Thesis (MPhil)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: This thesis investigates the complexities involved in Health Information Systems. The focus
is on the factors of a) efficiency and b) usability. A case study is made of a recently
implemented system in Charlotte Maxeke Johannesburg Academic hospital. The first
objective of the research was to gain a deeper understanding of the complexities of Health
Information Systems, and secondly to evaluate the situation at Charlotte Maxeke
Johannesburg Academic Hospital.
In Chapter 1 a detailed introduction of the thesis is offered. This includes, explaining what
triggered the research, the objective of the research and the methodology used to conduct the
research.
In Chapter 2 the focus is on a literature review of Health Information Systems, system
fundamentals and planning and implementation. It is clear that without a methodology,
systems development becomes haphazard and subsequently a risky and expensive
undertaking. While change is pervasive, introducing operational efficiencies sometimes may
necessitate reviewing of information systems and business strategy, knowledge management
and process orientation.
In Chapter 3 the issue of usability is investigated. Several healthcare institutions have
implemented information systems but evaluations of the usability of these systems are still
under debate. For purposes of this research an evaluation method for system usability and
survey questionnaires were developed.
In Chapter 4 the case study of Charlotte Maxeke Johannesburg Academic Hospital is
reported. The chapter also describes the data collection design, research limitations and
delimitations, survey findings and interpretations.
In Chapter 5 the implications and applications of Health Information Systems are discussed.
After analysis of the survey results, it appears that the impact and benefits of the new Health
Information System are only positive or realized in the patient administration division. The
rest of the health professionals continue to manually capture clinical notes and other
management information on pieces of papers, spread sheets and word documents.
The thesis comes to the conclusion that despite widespread use of technology in other sectors,
clinicians in hospitals do not use implemented automated systems. Implementation of
systems is complex and problems associated with usability are not resolved and that
traditional systems implementation methodologies may not apply. / AFRIKAANSE OPSOMMING: Die tesis ondersoek die faktore wat Gesondheidstelsels (HIC) ingewikkeld maak. Die fokus is
op a) doeltreffendheid, en b) bruikbaarheid (uit gebruikersoogpunt). ‘n Gevallestudie word
gemaak van ‘n stelsel wat onlangs by Chalotte Maxeke Johannesburg Akakdemiese Hospitaal
in gebruik geneem is. Die eerste doelwit van die ondersoek was om die
ingewikkeldheidsgraad van sodanige stelsels te probeer bepaal, en tweedens om die situasie
in die hospitaal self te evalueer.
In hoofstauk 1 word die agtergond en aanleiding tot die ondersoek uiteengesite, woel as die
metodologiese keuses wat gemaak is.
Hoofstuk 2 bied ‘n oorsig oor relevante literatuur ten ospigte van HIC. Dit is duidelik
stlselontwikkeling riskant, onnodig duur en koersloos is as dit sonder ‘n duidelike
metodologie geïmplementeer word. Verandering vind voortdurend plaas en die
implementering van oprasionele doeltreffendheid mag vernadering in besigheidstrategie,
informasiestelsels, kennisbestuur en processoriëntasie noodsaaklik maak.
In hoofstuk 3 word bruikbaarheid ondersoek. Verskeie mediese instellings het soortgelyke
stelsels in gebruik geneem, maar die bruikbaarheid daarvan is steeds onseker. Vir die
doeleindes van hierdie tesis is ‘n eie evaluasiemetode ontwikkel en ‘n vraelys op grond
daarvan opgestel.
Hoofstuk 4 rapporteer die gevallestudie in Charlotte Maxeke Johannesburg Akademiese
Horspitaal hospital. Datakolleksie, navorsingsafbakening en – beperkinge, sowel as
vraelysresultate word aangebied.
Hoofstuk 5 bespreek die implikasies en toepassings van HIC. Dit blyk dat die voordele van
die stelsel slegs deur die pasiëntadministrasieafdeling geniet word. Alle ander afdeling gaan
steeds voort met papiergebaseerde inligtingstelsels, aangevaul deur ad hoc gebruik van Excel
en woordprossering.
Die tesis kom tot die gevolgtrekking dat kliniese personeel avers is teen die gebruik van
geoutomatiseerde informasiestelsels.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/80058 |
| Date | 03 1900 |
| Creators | Serobatse, Moilwa Denton |
| Contributors | Le Roux, D., Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Information Science. |
| Publisher | Stellenbosch : Stellenbosch University |
| Source Sets | South African National ETD Portal |
| Language | en_ZA |
| Detected Language | English |
| Type | Thesis |
| Format | ix, 138, [5] p. : col. ill. |
| Rights | Stellenbosch University |
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