Abstract
Objective: In line with socio-technical approach, evaluation of successful adoption of hospital information systems (HISs) is associated with several factors including operational, organizational, technical, managerial, legal, and social factors. This study attempts to evaluate these systems in five areas of technical, functionality, usability, and vendors' capabilities, and care quality provided by HIS vendors. Materials and Methods: Through a cross-sectional study, the key HIS capabilities were evaluated in Iran. The key capabilities/requirements for HIS were specified by expert panel focus group meeting through the idea webbing and review of related literature. Modified Delphi technique was employed to collect and analyze data. The expert panels express their view on each of the HIS key capabilities on a 5-point scale from “strongly agree” to “strongly disagree.” Checklist was designed based on expert panels' viewpoints and employed for evaluating HIS capabilities. Results: Technical requirements with 68.3% and vendors' capability requirements scored the highest marks (68%) while improved quality of patient care requirements scored the lowest mark (24.8%). Functional requirement of the studied eight departments showed that financial department scored the highest (71.6%) while nutrition department scored the lowest marks (22.8%). Results on the evaluation of technical requirements showed that response time scored the highest (75%) while communication services scored the lowest marks (59.7%). Conclusion: The favorable status of Iran's HISs in technical area, their poor performance on the requirements of quality patient care place emphasis on financial and reimbursement objective, and neglect of Systemized Nomenclature of Medicine-Clinical Terms as a basis to support quality of patient care requirements endorse the fact that Iran's current HIS is still in its infancy. To narrow the variability and diversity in structure and requirements of HIS vendors, reducing the gap between required and adopted HIS functions, and moving toward “meaningful use of HIS,” well-organized actions at the level of Iran Ministry of Health appear essential.
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