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District Health Information System Assessment: A Case Study in Iran Publisher



Raeisi AR1 ; Saghaeiannejad S2 ; Karimi S3 ; Ehteshami A2, 4 ; Kasaei M5
Authors
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Authors Affiliations
  1. 1. Department of Health Services Management, School Health Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Health Information Technology, School of Health Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Health Services Management, School of Health Management and Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Department of Health Information Management, School of Health Management and Medical Informatics, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. School of Advanced Medical Technologies, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Acta Informatica Medica Published:2013


Abstract

Introduction: Health care managers and personnel should be aware and literate of health information system in order to increase the efficiency and effectiveness in their organization. Since accurate, appropriate, precise, timely, valid information and interpretation of information is required and is the basis for policy planning and decision making in various levels of the organization. This study was conducted to assess the district health information system evolution in Iran according to WHO framework. Methods: This research is an applied, descriptive cross sectional study, in which a total of twelve urban and eight rural facilities, and the district health center at Falavarjan region were surveyed by using a questionnaire with 334 items. Content and constructive validity and reliability of the questionnaire were confirmed with correlation coefficient of 0.99. Obtained data were analyzed with SPSS 16 software and descriptive statistics were used to examine measures of WHO compliance. Results: The analysis of data revealed that the mean score of compliance of district health information system framework was 35.75 percent. The maximum score of compliance with district health information system belonged to the data collection process (70 percent). The minimum score of compliance with district health information system belonged to information based decision making process with a score of 10 percent. Conclusions: District Health Information System Criteria in Isfahan province do not completely comply with WHO framework. Consequently, it seems that health system managers engaged with underlying policy and decision making processes at district health level should try to restructure and decentralize district health information system and develop training management programs for their managers. © AVICENA 2013.
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