What Changes Need to be Made within the LNHS for Ehealth Systems to be Successfully Implemented?

Mansour Ahwidy, Lyn Pemberton

Abstract

This piece of work provides an assessment of the readiness levels within both urban and rural hospitals and clinics in Libya for the implementation of Ehealth systems. This then enabled the construction of a framework for Ehealth implementation in the Libyan National Health Service (LNHS). The study assessed how medications were prescribed, patients were referred, information communication technology (ICT) was utilised in recording patient records, how healthcare staff were trained to use ICT and the ways in which consultations were carried out by healthcare staff. The research was done in five rural healthcare institutions and five urban healthcare institutions and focused on the readiness levels of the technology, social attitudes, engagement levels and any other needs that were apparent (Jennett et al., 2010; Hasanain et al., 2014). Collection of the data was carried out using a mixed method approach with qualitative interviews and quantitative questionnaires (Molina et al., 2010; Creswell and Plano, 2010; Mason, 2006; Cathain, 2009; Cathain et al. 2008). The study indicated that any IT equipment present was not being utilised for clinical purposes and there was no evidence of any Ehealth technologies being employed. This implies that the maturity level of the healthcare institutions studied was zero.

References

  1. Ammenwerth E., Eichstadter R., Haux R., Pohl U., Rebel S. and Ziegler S. (2001). A randomized evaluation of a computer-based nursing documentation system, Methods Inf Med 40, pp. 61-68.
  2. Alexander H. (2007). Health service evaluations: Should we expect the results to change practice? Evaluation, 9(4), 405-414.
  3. Bain, C.D., and Rice, M.L. (2006-2007). The Influence of Gender on Attitudes, Perception, and use of Technology. Journal of Research on Technologyin Education, 39(2), 119- 132.
  4. Bazeley, P. (2007). Qualitative data analysis with NVivo. (p6-15) London: Sage Publications Ltd.
  5. Bilbey, N. and Lalani, S. (2013). Canadian Health Care: A Focus on Rural Medicine. aVancouver Fraser Medical Program 2013, UBC Faculty of Medicine, Vancouver, BC. UBCMJ. issue 2(2).
  6. Blaya, J. and Fraser, H. F. (2010). Implementing Medical Information Systems in Developing Countries, What Works and What Doesn't. AMIA 2010 Symposium Proceedings Page - 232.
  7. Brender J. (2006). Evaluation Methods for Health Informatics. Elsevier Inc. London, UK.
  8. Bryman, A. (2006). Integrating Quantitative and Qualitative Research: How is it Done?, Qualitative Research, Vol. 6, pp 97-113.
  9. Bryman, A. (2007). Barriers to Integrating Quantitative and Qualitative Research, Journal of Mixed Methods Research, Vol. 1, pp 8-22.
  10. Broens, T., Huis in't Veld, R.M.H.A., VollenbroekHutten, M.M.R., Hermens, H.J., Van Halteren, A.T. & Niewenhuis, L.J.M. (2007). Determinants of successful telemedicine implementations, Journal of Telemedicine and Telecare, 6(13), 303- 309.
  11. Cathain, A. (2009). Mixed Methods Research in the Health Sciences. A Quiet Revolution, Journal of Mixed Methods Research, Vol. 3, pp 3-6.
  12. Cathain, A., Murphy, E. and Nicholl, J. (2008). The Quality of mixed Methods Studies in Health Services research, Journal of Health Services Research & Policy, Vol 13, No 2, 2008: 92-98: The Royal Society of Medicine Press Ltd 2008.
  13. Campbell J.D., Harris K.D. and Hodge R. (2001). Introducing telemedicine technology to Rural Physicians and settings, J Fam Pract; 50:419-24.
  14. Creswell, J. and Plano Clark, V. (2010). Designing and Conducting Mixed Methods Research, 2nd Edition, Sage, Thousand Oaks.
  15. Connie V. Chan , David R. Kaufman (2010) A technology Selection Framework for Supporting Delivery of Patient-Oriented Health Interventions in Developing Countries. Journal of Biomedical Informatics 43 (2010) 300-306.
  16. Hasanain, R., Vallmuur, K., and Clark, M. (2014). Progress and Challengesin the implementation of electronic medical records in Saudi Arabia: A systematic review. Health Informatics- An International Journal (HIIJ) Vol.3, No.2, May 2014.
  17. Hamed, H. AlY. and Alabri, S. (2013). Using NVIVO for Data Analysis in Qualitative Research. Ministry of Education, Sultanate of Oman. International Interdisciplinary Journal of Education - January 2013, Volume 2, Issue 2.
  18. Hamroush, F. (2014). Medical Studies & Training: Challenges and Opportunities. Minister Of Health in the Transitional Libyan Government, Libya Higher Education Forum 2014, London.
  19. Hossein, S. M. (2012). Consideration the Relationship between ICT and Ehealth. International Institute for Science, Technology & Education. Vol 2, No 8.
