use and user satisfaction, and between user satisfaction and the net benefit of the system. Conclusion: Despite the generally high overall user satisfaction with the HIS at West Bank governmental hospitals, specific components of the system and service qualities should be revised by policymakers, mainly the availability of the system, development process, use of new technologies, and integration with another HISs. Adequate technical support from HIS system provider, overall infrastructure should be adequate especially, internet connection and hardware, improving overall support services on the HIS that received from IT support personnel.