A Personal Health Record (PHR) is an electronic record of a patient’s health-related information that is managed by the patient. The patient can give access to other parties, such as healthcare providers and family members, as they see fit. These parties can use the information in emergency situations, in order to help improve the patient’s healthcare. PHRs have an important role to play in ensuring that a patient’s complete health history is available to his healthcare providers at the point of care. This is especially true in South Africa, where the majority of healthcare organizations still rely on paper-based methods of record-keeping. Research indicates that physicians play an important role in encouraging the adoption of PHRs amongst patients. Whilst various studies have focused on the perceptions of South African citizens towards PHRs, to date no research has focused on the perceptions of South African physicians. Considering the importance of physicians in encouraging the adoption of PHRs, the problem being addressed by this research project thus relates to the lack of information relating to the perceptions of South African physicians of PHRs. Physicians with private practices at private hospitals in Port Elizabeth, South Africa were surveyed in order to determine their perceptions towards PHRs. Results indicate perceptions regarding benefits to the physician and the patient, as well as concerns to the physician and the patient. The levels of trust in various potential PHR providers and the potential uses of a PHR for the physician were also explored. The results of the survey were compared with the results of relevant international literature in order to describe the perceptions of physicians towards PHRs.

Section 13 of the Eastern Cape Provincial Archives and Records Act, 2003 requires the Amathole District Municipality to manage its records in a well-structured record-keeping system, and to put the necessary policies and procedures in place to ensure that record- keeping and records management practices comply with the requirements of the Act. The study investigated the interventions that can be made to improve and promote the best system (centralised versus a decentralised records system) in terms of space resources through greater co-ordination of information management and storage systems with reference to the Amathole District Municipality. A quantitative research methodology was employed to collect data. The empirical component of the treatise utilised self-administered questionnaires. Purposive sampling was used to identify the target population at the ADM. The researcher specifically selected the users of records, namely; senior manager, mid-managers, supervisors and administration assistants. The need for training, workshops and awareness were identified as the main challenges to records management and to the employees’ understanding of the system in place at the ADM. The findings recommended that the municipality should select the records management system that best supports the conduct of business in an orderly, efficient, and accountable manner. The system should ensure that documents provide evidence of business and contribute to the cultural identity and collective memory of the ADM. Further research on the existing records management system is recommended for the Amathole District Municipality.

The purpose of this study was to investigate the role played by records management in an organisation. The primary question that was explored was whether the management of records receives the attention it deserves at the Amathole District Municipality. In order to achieve the research objectives, an in-depth literature study was undertaken. A survey was also conducted to examine the current records management practices at ADM and the data was collected by means of self-administered questionnaires. The literature study proved the hypothesis to be correct, which stated that effective records management plays a significant role in the effective administration of an organization. The empirical study revealed that the records management function is not receiving the attention it deserves at ADM. Even though participants acknowledged the importance of records management in the decision-making process, strategic planning process (Integrated Development Plan), the realisation of the Batho Pele Principles and the overall performance of ADM, it was evident that ignorance was displayed with regard to the management of records. It has been discovered that Amathole District Municipality has a good Records Management Policy, Procedure manual and File Plan, but adherence to these policies should be continuously monitored. Regular training has been identified as one of the areas on which ADM should apply its focus to ensure sound records management. Recommendations were made within the context of empirical survey findings and the regulatory framework for records management. To improve the current records management practices at ADM, it has been recommended that the records management function be incorporated into the organisation-wide strategic plans and that records management forms part of the key performance areas of senior managers.

