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Paperless Health Records on The Way Forward For Effective Healthcare Delivery System in the University (PDF)


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Paperless Health Records on The Way Forward For Effective Healthcare Delivery System in the University

ABSTRACT

This study focuses on the Paperless Health Records: the way forward for effective healthcare delivery, in University of Uyo Teaching Hospital, Uyo. The study adopted descriptive survey which was carried out with the use of questionnaire in which the opinion of doctors, nurses, health information managers, administrative officer, account staff, pharmacist, radiographers, medical laboratory scientist, finance and supply staff, community health staff, microbiologists, hematologists and dietetic staff were sought.

Stratified sampling technique was used in selecting thirteen department and simple random sampling was used in selecting 200 respondents from thirteen department.

The specific objectives were to examine requirement in instituting Paperless System of Patient Health Information, to assess the key features of paperless base record keeping, to find out factors militating against computerization of patient health information, to deal exhaustively with the specific objectives of the course of the study and problem raised in the study, some literature were reviewed.

The data for the study was generated from a well- designed questionnaire, copies which were administered to 60 male and 140 female respondent selected for the study. 200 questionnaire were retrieved for the analysis representing 100% to facilitate a precise result of the investigation.

Three hypothesis were formulated and tested using chi-square technique. The result of the test showed that, there was need for instituting Paperless System of Patient Health Information in University of Uyo Teaching Hospital Uyo.

The study further revealed that certain factors militate against computerization of patient Health Information in University of Uyo Teaching Hospital Uyo. From the study, it could be concluded that Paperless Health Record help in the systemized collection of patient and population electronically stored health information in a digital format.

Among others it was recommended that the management of the hospital should organized a seminar to create awareness of Paperless Health Record System to all health workers, constant power supply should be provided for smooth implementation of the Paperless Health System and also training of staff in terms of operating the system.

TABLE OF CONTENTS

Certification    –           –           –           –           –           –           –           –           –           i

Dedication      –           –           –           –           –           –           –           –           –           ii

Acknowledgments      –           –           –           –           –           –           –           –           iii

Abstract          –           –           –           –           –           –           –           –           –           iv

Table of Contents       –           –           –           –           –           –           –           –           v

List of Table    –           –           –           –           –           –           –           –           –           vi

List of Abbreviation   –           –           –           –           –           –           –           –           vii

CHAPTER ONE

INTRODUCTION

1.1       Background to the Study       –           –           –           –           –           –           1

1.2       Statement of the Problem       –           –           –           –           –           –           1

1.3       Objective of the Study           –           –           –           –           –           –           2

1.4       Research Questions     –           –           –           –           –           –           –           2

1.5       Hypothesis     –           –           –           –           –           –           –           –           3

1.6       Scope of Study           –           –           –           –           –           –           –           3

1.7       Significance of the Study       –           –           –           –           –           –           3

1.8       Operational Definition of terms          –           –           –           –           –           4

CHAPTER TWO

REVIEW OF RELATED LITERATURE

2.1       Introduction    –           –           –           –           –           –           –           –           6

2.2       Electronic Healthcare Record System            –           –           –           –           6

2.3       Electronic Health Records      –           –           –           –           –           –           9

2.4       Benefit of Electronic Health Records            –           –           –           –           12

2.5       Technology Acceptance Model (TAM)          –           –           –           –           15

2.6       Ease of Use and Information Technology Support    –           –           –           17

2.7       Comparison with Paper-Base Records           –           –           –           –           17

2.8       Improved Accuracy    –           –           –           –           –           –           –           19

2.9       Reduced Cost             –           –           –           –           –           –           –           –           19

2.10     E- Prescribing  –           –           –           –           –           –           –           –           19

2.11     Technical Features      –           –           –           –           –           –           –           20

2.12     Philosophical View of the Electronic Health Record             –           –           20

2.13     Change Management and the nature of Change        –           –           –           21

2.14     Summary         –           –           –           –           –           –           –           –           23

