Abstract
BackgroundImplementing the health information system (HIS) is more complex and costly than implementing other information systems. The present study was conducted to design and evaluate technical requirements for the HIS.MethodsThe present study was conducted in 2016 by determining technical requirements for the HIS using the Delphi technique and then evaluating this system using a checklist based on the approved requirements.ResultsThe first part of the study designed a 73-item final list of technical requirements for the HIS in four domains, i.e. communication service, system architecture, security service and system response time. The evaluation results obtained in the second part showed that communication service was met in 63.8% of the HIS programs, system architecture in 65.5%, security service in 72.4% and system response time in 76.3%.ConclusionsA technical evaluation tool was designed and used to select and evaluate the HIS. The evaluation results suggested the study HIS was poorer in terms of communication service and system architecture than in the other two dimensions.
Highlights
Implementing the health information system (HIS) is more complex and costly than implementing other information systems
The present study proposed a comprehensive framework for defining technical requirements for the HIS and evaluating this system. These requirements are recommended to be employed by hospital executive teams and HIS developers
A list of technical requirements was developed and they were classified into four domains, i.e. communication service, system architecture, security service and system response time according to the expert comments
Summary
In the Classic Delphi stage, 76.3% of the experts were male and 23.7% female. The participants were 28– 52 years old and had a mean age of 34.7 ± 6.3 years. In the first round of the Classical Delphi Technique, the experts approved all the requirements associated with communication service, system architecture, security service and system response time. The 73-item list of HIS technical requirements was confirmed with a mean score of 3.6 in the four domains. These requirements were met in 68.9% of the HISs run in the study hospitals.
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