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Abstract : The utility of health information systems is
essential in health care sector for providing better services. It helps to
improve the effectiveness of health care services. Combing the services of
health care sector with information technology has made the coordination of
large units and functions of health care to provide improved and better
services. Managing records and details of patients, clinical information and
financial management and other comprehensive details related to health care
sector has become easy with the usage of information technology. Such
information accessed through information systems helps the health workers to
providing better health care services to patients. The present study aims to
understand the utility of health information systems to health workers for
accessing , storing and sharing routine information.

Keywords: Health Information Systems, Health care, Health workers.  

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Background : “The health
information system (HIS)  provides the
underpinnings for decision-making and has four key functions: data generation,
compilation, analysis and synthesis, and communication and use. The health
information system collects data from the health sector and other relevant
sectors, analyses the data and ensures their overall quality, relevance and
timeliness, and converts data into information for health-related
decision-making “-(WHO, 2008) .  A good
model of HIS supports all aspects of business operations such as managing
patient records, accounts and financial transactions and third party
interactions mainly insurance companies. At the same time  maintaining 
electronic health records through proper clinical documentation is
important. Facilitation of communication among all the health care team mainly
doctors, nurses, administrative staff is essential.  The implementation of HIS must be simple ,
sustainable without adding too much costs and help for health workers in their
routine work . Integration of data done through
HIS  should be accessible and of utility
to end users. The design of HIS should not be complicated. It has meet the real
time requirements of health care sector in a easy way without much difficulty
and gaps. The current research aims to understand the utility of HIS mainly to
health workers in their routine work and their overall satisfaction levels with
regards to certain aspects of HIS.


 Introduction :  Health information systems helps to integrate
the collected data for generating required reports and information required at
all levels of health services and for efficient management of health services.
The value of such information stored will depend up its utilization for
improving of health services. Many health workers in
developing countries  assume the use of
information systems with filling registers and forms with patients data base. It
involves compiling such registers and sending reports to next level from time
to time without much utility and feedback. (Heeks, 2006). At the same time  deployment
of health IT alone is not sufficient to improve quality in health service
delivery; what is needed is a human factors approach designed to optimize the
balance between health-care users, health-care providers, policies, procedures,
and technologies (Kappelman , McLean  (1991).

The implementation of Hospital Information System should be well
planned. Care should be taken while choosing the vendor and software. The
chosen software should be able to meet the objectives of the organization (Kim al.,2012). Since the implementation of
information systems involves investment of financial resources it should be
ensured that it is successfully adopted at all levels in the organization (Amin 2011) . The different levels of hospital administration, human resources
and technology need to integrate so that the service processes apply the
benefits of information systems in delivering quality services. Health
management information system (HMIS) is a means that allows collection and
storage as well as analysis and usage of health data to improve patient
satisfaction with health services by tracking certain dimensions of service
quality( Baus A, 2004). The HIS customers are
classified into internal and external. Internal customers are physicians,
nurses, laboratory technologists, pharmacists, quality department, and others
within a healthcare facility that interacts with the essential processes.
External customers are patients, patients’ families, insurance providers,
suppliers, health services researchers, etc. The success of HIS implementation
depends on its implementation and utility to both external and internal
customers on a regular basis. The user’s expectation about the health
information systems should be understood and the issues need to be handled as
they arise for smooth flow of activities. This will help to improve the quality
of services delivered by health workers thus resulting in better satisfaction
of health workers

This research focuses on the utility of health information
systems to Internal customers working in the health care sector. Mainly the
health workers working in hospitals are considered for the purpose of study.
The overall utility is analyzed based on certain features of quality of HIS in
terms of storing the information, accessibility and overall satisfaction of
users for their daily routine work .

Objectives :

research objectives are therefore as follows:

1.      To understand
the quality of health information systems implemented to help health workers in
routine work.

2.      To understand
the  overall satisfaction  level of  health workers while using the health
information systems in routine work.

Methodology For the purpose of the study the required
data was collected from  health workers
working in hospitals of Navi Mumbai region in Maharashtra. The category of
health workers chosen are mainly Nurses, Administrative staff and accounting
staff working in hospitals. 72 respondents have been chosen for the purpose of
this study.This study was conducted using a questionnaire. Respondents  were asked to fill out the questionnaire which
was prepared by listing out certain features of HIS. Prior to the analyses, all
variables were examined for accuracy of data entry and missing values. Missing
cases were excluded from the data while carrying out analyses using the SPSS
software.  The data was analyzed using SPSS.

Some of the
characteristic features of usage of HIS have been identified which are
Accessibility, Technical support, Confidentiality, Quality  and overall satisfaction levels. Based on
these features a questionnaire was designed. 72 respondents working in various
levels mainly nurses, administrative staff, accounting staff have been asked to
respond. Non parametric tests have applied for data analysis and interpreting
the results

Hypothesis :  

H0 There
is no significant difference in the overall satisfaction of health workers with
the utility  of HIS in routine

H1: There
is a significant difference in the overall satisfaction of health workers with
the utility  of HIS in routine

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