Awareness and Use of Electronic Records Management System and Administrative Effectiveness in Nigeria Technological Health Care Services
CHAPTER ONE
Objective of the study
The main objective of this study is examine the awareness and use of electronic records management system and administrative effectiveness in Nigerian technological health care services.
The specific objectives are to:
- Assess the electronic records management at the Federal Airport Authority in Nigeria Hospital.
- 2. Examine the level of records management awareness among the staff of Federal Airport Authority in Nigeria hospital in using electronic records management.
- Determine the level of administrative effectiveness
CHAPTER TWO
LITERATURE REVIEW
Concept of electronic health information system
In today’s healthcare service delivery, health information is fundamental to continually monitor and appraise health status, to ensure and continually boost the quality of medical care programs and services (WHO, 2015a). Globally, healthcare services have moved from the curative to preventive care system, from precise intervention to a broad-based and inclusive approach, from an integrated to decentralised healthcare system (Nwankwo & Sambo, 2018). This has compelled the need for reformation of uneven health information systems into an all-inclusive but single health information management system (WHO, 2015b). Electronic health is perceived as a general term that denotes any types of digital information associated with and important to healthcare delivery. It is the integration of information supported equipment to aid every aspect of medical care services, literature, research, surveillance, education and knowledge (Umar, 2015). It is also described as an enormous integrated system that aids the wide-ranging information requirement of medical facilities in the areas of patient, ancillary, clinical and financial management; which can also be perceived as a holistic healthcare information system, designed to store, operate and retrieve administrative and clinical information (Ojo & Popoola, 2015). Considering its function of constant facilitation and enhancing the process of service delivery within medical facilities, eHIS serves as the link between individuals, processes and technology, which firmly supports the administration of essential information operations and availability (Almunawar & Anshari, 2012). Hence, the health sector over time has changed to a dynamic sector from a relatively stable one, of which the prime objective of eHIS is to enhance the efficiency, service delivery quality of the sector (Sockolow, Bowles, Adelsberger, Chittams & Liao, 2014), and also encourage an expansive development of its management, to achieve security, reliability, quality, interoperability standards and timeliness in the processing and storage of data (Jardim, 2013).
Notably, modern electronic healthapplications, which includes electronic medical records (EMR), health information management systems (HIMS), internet supported telemedicine, among several others are essential information technology tools employed to increase patient safety, enhance care delivery quality, and reduce associated medical costs (Luna,Almerares, Mayan, Bernaldo & Otero, 2014). Other benefits of e-health information systems include access to updated medical records and interrelated information, clinical decision aided systems, electronic prescriptions (Zayyad & Toycan, 2018), well-structured interdepartmental information sharing, convenient maintenance of clinical services and improved health services administrative system (Meier, Fitzgerald & Smith, 2013).
CHAPTER THREE
RESEARCH METHODOLOGY
INTRODUCTION
In this chapter, we described the research procedure for this study. A research methodology is a research process adopted or employed to systematically and scientifically present the results of a study to the research audience viz. a vis, the study beneficiaries.
RESEARCH DESIGN
Research designs are perceived to be an overall strategy adopted by the researcher whereby different components of the study are integrated in a logical manner to effectively address a research problem. In this study, the researcher employed the survey research design. This is due to the nature of the study whereby the opinion and views of people are sampled. According to Singleton & Straits, (2009), Survey research can use quantitative research strategies (e.g., using questionnaires with numerically rated items), qualitative research strategies (e.g., using open-ended questions), or both strategies (i.e., mixed methods). As it is often used to describe and explore human behaviour, surveys are therefore frequently used in social and psychological research.
CHAPTER FOUR
DATA PRESENTATION AND ANALYSIS
INTRODUCTION
This chapter presents the analysis of data derived through the questionnaire and key informant interview administered on the respondents in the study area. The analysis and interpretation were derived from the findings of the study. The data analysis depicts the simple frequency and percentage of the respondents as well as interpretation of the information gathered. A total of eighty (80) questionnaires were administered to respondents of which only seventy-seven (77) were returned and validated. This was due to irregular, incomplete and inappropriate responses to some questionnaire. For this study a total of 77 was validated for the analysis.
