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Publication
Towards a Clinical Trial Protocol to Evaluate Health Information Systems: Evaluation of a Computerized System for Monitoring Tuberculosis from a Patient Perspective in Brazil
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Advisor(s)
Abstract(s)
Assessment of health information systems consider different aspects of the system itself. They focus or on the professional
who will use the software or on its usability or on the software engineering metrics or on financial and managerial issues.
The existent approaches are very resources consuming, disconnected, and not standardized. As the software becomes more
critical in the health organizations and in patients, becoming used as a medical device or a medicine, there is an urgency to
identify tools and methods that can be applied in the development process. The present work is one of the steps of a
broader study to identify standardized protocols to evaluate the health information systems as medicines and medical
devices are evaluated by clinical trials. The goal of the present work was to evaluate the effect of the introduction of an
information system for monitoring tuberculosis treatment (SISTB) in a Brazilian municipality from the patients’ perspective.
The Patient Satisfaction Questionnaire and the Hospital Consumer Assessment of Healthcare Providers and Systems
were answered by the patients before and after the SISTB introduction, for comparison. Patients from an outpatient clinic,
formed the control group, that is, at this site was not implanted the SISTB. Descriptive statistics and mixed effects model
were used for data analysis. Eighty-eight interviews were conducted in the study. The questionnaire’s results presented
better averages after the system introduction but were not considered statistically significant. Therefore, it was not possible
to associate system implantation with improved patient satisfaction. The HIS evaluation need be complete, the technical
and managerial evaluation, the safety, the impact on the professionals and direct and/or indirect impact on patients are
important. Developing the right tools and methods that can evaluate the software in its entirety, from the beginning of the
development cycle with a normalized scale, are needed.
Description
Keywords
Health information system evaluation Patient satisfaction Patient relationship management Tuberculosis
Citation
Crepaldi, N.Y., de Lima, I.B., Vicentine, F.B. et al. Towards a Clinical Trial Protocol to Evaluate Health Information Systems: Evaluation of a Computerized System for Monitoring Tuberculosis from a Patient Perspective in Brazil. J Med Syst 42, 113 (2018). https://doi.org/10.1007/s10916-018-0968-8
Publisher
Springer Science and Business Media LLC