Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Harahap, Nabila Clydea, Handayani, Putu Wuri, Hidayanto, Achmad Nizar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Medical Informatics 2021
Materias:
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
_version_ 1783695692942802944
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
work_keys_str_mv AT harahapnabilaclydea barriersinhealthinformationsystemsandtechnologiestosupportmaternalandneonatalreferralsatprimaryhealthcenters
AT handayaniputuwuri barriersinhealthinformationsystemsandtechnologiestosupportmaternalandneonatalreferralsatprimaryhealthcenters
AT hidayantoachmadnizar barriersinhealthinformationsystemsandtechnologiestosupportmaternalandneonatalreferralsatprimaryhealthcenters