Evaluating Physicians’ Satisfaction with Using eHealth System for Managing Patients in Primary and Secondary Care
DOI:
https://doi.org/10.4108/eetpht.11.4157Keywords:
eHealth system, physician satisfaction, patient management, eHealth servicesAbstract
INTRODUCTION: eHealth systems are raising both patient satisfaction and medical care. The proper workflow regulations and data exchange between primary and secondary healthcare are crucial.
OBJECTIVES: Investigation of the major determinants influencing the physicians’ satisfaction while using an eHealth information system.
METHODS: A survey of primary and secondary healthcare medical professionals was conducted in R.N. Macedonia. The categorical variables from the data analysis were presented and a logistic regression was carried out.
RESULTS: The multiple logistic regression model was statistically significant for sufficient evidence to reject the null hypothesis in which the overall satisfaction rating of the eHealth system usage for managing patients and other healthcare services will not be affected by the other variables in favour of the alternative Ha.
CONCLUSION: Various factors between primary and secondary healthcare professionals regarding system’s usage satisfaction are presented and studied. Various issues were revealed between both parties that should serve the policymakers and medical authorities for further improvements.
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References
[1] Olsson S, Lymberis A, Whitehouse D. European Commission activities in eHealth*. International Journal of Circumpolar Health. 2004; 63(4): 310–316.
[2] Abolade TO. The benefits and challenges of e-Health applications in developing nations: A review. 14th iSTEAMS Conference; AlHikmah University, Ilorin, Nigeria; At: Ilorin, Kwara State. 2018; (14): 37-44.
[3] Pandimurugan V, Abouhawwash M, Mandviya R, Chetaly MM. Introduction to healthcare informatics: fundamentals and historical background, In book: Innovations in Healthcare Informatics: From interoperability to data analysis, June 2023.
[4] Epizitone A, Moyane SP, Agbehadji IE. A Systematic Literature Review of Health Information Systems for Healthcare. Healthcare. 2023; 11(7):959.
[5] Katehakis, Dimitrios, et al. Towards the Development of a National EHealth Interoperability Framework to Address Public Health Challenges in Greece. Conference: First International Workshop on Semantic Web Technologies for Health Data Management (SWH 2018), Oct. 2018.
[6] Lluch, M. Healthcare professionals’ organisational barriers to health information technologies—A literature review. International Journal of Medical Informatics, 2011; 80(12), 849–862.
[7] The Medical Imaging Technology Association (MITA). DICOM® — Digital Imaging and Communications in Medicine. [online] 2024; Available from: https://www.dicomstandard.org/, [accessed: 2024 January 4].
[8] The National Library of Medicine. SNOMED CT a standard for electronic exchange of clinical health information. [online] 2024; Available from: https://www.nlm.nih.gov/healthit/snomedct/index.html, [accessed: 2024 January 4]
[9] The FHIR Core Work Group. FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0". [online] 2024; Available from: https://hl7.org/fhir/overview.html, [accessed: 2024 January 4].
[10] Torab-Miandoab A, Samad-Soltani T, Jodati A, Rezaei-Hachesu P. Interoperability of heterogeneous health information systems: a systematic literature review. BMC medical informatics and decision making. 2023; 23(1), 18.
[11] Ozair FF, Jamshed N, Sharma A, Aggarwal P. Ethical issues in electronic health records: A general overview. Perspect Clin Res. 2015;6(2):73-76.
[12] da Fonseca MH, Kovaleski F, Picinin CT, Pedroso B, Rubbo P. E-Health Practices and Technologies: A Systematic Review from 2014 to 2019. Healthcare (Basel). 2021; 9(9):1192.
[13] Atanasovski B, Bogdanovic M, Velinov G, Stoimenov L, Sahpaski D, Skrceska I, Kon-Popovska M, Jankovic D, Jakimovski B. Transforming an Enterprise E-Health System from Process Oriented to Model Driven Architecture. Conference: 7th International Conference on Information Society and Techology; At: Kopaonik, Serbia; 2017. 159-162.
[14] WHO Regional Office for Europe. From innovation to implementation eHealth in the WHO European Region. Copenhagen, [online] WHO Regional Office for Europe. 2016; Available from: http://www.euro.who.int/__data/assets/pdf_file/0012/302331/From-Innovation-to-Implementation-eHealth-Report-EU.pdf; 77 [accessed: 2023 March 30].
[15] Velinov G, Jakimovski B, Lesovski D, Panova DI, Frtunik D, Kon-Popovska M. EHR system MojTermin: implementation and initial data analysis. Studies in health technology and informatics. 2015; 210: 872-876.
[16] Official Gazette of the Republic of Macedonia. Law of healthcare protection, nos. 43, Skopje. 2012 [Online] Available from: https://faolex.fao.org/docs/pdf/mac201968.pdf [accessed: 2023 March 31].
[17] Tulevska E, Dimkovski V. Yearly report for 2018, Health Insurance Fund of Republic of North Macedonia, Skopje. 2019; [online] Available from: http://www.fzo.org.mk/WBStorage/Files/Godisen%202018%20KONECNO.pdf [accessed: 2023 March 31].