  20. Ishak, N. M. and Abu Bakar, A. Y. (2012). Qualitative Data Management and Analysis uSing NVivo:An approach used to Examine Leadership Qualities Among Student Leaders. Education Research Journal Vol 2.(3) pp. 94-103, March 2012, International Research Journals.
  21. Jennett P., Yeo M., Pauls M. and Graham J. (2004). Organizational readiness for telemedicine: implications for success and failure. J Telemed Telecare. 9 Suppl 2: S27-30.
  22. Jennett P., Jackson A., Ho K., Healy T., Kazanjian A., Woollard R. et al. (2005). The Essence of Telehealth Readiness in Rural Communities: an Organizational Perspective. Telemed J E Health: 11:137-45.
  23. Jennett, P., Gagnon, M. & Brandstadt, H. (2010). Readiness Models for Rural Telehealth, Journal of Postgraduate Medicine, 51(4), 279-283.
  24. Khoja S., Scott R., Ishaq A. and Mohsin M. (2007). Testing Reliability of eHealth Readiness Assessment Tools For Developing Countries. ehealth international journal, Volume 3(1).
  25. Khoja, S., Scott, R., Casebeer, A., Mohsin, M., Ishaq, A. & Gilani, S. (2007). e-Health readiness assessment tools for healthcare institutions in developing countries, Telemedicine and e-Health, 13(4), 425-432.
  26. Kwankam, S. (2004). What e-Health can offer?, World Health Organization: Bulletin of the World Health Organization, 82(10): 800-802.
  27. Lau, F., Price, M. and Keshavjee, K. (2011). From Benefit Evaluation to Clinical Adoption: making Sense of Health Information System Success in Canada. Electronic Healthcare, Vol. 9, No.4.
  28. Li, J. (2010). E-health readiness framework from electronic health records perspective. Australia.
  29. Ludwick, DA., Doucette, J. (2009). Adopting Electronic Medical Records in Primary Care: Lessons Learned from Health Information Systems Implementation experience in seven countries. Int J Med Inform 78: 22-31.
  30. Lynna, J., Martens, J. , Washington, E., Steele, D. and Washburn, E. ( 2009). A cross Case Analysis of Gender issues in Desktop Virtual Reality Learning environment. Volume 46. Number 3. Oklahoma State University.
  31. Mason, J. (2006). Mixing Methods in a Qualitatively Driven Way, Qualitative Research, Vol. 6, pp 9-25.
  32. Molina Azorín,J, M and Cameron, R. (2010). The Application of Mixed Methods in Organisational Research: A Literature Review. The Electronic Journal of Business Research Methods, Volume 8, Issue 2 2010 (pp.95-105).
  33. Niglas, K. (2004). The Combined Use of Qualitative and Quantitative Methods in Educational Research Tallinn Pedagogical University Press, Tallinn.
  34. Nouh, M. H. and Jagannadha, R. P. (2013). Post-operative Antibiotic Usage at Benghazi Medical Center, Libya between 2009 and 2012. IOSR Journal of Pharmacy and Biological Sciences (IOSR-JPBS). Volume 8, Issue 4, PP 57-60.
  35. Van de Wetering, R. & Batenburg, R. (2009). A PACS maturity model: A systematic meta-analytic review on maturation and evolvability of PACS in the hospital enterprise, International Journal of Medical Informatics, 78, 127-140.
  36. Yellowlees, P. (2005). Successfully developing a telemedicine system, Journal of Telemedicine and Telecare, 11(7), 331-336.
  37. Wong, L. P. (2008). Data Analysis in Qualitative Research: a Brief Guide to Using Nvivo. Malaysian Family Physician 3(1).
  38. World Health Organization (WHO). (2008). Developing Health Management Information Systems: A Practical Guide for Developing Countries. Geneva: World Health Organization.
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Paper Citation


in Harvard Style

Ahwidy M. and Pemberton L. (2016). What Changes Need to be Made within the LNHS for Ehealth Systems to be Successfully Implemented? . In Proceedings of the International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AWE, (ICT4AGEINGWELL 2016) ISBN 978-989-758-180-9, pages 71-79. DOI: 10.5220/0005620400710079


in Bibtex Style

@conference{ict4awe16,
author={Mansour Ahwidy and Lyn Pemberton},
title={What Changes Need to be Made within the LNHS for Ehealth Systems to be Successfully Implemented?},
booktitle={Proceedings of the International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AWE, (ICT4AGEINGWELL 2016)},
year={2016},
pages={71-79},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0005620400710079},
isbn={978-989-758-180-9},
}


in EndNote Style

TY - CONF
JO - Proceedings of the International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AWE, (ICT4AGEINGWELL 2016)
TI - What Changes Need to be Made within the LNHS for Ehealth Systems to be Successfully Implemented?
SN - 978-989-758-180-9
AU - Ahwidy M.
AU - Pemberton L.
PY - 2016
SP - 71
EP - 79
DO - 10.5220/0005620400710079