CHAPTER THREE

METHODOLOGY

3.1       Introduction    –           –           –           –           –           –           –           –           24

3.2       Research Design         –           –           –           –           –           –           –           24

3.3       Description of Research Population  –           –           –           –           –           24

3.4       Sample  and Sampling Technique       –           –           –           –           –           24

3.5       Data Collection Instruments   –           –           –           –           –           –           25

3.6       Reliability and Validity of Instruments          –           –           –           –           25

3.7       Data Collection Procedure      –           –           –           –           –           –           25

3.8       Method of Data Analysis       –           –           –           –           –           –           26

CHAPTER FOUR

RESULTS AND DISCUSSION

4.1       Introduction    –           –           –           –           –           –           –           –           27

4.2       Demographic Information of Respondents    –           –           –           –           27

4.3       Analysis of Findings   –           –           –           –           –           –           –           30

4.4       Hypothesis      –           –           –           –           –           –           –           –           32

4.5       Discussion of Findings           –           –           –           –           –           –           37

CHAPTER FIVE

SUMMARY, CONCLUSION AND RECOMMENDATIONS

5.1       Introduction    –           –           –           –           –           –           –           –           39

5.2       Summary         –           –           –           –           –           –           –           –           39

5.3       Conclusion      –           –           –           –           –           –           –           –           40

5.4       Recommendations      –           –           –           –           –           –           –           40

References      –           –           –           –           –           –           –           –           42

Appendices     –           –           –           –           –           –           –           –           43

INTRODUCTION

In line with Global practice, the demand for paperless system of health information has increased responding to the digital re-evaluation. Healthcare records include wide range of data in a comprehensive or summary form including demographics, medical history, allergies, laboratories test result, radiology images, vital signs, personal state.

There are many benefit of using paperless health record for both patients and hospitals, reducing the cost, improving the quality of health services, ease of access for a large number of authorized people, information storing and ensuring confidentiality when required Petra Knaup et al., (2007).

Paperless health records system provides the possibility of record linkage for input at different time has brought tremendous improvement into healthcare delivery system in terms of records creation, storage, maintenance, preservation and processing of information and with the maintenance of patient’s accurate database, efficient and effective healthcare delivery is enhanced.

Affiah, (2004), Stressed that electronic health record (EHR) is the use of computer to obtain, arranged file and eradication of the paper system (manual system) of patient health information and the use of the paperless system health information.

Paperless health records system gives room for easy research and prevents the researcher from carrying many folders about. This reduces the burden of opening one folder after the other and sometimes not being conversant with doctors handwriting.

It also makes statistical compilation easy because records of eases are viewed at a glance. Paperless health record also enhances accurate diseases surveillance and epidemiological report because of the online presentation of ceases.

REFERENCES

 Affiah, S. B. (2004). Health Records and your Health Samba Press, Uyo, Aks, Nigeria.

AHIMA (2007). Change management and the nature of change.

Akpan, E. P. (1992). Medical Record Management (6th Edition) Berwyn – Ilion’s, Physicians Electronic Records Company.

Davis, et al., (1989). Technology Acceptance Model.

Gimeken, (2007). Comparison with paper-base Records.

Gunter & Terrry (2005). Electronic Health Record.

Gartee (2009). Electronic Health Record.

Ayo (1987). Effect of Automation, Uncial Press, P. M. B. 115 Calabar.

Isong, G. P. (1991). Information System in Healthcare, Uncial Press P.M.B. 115, Calabar.

Joint (2006). Electronic Health Record.

Mindy (2006). Electronic Health Record.

Petra Knaup et al., (2007). The Impact of Electronic Patient Portals on Patient Care.

Rogoski, (2003). Ease of use of Information Technology Support.

Smith, (2001). Electronic Health Record.

Trish Greengage (2006). Electronic Health Record. 

CSN Team

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