Performance Evaluation of Public Hospital Information Systems by the Information System Success Model

Kyoung Won Cho, Sung-Kwon Bae, Ji-Hye Ryu, Kyeong Na Kim, Chang-Ho An, Young Moon Chae
2015 Healthcare Informatics Research  
lic hospitals are less competitive than those of private hospitals. The adoption rates of Electronic Medical Record (EMR) systems in Korean hospitals in 2012 were the following: 87.5% for tertiary hospitals, 71.7% for general hospitals, and 72.9% for hospitals [1] . However, the adoption rates of public hospitals were much lower than those of private hospitals [2] . As public hospitals play important roles in providing medical and preventive services to low income patients, the Korean
more » ... has begun to disseminate newly developed EMR-based information systems to public hospitals as of 2012 to strengthen their service capacity. New information systems (IS) for public hospitals included a computerized provider order entry (CPOE) system, EMR, admission-discharge-transfer (ADT) system, lab system, a picture archive and communication system (PACS), a customer relationship management (CRM) system, activitybased costing (ABC) system, and data warehouse. Objectives: This study was to evaluate the performance of the newly developed information system (IS) implemented on July 1, 2014 at three public hospitals in Korea. Methods: User satisfaction scores of twelve key performance indicators of six IS success factors based on the DeLone and McLean IS Success Model were utilized to evaluate IS performance before and after the newly developed system was introduced. Results: All scores increased after system introduction except for the completeness of medical records and impact on the clinical environment. The relationships among six IS factors were also analyzed to identify the important factors influencing three IS success factors (Intention to Use, User Satisfaction, and Net Benefits). All relationships were significant except for the relationships among Service Quality, Intention to Use, and Net Benefits. Conclusions: The results suggest that hospitals should not only focus on systems and information quality; rather, they should also continuously improve service quality to improve user satisfaction and eventually reach full the potential of IS performance.
doi:10.4258/hir.2015.21.1.43 pmid:25705557 pmcid:PMC4330199 fatcat:n6uxyjfhyjdmxhnzhjdzax6wuq