[18] European Commission (2020) eHealth and Covid-19. [Online] Available from: https://ec.europa.eu/health/ehealth/covid-19_en [accessed: 2023 March 31]
[19] Dussault G, Lapão L. The contribution of ehealth and mhealth to improving the performance of the health workforce: a review. Public Health Panorama. 2017; 3(3): 463-471.
[20] Khan I, Xitong G, Ahmad Z, Shahzad F. Investigating factors impelling the adoption of e-Health: A perspective of African expats in China. SAGE Open. 2019; 9(3): 215824401986580.
[21] Malasinghe LP, Ramzan N, Dahal K. Remote patient monitoring: a comprehensive study. Journal of Ambient Intelligence and Humanized Computing. 2017; 10: 57-76.
[22] van der Kleij R, Kasteleyn MJ, Meijer E, Bonten TN, Houwink E, Teichert M, van Luenen S, Vedanthan R, Evers A, Car J, Pinnock H, Chavannes NH. SERIES: eHealth in primary care. Part 1: Concepts, conditions and challenges. The European journal of general practice. 2019; 25(4): 179–189.
[23] Atinga RA, Abor PA, Suleman SJ, Anaba EA, Kipo B. e-health usage and health workers’ motivation and job satisfaction in Ghana. PLOS ONE. 2020; 15(9): e0239454.
[24] Collier R. Electronic health records contributing to physician burnout. CMAJ: Canadian Medical Association journal = journal de l'Association medicale Canadienne. 2017; 189(45): E1405–E1406.
[25] Zayyad MA, Toycan M. Factors affecting sustainable adoption of e-health technology in developing countries: an exploratory survey of Nigerian hospitals from the perspective of healthcare professionals. PeerJ. 2018; 6: e4436.
[26] Furusa SS, Coleman A. Factors influencing e-health implementation by medical doctors in public hospitals in Zimbabwe. SA Journal of Information Management. 2018; 20(1): 1-9.
[27] O’Donnell A, Kaner E, Shaw C, Haighton C. Primary care physicians’ attitudes to the adoption of electronic medical records: a systematic review and evidence synthesis using the clinical adoption framework. BMC Medical Informatics and Decision Making. 2018; 18(1): 101.
[28] Levine DM, Stephan DF, Krehbiel TC, Berenson ML. Statistics for managers: Using Microsoft excel. 5th edn. Prentice Hall, New Jersey. Published 2008.
[29] Health Insurance Fund of Republic of North Macedonia. Code of physicians, Skopje, [online] Health Insurance Fund of Republic of North Macedonia. n. d.; Available from: https://fzo.org.mk/sifrarnik-lekari [accessed: 2022 Jan 15].
[30] IBM (2021). SPSS statistics. [online] Ibm.com. Available at: https://www.ibm.com/products/spss-statistics.
[31] Organization for Economic Co-operation and Development. Definitions, Sources and Methods. Stockholm, [online] Organization for Economic Co-operation and Development, Paris. 2022; Available from: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwikmqjGnMn5AhXGyKQKHY1XAoMQFnoECA8QAQ&url=https%3A%2F%2Fstats.oecd.org%2FFileView2.aspx%3FIDFile%3Dd5a1d43e-2585-4f05-b347-e2860e2a7145&usg=AOvVaw1-40CPCySyxWDiSBvOSBG2 [accessed: 2023 April 5].
[32] De Rosis S, Barsanti S. Patient satisfaction, e-health and the evolution of the patient-general practitioner relationship: Evidence from an Italian survey. Health policy (Amsterdam, Netherlands). 2016; 120(11): 1279–1292.
[33] Ossebaard HC, Van Gemert-Pijnen L. eHealth and quality in health care: implementation time, International Journal for Quality in Health Care. 2016; 28(3): 415–419.
[34] WHO Regional Office for Europe. Primary health care organization, performance and quality in North Macedonia. Copenhagen, [online] WHO Regional Office for Europe. 2019; p. 24. Available from: https://www.euro.who.int/__data/assets/pdf_file/0009/403020/MKD-PHC-report-160519.pdf [accessed: 2023 April 5].
[35] Zaman SB, Hossain N, Ahammed S, Ahmed Z. Contexts and Opportunities of e-Health Technology in Medical Care. Journal of Medical Research and Innovation. 2017; 1(2): AV1-AV4.
[36] Kesse-Tachi A, Asmah AE, Agbozo E. Factors influencing adoption of eHealth technologies in Ghana. Digital Health. 2019; 5: 205520761987142.
[37] Spatar D, Kok O, Basoglu N, Daim T. Adoption factors of electronic health record systems. Technology in Society. 2019; 58: 101144.
[38] Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. Journal of the American Medical Informatics Association: JAMIA. 2017; 24(2): 246–250.
[39] Jigna J. Hathaliya, Sudeep Tanwar,
An exhaustive survey on security and privacy issues in Healthcare 4.0, Computer Communications, Volume 153, 2020, Pages 311-335,
ISSN 0140-3664, https://doi.org/10.1016/j.comcom.2020.02.018.
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Copyright (c) 2024 Viktor Denkovski, Goce Gavrilov, Irena Stojmenovska, Vladimir Radevski
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