For centuries, the theory and principles of diplomatics have played a role in the work of European archivists. In North America, however, its relevance is still under scrutiny. This thesis employs diplomatic analysis to test its validity when applied to modern documents and procedures. To investigate the significance of diplomatic methodology and analysis, this thesis first discusses the recent history and structure of the British Columbia court system. It then examines a selection of case files from the civil, probate and bankruptcy registries, and it assigns the documents within to one of the six phases of a procedure: initiative, inquiry, consultation, deliberation, deliberation control, and execution. The study concludes by discussing the diplomatic character of the procedures and its importance in the understanding of modern records. More specifically, it outlines how diplomatics and procedural analysis can assist records professionals in the development of classification systems and retention and disposition schedules; the design of automated records management systems; and archival appraisal, arrangement and description. / Arts, Faculty of / Library, Archival and Information Studies (SLAIS), School of / Graduate

This master thesis deals with business process modelling of records management service and its electronic form in the area of health insurance companies. The beginning of the thesis introduces the reader to the concepts of process modelling and records management including legal requirements and specifics from the perspective of health insurance company. The next section describes the MMABP methodology, which is used for process analysis of records management processes in accordance with statutory requirements. The result is then confronted with a practical case of doing records management in an electronic form from the perspective of a health insurance company.

This thesis begins by tracing the development of the practice of records scheduling in the federal governments of United States and Canada, from the initial concern with records disposal in the late eighteen hundreds, to the implementation of formal records schedules in the 1940s in the United States and the late 1950s in Canada. These federal initiatives provided a model for later developments at the state and provincial level. However, changes in scheduling methods have lately become necessary to meet the demands of the increasing volume of records, organizational complexity and change, and the widespread use of new media, particularly electronic records. Many of these changes have occurred at the provincial and state level, where the limited size of government has allowed the agencies responsible for scheduling to be more responsive and innovative. For this reason, analysis of current records scheduling practices in the provinces of British Columbia and Ontario, and the states of Washington and New York were conducted. These studies reveal schedules which are both flexible in their use and adaptable over time because they attempt to accommodate both records in all media and organizational change. Among the scheduling techniques examined are the addition of media specific elements, the use of functional schedule arrangement, the integration of schedules with other management tools, like classification, and the expanded use of general schedules for records common to more than one organization. These techniques are capable of dealing with the volume, complexity and variety of records which are being created in government today. Despite the changes demonstrated, the studies show that records scheduling remains a viable practice to control the life cycle of all records, from creation until disposal. Throughout this investigation, the role of archivists is discussed. Archivists' involvement in scheduling began with the earliest developments and continues still today. Archivists have been central to the initiation, development and adaptation of records scheduling in government. With the development of new information technologies, archivists' role is even more important, for they must intervene into the process of records creation if they want to maintain the ability to identify records of enduring value to society, and to ensure that their integrity is maintained throughout administrative procedures and use. / Arts, Faculty of / Library, Archival and Information Studies (SLAIS), School of / Graduate

This thesis analyzes the issue of computerization of state administration, which has been strongly supported in recent years, thanks to subsidies from the European Union. The practical part is based on a concrete example of the integration model of municipality technological centre, including other projects such as records service and department integration.

The service sector of the global economy is undoubtedly growing and increasingly highlighting the criticality of service quality to enhanced profitability in most service organisations. The demand for accountability from different stakeholders, including clients, has also made service quality a highly debated, researched and most powerful competitive trend shaping marketing and business strategy. Developing reliable measurement instruments of service quality and strategies for the improvement of service quality invariably become the most important responsibilities for managers in many organisations. In the absence of conceptual clarity on service quality, divergent views on the dimensionality of service quality and the lack of a psychometrically valid service quality measure in archival institutions, this study set out to develop and subsequently validate a measurement instrument to assess service quality in an archival institutional setting. The two research questions investigated in this study were: (1) what are the dimensions for measuring service quality in archival institutions, and (2) how can the dimensions of service quality in archival institutions be measured effectively. The methodology for this study involved a two-phased qualitative and quantitative analysis addressing these two research questions. The study followed the standard psychometric procedure for developing constructs. This research has resulted in the important findings and relevant conclusions for both academics and practitioners interested in service quality in the archival environment. The service quality measurement instrument formulated is called ARCHIVqual and has three dimensions, namely (1) security of information (with 4 items), (2) integrity of information (with 3 items) and (3) usability of information (with 2 items). Besides measuring service quality in the archival environment, ARCHIVqual will also serve as a tool for conducting periodic surveys thereby identifying specific problematic areas in archival institutions. / Graduate School for Business Leadership / DBL

