سیستم های اطلاعاتی مدیریتی برای بهبود سلامت
Abstract
Background
Methods
Results
Discussion
Conclusion
References
Abstract
Background: Community based providers are well place to deliver behavioural interventions to improve health. Good project management and reliable outcome data are needed to efficiently deliver and evaluate such interventions, and Management information systems (MIS) can facilitate these processes. We explored stakeholders perspectives on the use of MIS in community based behavioural interventions. Methods: Stakeholders, purposively selected to provide a range of MIS experience in the delivery of community based behavioural interventions to improve health (public health commissioners, intervention service managers, project officers, health researchers and MIS designers), were invited to participate in individual semi-structured interviews. We used a topic guide and encouraged stakeholders to reflect on their experiences.: Interviews were recorded, transcribed and analysed using five steps of Framework analysis. We applied an agreed coding framework and completed the interviews when no new themes emerged. Results: We interviewed 15 stakeholders. Key themes identified were: (i) MIS access; (ii) data and its function; (iii) MIS development and updating. Within these themes the different experiences, needs, use, training and expertise of stakeholders and the variation and potential of MIS were evidenced. Interviews advised the need to involve stakeholders in MIS design and development, build-in flexibility to accommodate MIS refinement and build on effective MIS. Conclusions: Findings advised involving stakeholders, early in the design process. Designs should build on existing MIS of proven utility and ensure flexibility in the design, to incorporate adaptations and ongoing system development in response to early MIS use and evolving stakeholder needs.
Background
The National Health Service (NHS) Five Year Forward View [1] emphasised the importance of disease prevention and outlined how behavioural interventions can support people to make healthy behaviour choices to improve their health and prevent disease [2]. It is recognised that good project management with reliable outcome data are needed to provide information for policy makers [2] and modern information technology, including access to web-based hosting, can facilitate good administration and robust data collection through well-designed MIS Voluntary and community sector organisations are well place to deliver behavioural health interventions, but [2] good MIS may be difficult to achieve where intervention providers are working on a small scale or to a tight budget. The design and implementation of health information systems goes beyond the technical aspects [3] of the system and can incur, “unforeseen costs, unfulfilled promises, and disillusionment (Anderson & Aydin 2005, page vii)” [4]. In one conceptual model the technical aspects, design and implementation consequences of a management information system (MIS) are assumed to be within the control of a single organisation, with MIS design responsive to the information needs of that organisation and its management [4].