Stakeholders' Perceptions of the Implementation of a Patient-Centric Digital Health Application for Primary Healthcare in India

Dharamjeet Singh Faujdar; Tarundeep Singh; Manmeet Kaur; Sundeep Sahay; Rajesh Kumar

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자료유형: 학술저널

저자정보: Dharamjeet Singh Faujdar (Postgraduate Institute of Medical Education and Research) Tarundeep Singh (Postgraduate Institute of Medical Education and Research) Manmeet Kaur (Postgraduate Institute of Medical Education and Research) Sundeep Sahay (University of Oslo) Rajesh Kumar (Postgraduate Institute of Medical Education and Research)

저널정보: 대한의료정보학회 Healthcare Informatics Research Healthcare Informatics Research 제27권 제4호

발행연도: 2021.10

수록면: 315 - 324 (10page)

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Objectives: Health systems are shifting from traditional methods of healthcare delivery to delivery using digital applications. This change was introduced at a primary care centre in Chandigarh, India that served a marginalised population. Afterestablishing the digital health system, we explored stakeholders’ perceptions regarding its implementation. Methods: Ethnographicmethods were used to explore stakeholders’ perceptions regarding the implementation of the Integrated Health InformationSystem for Primary Health Care (IHIS4PHC), which was developed as a patient-centric digital health application. Data were collected using focus group discussions and in-depth interviews. Participatory observations were made of day-todayactivities including outpatient visits, outreach field visits, and methods of health practice. The collected information wasanalysed using thematic coding. Results: Healthcare workers highlighted that working with the digital health system was initiallyarduous, but they later realised its usefulness, as the digital system made it easier to search records and generate reports,rapidly providing evidence to make decisions. Auxiliary nurse midwives reported that recording information on computerssaved time when generating reports; however, systematic and mandatory data entry made recording tedious. Staff were apprehensiveabout the use of computer-based data for monitoring their work performance. Patients appreciated that theirprevious records were now available on the computer for easy retrieval. Conclusions: The usefulness of the digital health applicationwas appreciated by various primary healthcare stakeholders. Barriers persisted due to perceived needs for flexibilityin delivering healthcare services, and apprehensions continued because of increased transparency, accountability, and dependenceon computers and digital technicians.

#Perception #Computer Systems #Electronic Medical Records #Primary Health Care #Patient

참고문헌 (23)

참고문헌 신청

Flatley Brennan P / 2000 / Patientcentered Information Systems / Yearb Med Inform (1):79~86

Kotze P / A conceptual data model for a primary health care patient-centric electronic medical record system / ACTA Press

Berwick DM / 2009 / What ‘patient-centered’ should mean:confessions of an extremist / Health Aff (Millwood) 28(4):w555~w565

Faujdar DS / 2019 / Public health information systems for primary health care in India : a situational analysis study / J Family Med Prim Care 8(11):3640~3646

Tripathi S, Sharma R, Nagarajan S. / Health information systems in India: challenges and way forward

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