臺灣博碩士論文加值系統

Background: To guarantee the quality of the Health Information System and ensure reliable Health Information, any system needs to have a systematic and periodic assessment. Assessment through the end users satisfaction ensure a proper and sustainable functioning of the system.
Objective: To evaluate the satisfaction level of end users using Health Information System and determine the factors associated at National Blaise Compaore Teaching Hospital in Burkina Faso.
Method: A cross sectional study using a structured and validated questionnaire adapted from the HMN tool was used to collect data in 203 ends users of Health information System (HIS) including Physician, Pharmacist, Medical Laboratory Scientist, Radiographer, Nurse and Administration Staff. The study instruments were based on participant’s socio demographic characteristics and the assessment of HIS satisfaction. The data analysis was performed using SPSS 20.0. Reliability test was done after pilot study and before data collection in which the Cronbach’s alpha was 0.93. Multivariate analysis using a regression model was used to identify factors associated with end users satisfaction.
Results: Out of 203 end users, 93.1% had more than 30 years old, 53.2% were female and around 15% were physicians, 7% were pharmacists, 5% medical laboratory scientists, 4% radiographers, 51% nurses and 17% administrative staffs. Positive correlations were found between Health information system (HIS) satisfaction and all HIS components in term of inputs (r=0.81; P<0.001); process (r=0.94, P<0.001) and output (r=0.84, P<0.001). Factors associated with the satisfaction of end users using HIS included HIS inputs, processes, outputs, working experience at NBCTH, satisfaction of computer training provided at NBCTH, being nurse, radiographer, physician, and belonging to emergency department. Conclusion: The sustainability of HIS largely depends on end users during the design, the implementation and the functioning of the system. Their satisfaction is a key indicator of good or bad functioning. The study result indicated to conduct regular and refresher training, and assess the end users need and their interaction with the system on a regular basis to achieve maximum satisfaction.

Keywords: Evaluation, Hospital Information System, End users satisfaction, Factors associated, National Blaise Compaore Teaching Hospital, Burkina Faso.

Abstract i
Dedication ii
Acknowledgement iii
Table of contents iv
List of figures vi
List of tables vii
List of abbreviations viii
CHAPTER 1 Introduction 1
1.1 Background 2
1.2 Statement of the study problem 5
1.3 Significance and motivation 8
1.4 Research questions 10
1.5 Hypothesis of the study 11
1.6 Objectives of the study 11
CHAPTER 2 Literature review 12
2.1 Study area: brief description of Burkina Faso 12
2.2 Study site: brief description of National Blaise Compaore Teaching Hospital 15
2.3 Definition of terms 19
2.4 General aspect of Health Information System 20
2.5 Description of Health Metric Network tool 21
2.6 Articles review findings 23
2.7 Gaps in the study 24
2.8 Description of the conceptual framework 24
2.9 Scheme of the conceptual framework 26
CHAPTER 3 Methods 27
3.1 Study setting and design 27
3.2 Study population 27
3.3 Instrument of the study 28
3.4 Reliability and validity of study instruments 28
3.5 Ethical consideration 29
3.6 Data collection techniques 29
3.7 Data analysis techniques 29
CHAPTER 4 Results 32
4.1 Socio-demographic and professional characteristics of respondents 32
4.2 Mean score of input, process, output and end users satisfaction 34
4.3 Association between Health Information System satisfaction and independent variables 35
4.4 Predictor’s factors associated with HIS satisfaction using multiple linear regression stepwise 36
CHAPTER 5 Discussion 38
5.1 Key findings 38
5.2 Strengths and Limitations 43
5.3 Policy implication 43
5.5 Suggestions and Recommendations 44
5.6 Conclusion 45
References 46
Appendices 49

List of figures
Figure 2.1: scheme of Hospital Information System of NBCTH ..17
Figure 2.2 : scheme of the conceptual framework..26


List of tables
Table 4.1: Socio-demographic and professional characteristics of end users ..33
Table 4.2: Mean satisfaction score of input, process, output and end users...34
Table 4.3: Correlation between HIS satisfaction and the HIS components using bivariate
analysis (Pearson chi2) ..35
Table 4.4: Correlation between HIS satisfaction and the HIS subcomponents using bivariate
analysis (Pearson chi2) ...35
Table 4.5: Predictor’s factors associated with HIS satisfaction using multiple linear regression
stepwise...37

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