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Barriers in Health Information Systems and Technologies to Support Maternal and Neonatal Referrals at Primary Health Centers
OBJECTIVES: This study explored health workers’ perceptions and experiences regarding the maternal and neonatal referral system, focusing on barriers of health information systems and technologies (IS/IT) at primary health centers (PHCs) in South Tangerang, Indonesia. METHODS: This qualitative study...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Medical Informatics
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8137880/ https://www.ncbi.nlm.nih.gov/pubmed/34015881 http://dx.doi.org/10.4258/hir.2021.27.2.153 |
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author | Harahap, Nabila Clydea Handayani, Putu Wuri Hidayanto, Achmad Nizar |
author_facet | Harahap, Nabila Clydea Handayani, Putu Wuri Hidayanto, Achmad Nizar |
author_sort | Harahap, Nabila Clydea |
collection | PubMed |
description | OBJECTIVES: This study explored health workers’ perceptions and experiences regarding the maternal and neonatal referral system, focusing on barriers of health information systems and technologies (IS/IT) at primary health centers (PHCs) in South Tangerang, Indonesia. METHODS: This qualitative study was conducted using semi-structured interviews, which were conducted at the South Tangerang District Health Office and three PHCs. Interviews were conducted with nine participants responsible for maternal and neonatal referrals in their organizations. The data were analyzed using qualitative content analysis. RESULTS: In South Tangerang, the Primary Health Care Information System (SIMPUS) is used to register patients and record data on medical treatment. To facilitate referrals, the PHCs currently use the Integrated Referral Information System (SISRUTE), P-Care, and the Integrated Emergency Management System (SPGDT). The following four IS/IT barriers to support maternal and neonatal referrals were found: technology, human resources, organizational support, and the referral process and implementation. CONCLUSIONS: The barriers in technology, human resources, and organizational support cause problems in the maternal and neonatal referral process and in the implementation of referrals. Barriers to referrals can influence patients’ ability to receive appropriate care in a timely fashion and lead to inefficiency in maternal and neonatal referrals. This study contributes knowledge about IS/IT implementation in maternal and neonatal referral systems and provides recommendations to health regulators and application developers for the implementation of IS/IT in Indonesia. |
format | Online Article Text |
id | pubmed-8137880 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Korean Society of Medical Informatics |
record_format | MEDLINE/PubMed |
spelling | pubmed-81378802021-05-28 Barriers in Health Information Systems and Technologies to Support Maternal and Neonatal Referrals at Primary Health Centers Harahap, Nabila Clydea Handayani, Putu Wuri Hidayanto, Achmad Nizar Healthc Inform Res Case Report OBJECTIVES: This study explored health workers’ perceptions and experiences regarding the maternal and neonatal referral system, focusing on barriers of health information systems and technologies (IS/IT) at primary health centers (PHCs) in South Tangerang, Indonesia. METHODS: This qualitative study was conducted using semi-structured interviews, which were conducted at the South Tangerang District Health Office and three PHCs. Interviews were conducted with nine participants responsible for maternal and neonatal referrals in their organizations. The data were analyzed using qualitative content analysis. RESULTS: In South Tangerang, the Primary Health Care Information System (SIMPUS) is used to register patients and record data on medical treatment. To facilitate referrals, the PHCs currently use the Integrated Referral Information System (SISRUTE), P-Care, and the Integrated Emergency Management System (SPGDT). The following four IS/IT barriers to support maternal and neonatal referrals were found: technology, human resources, organizational support, and the referral process and implementation. CONCLUSIONS: The barriers in technology, human resources, and organizational support cause problems in the maternal and neonatal referral process and in the implementation of referrals. Barriers to referrals can influence patients’ ability to receive appropriate care in a timely fashion and lead to inefficiency in maternal and neonatal referrals. This study contributes knowledge about IS/IT implementation in maternal and neonatal referral systems and provides recommendations to health regulators and application developers for the implementation of IS/IT in Indonesia. Korean Society of Medical Informatics 2021-04 2021-04-30 /pmc/articles/PMC8137880/ /pubmed/34015881 http://dx.doi.org/10.4258/hir.2021.27.2.153 Text en © 2021 The Korean Society of Medical Informatics https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Harahap, Nabila Clydea Handayani, Putu Wuri Hidayanto, Achmad Nizar Barriers in Health Information Systems and Technologies to Support Maternal and Neonatal Referrals at Primary Health Centers |
title | Barriers in Health Information Systems and Technologies to Support Maternal and Neonatal Referrals at Primary Health Centers |
title_full | Barriers in Health Information Systems and Technologies to Support Maternal and Neonatal Referrals at Primary Health Centers |
title_fullStr | Barriers in Health Information Systems and Technologies to Support Maternal and Neonatal Referrals at Primary Health Centers |
title_full_unstemmed | Barriers in Health Information Systems and Technologies to Support Maternal and Neonatal Referrals at Primary Health Centers |
title_short | Barriers in Health Information Systems and Technologies to Support Maternal and Neonatal Referrals at Primary Health Centers |
title_sort | barriers in health information systems and technologies to support maternal and neonatal referrals at primary health centers |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8137880/ https://www.ncbi.nlm.nih.gov/pubmed/34015881 http://dx.doi.org/10.4258/hir.2021.27.2.153 |
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