The purpose of this study was to critically analyse the evidence-based revelations from the South African Office of the Auditor-General on the records management challenges being encountered in the local government sector. The aim of the study was the analysis of available evidence and the proposal of solutions for collaborative planning and implementation. The lack of strategic planning in ensuring the accessibility of authentic information sources required during auditing remains unchallenged by the South African public archivists and records managers. These audit reports are required to demonstrate governance, transparency and accountability. This information held in the records of local government is also required to satisfy service delivery and plan development ventures. The World Bank, International Monetary Fund and United Nations formulated an ambitious agenda to eradicate world poverty by 2025. Eight millennium development goals were identified that would provide impoverished communities with better access to basic services and conditions spurring sustainable development. Governance-based criteria were identified as barometers to gauge transparency, accountability, respect for the rule of law and citizens’ rights. Consolidated audited reports from 2000 to 2013 were scrutinised to unravel the conundrums relating to governance, transparency and the management of public sector information sources. According to the 2013 report, only 5% of the local government sector managed to attain clean audits. Related evidence revealed in the unclean audit reports and media narratives related to service delivery and community protests. The approach used for the study was the qualitative methodology, regarded as an appropriate method for the archival discipline. This research method allowed for the incorporation of interdisciplinary and multidisciplinary fields of interest. The case study method design enabled the focus of the study to be on local governments and six selected community development ventures in different areas of South Africa. The latter method enabled information collection from records officials and persons involved with socio-economic development projects. Sound interventions are needed to ensure evidence-based governance. This, in turn, would create favourable conditions for development endeavours in post-apartheid South Africa. / Information Science / D. Litt. et Phil. (Information Science)

Effective management of electronic records (MER) facilitates implementation of e- government. While studies have been carried out on management of records in Kenya, none of these studies has focused on MER in support of e-government implementation in Kenya. To address the knowledge gap, the current study sought to establish the current state regarding MER in support of e-government in Kenya. The study investigated how MER supported e-government in Kenya with a view to develop a best-practice framework for MER in support of e-government. The specific objectives of the study were to: ascertain current status of MER in government ministries in Kenya; determine the current level of e-government utilization; establish the effectiveness of existing practices for MER in supporting e-government; identify challenges faced by ministries in MER that could impact on implementation of e- government; propose recommendations that could improve MER in ministries to support e-government effectiveness and develop a framework for MER in support of e-government. The theoretical framework was the European Commission’s (2001) Model Requirements for Electronic Records Management (MoReq) and the United Nation’s (2001) five-stage e-government maturity model. The study was anchored on the interpretive research paradigm and adopted qualitative research methodology using phenomenological design. The study sample consisted of 52 respondents drawn from eighteen government ministries, the Kenya ICT Authority (ICTA), the Kenya National Archives and Documentation Service (KNADS) and five e- government service areas. Maximum variation sampling technique was used. Data was collected through face-face interviews and analysed using thematic analysis. The findings established that: the general status of MER in government ministries is inadequately positioned to support e-government; utilization of e-government in Kenya had grown significantly and more ministries were adopting e-government services; although some initiatives have been undertaken to enhance MER, the existing practices for MER require improvement to ensure they adequately support e-government; there exists several challenges in the MER that impact on implementation of e-government. The study concluded that the current practices for managing electronic records in support of e-government implementation were not adequate. Recommendations and a best-practise framework for managing electronic records in support of e-government have been provided. Suggestions for further research are provided. / Information Science / D. Litt. et. Phil. (Information Science)