CHAPTER FIVE
SUMMARY, CONCLUSION AND RECOMMENDATION
Introduction
It is important to ascertain that the objective of this study was to ascertain awareness and use of electronic records management system and administrative effectiveness in Nigeria technological health care service. In the preceding chapter, the relevant data collected for this study were presented, critically analyzed and appropriate interpretation given. In this chapter, certain recommendations made which in the opinion of the researcher will be of benefits in addressing the challenges of Challenges in preservation and conservation of information resources
Summary
This study was on awareness and use of electronic records management system and administrative effectiveness in Nigeria technological health care service. Three objectives were raised which included; Assess the electronic records management at the Federal Airport Authority in Nigeria Hospital, examine the level of records management awareness among the staff of Federal Airport Authority in Nigeria hospital in using electronic records management and determine the level of administrative effectiveness. A total of 77 responses were received and validated from the enrolled participants where all respondents were drawn from FAAN hospital. Hypothesis was tested using Chi-Square statistical tool (SPSS).
Conclusion
This study, therefore, concludes that prompt access to patients’ medical records through electronic health information system platform is highly essential in medical care decisions to achieve efficient care delivery within health facilities, reduces the risk of treatment errors decreases patient waiting time and reduces medical errors, enhances timely communication among practitioners, enhances healthcare service delivery and protects information from unauthorised personnel.
Recommendation
The hospital management and government at various levels should prioritise the provision of necessary infrastructure in the health capital budget to support the adoption and implementation of the electronic health information system and electronic medical records management. This will promote prompt access to patients’ records for medical care decisions, reduce risk of treatment errors, decrease patients’ waiting time, protect patients’ information from unauthorised personnel, enhance timely communication among practitioners, enhance healthcare service delivery quality and reduce high mortality rates from delayed treatments and preventable medical errors.
References
- Adedeji, P. Irinoye, O. Ikono, R. and Komolafe, A. (2018) Factors influencing the use of electronic health records among nurses in a teaching hospital in Nigeria: Journal of Health Informatics in Developing Countries; 12(2), pp, 1-20. Google Scholar
- Adefolaju, T. (2014). “Repositioning Health Insurance in Nigeria: Prospects and Challenges: International Journal of Health Sciences; 2(2), pp. 151-162.” Google Scholar
- Adeleke, I.T. (2014). “Relevance of health information management (HIM) and the roles of HIM professionals in healthcare delivery systems: Accessed: 2017 May 7, Available from
- Adeleke, I.T, Asiru, M.A. Oweghoro, B.M. Jimoh, A.B. and Ndana, A.M. (2014) Computer and internet use among tertiary healthcare providers and trainees in a Nigerian public hospital; American Journal of Health Research, 3(1-1), pp. 1-10
- Ajala, F. (2015). Development of an Electronic Medical Record (EMR) System For A Typical Nigerian Hospital: Journal of Multidisciplinary Engineering Science and Technology (JMEST). 2015; 2 (6): pp. 1253-1259.
- Akhtar, N. (2016). “eHealth willingness assessment framework with special reference to electronic health records (EHR) in developing Countries: International Journal of Management and Business Studies; 6(3), pp. 247-250
- Akor, O. and John-Mensah, O. (2016). “Nigeria: Why Hospitals Should Embrace Electronic Medical Records. DAILY TRUST Newspaper. 2016 Apr.19 [Accessed: 2017 May 28]. Available from: http://allafrica.com/stories/201604190753.html.
- Chell, R., & Yusof, Z. (2000). The Records Life Cycle: An inadequate concept for technology-generated records. Journal of Information Development, 16(3), 135-141.
- Cronin, J. J., & Taylor, S. A. (1992). Measuring service quality: A re-examination and extension. Journal of Marketing, 56(3), 55-68.
- Danso, J. (2015). A study of records management practice at health facilities in Upper Denkyira West District of Ghana. Advanced in Life Science and Technology, 31, 64-72.
- Faloudah, A. A., Qasim, S., & Bahumayd, M. (2015). Total quality management in healthcare. International Journal of Computer Applications, 120(12), 22-24
