Economic evaluation of hospital management information systems in Tamil Nadu, India

Abstract

Introduction: Huge investments have been made in implementing computerized Hospital Management Information Systems (HMIS) across the world, including developing countries. Economic evaluation studies have shown that HMIS implementations are benefi cial. While measuring effectiveness, studies have compared the quality of data generated in the HMIS with paper-based systems and have shown that HMIS is more advantageous. However, not all HMIS implementations are successful. Many successful implementations are the result of a continuous process of re-engineering, with inputs obtained from the end-users at every stage of the implementation process. The aims of this study were to compare cost-effectiveness, end-user satisfaction and perspectives between HMIS and traditional paper-based system (TPBS). Materials and Methods: This cross-sectional study evaluates the HMIS in government hospitals in Tamil Nadu using a mixed method approach. The study sample included 24 hospitals (13 HMIS and 11 TPBS), and hospital staff in four professional categories (doctors, staff nurses, pharmacists and lab technicians). Results: Cost-effectiveness analysis showed that HMIS implementation has high cost and high effectiveness with an ICER value of 3301.33. The Likert scale used to measure end-user satisfaction levels found that end-users were highly satisfi ed with HMIS as compared to TPBS. Conclusions:The study demonstrated the high cost and high effectiveness of HMIS implementation. The 'accuracy of data', 'content of the system' and the 'timely availability' characteristics of HMIS were highly appreciated by the users, whereas in TPBS, the users appreciated the 'user friendly' nature of this system.

The Effect of the Quality of Health Information System to Health Care Management in Dental and Oral Health Care Center South Sulawesi Province

“…The results show that the accuracy of the information systems has not been in line with expectations.The application was not accurate yet in terms of efficiency, effectiveness, and cost control benefits, so it cannot be used in the decision making process. The disadvatages of system usually because of loss or damage while records and delays in accessing information (18) .…”

Critical Success Factors of Hospital Management Information System (HMIS) Implementation in Developing Countries

“…Medical error and adverse drug reaction caused by illegible prescription when using conventional prescription could also be reduced [5]. In Malaysia, Physician and other medical personnel confirmed that much more information they can get in one place compared to conventional paper-based method [10].…”

“…Most of the studies showed HMIS can improve the effectiveness and efficiency of services. Technically by providing better data, timely available, human error reduction, and can cut user work time compared to paper-based system [1]- [3]- [5]- [9]. The ability of HMIS to provide faster documentation retrieval and high data accuracy enable hospital officer to reduce patients waiting times, manage resources better, and enhanced accountability in hospital [3].…”

“…Between developed and developing countries, there were differences in the HMIS implementation [3]- [5]. The progress of HMIS implementation in developed countries runs more smoothly compared to that in developing countries.…”

“…The progress of HMIS implementation in developed countries runs more smoothly compared to that in developing countries. This phenomenon generally caused by the differences of hospitals readiness in developing countries to adopt Information Technology in their services [3]- [4]- [5]. Despite the lack of readiness in execute HMIS in developing countries, there were some factors which encourage hospitals to immediately implement HMIS.…”