Guidelines for the user interface design of electronic medical records in optometry
- Authors: Nathoo, Dina
- Date: 2020
- Subjects: User interfaces (Computer systems) , Medical records -- Data processing , Optometry -- South Africa -- Eastern Cape , System design , Workflow management systems
- Language: English
- Type: Thesis , Masters , MCom
- Identifier: http://hdl.handle.net/10962/148782 , vital:38773
- Description: With the prevalence of digitalisation in the medical industry, e-health systems have largely replaced the traditional paper-based recording methods. At the centre of these e-health systems are Electronic Health Records (EHRs) and Electronic Medical Records (EMRs), whose benefits significantly improve physician workflows. However, provision for user interface designs (UIDs) of these systems have been so poor that they have severely hindered physician usability, disrupted their workflows and risked patient safety. UID and usability guidelines have been provided, but have been very high level and general, mostly suitable for EHRs (which are used in general practices and hospitals). These guidelines have thus been ineffective in applicability for EMRs, which are typically used in niche medical environments. Within the niche field of Optometry, physicians experience disrupted workflows as a result of poor EMR UID and usability, of which EMR guidelines to improve these challenges are scarce. Hence, the need for this research arose, aiming to create UID guidelines for EMRs in Optometry, which will help improve the usability of the optometrists’ EMR. The main research question was successfully answered to produce the set of UID Guidelines for EMRs in Optometry, which includes guidelines built upon from literature and made contextually relevant, as well as some new additions, which are more patient focused. Design Science Research (DSR) was chosen as a suitable approach, and the phased Design Science Research Process Model (DSRPM) was used to guide this research. A literature review was conducted, including EHR and EMR, usability, UIDs, Optometry, related fields, and studies previously conducted to provide guidelines, frameworks and models. The review also included studying usability problems reported on the systems and the methods to overcome them. Task Analysis (TA) was used to observe and understand the optometrists’ workflows and their interactions with their EMRs during patient appointments, also identifying EMR problem areas. To address these problems, Focus Groups (FGs) were used to brainstorm solutions in the form of EMR UID features that optometrists’ required to improve their usability. From the literature review, TAs and FGs, proposed guidelines were created. The created guidelines informed the UID of an EMR prototype, which was successfully demonstrated to optometrists during Usability Testing sessions for the evaluation. Surveys were also used for the evaluation. The results proved the guidelines were successful, and were usable, effective, efficient and of good quality. A revised, final set of guidelines was then presented. Future researchers and designers may benefit from the contributions made from this research, which are both theoretical and practical.
- Full Text:
- Date Issued: 2020
- Authors: Nathoo, Dina
- Date: 2020
- Subjects: User interfaces (Computer systems) , Medical records -- Data processing , Optometry -- South Africa -- Eastern Cape , System design , Workflow management systems
- Language: English
- Type: Thesis , Masters , MCom
- Identifier: http://hdl.handle.net/10962/148782 , vital:38773
- Description: With the prevalence of digitalisation in the medical industry, e-health systems have largely replaced the traditional paper-based recording methods. At the centre of these e-health systems are Electronic Health Records (EHRs) and Electronic Medical Records (EMRs), whose benefits significantly improve physician workflows. However, provision for user interface designs (UIDs) of these systems have been so poor that they have severely hindered physician usability, disrupted their workflows and risked patient safety. UID and usability guidelines have been provided, but have been very high level and general, mostly suitable for EHRs (which are used in general practices and hospitals). These guidelines have thus been ineffective in applicability for EMRs, which are typically used in niche medical environments. Within the niche field of Optometry, physicians experience disrupted workflows as a result of poor EMR UID and usability, of which EMR guidelines to improve these challenges are scarce. Hence, the need for this research arose, aiming to create UID guidelines for EMRs in Optometry, which will help improve the usability of the optometrists’ EMR. The main research question was successfully answered to produce the set of UID Guidelines for EMRs in Optometry, which includes guidelines built upon from literature and made contextually relevant, as well as some new additions, which are more patient focused. Design Science Research (DSR) was chosen as a suitable approach, and the phased Design Science Research Process Model (DSRPM) was used to guide this research. A literature review was conducted, including EHR and EMR, usability, UIDs, Optometry, related fields, and studies previously conducted to provide guidelines, frameworks and models. The review also included studying usability problems reported on the systems and the methods to overcome them. Task Analysis (TA) was used to observe and understand the optometrists’ workflows and their interactions with their EMRs during patient appointments, also identifying EMR problem areas. To address these problems, Focus Groups (FGs) were used to brainstorm solutions in the form of EMR UID features that optometrists’ required to improve their usability. From the literature review, TAs and FGs, proposed guidelines were created. The created guidelines informed the UID of an EMR prototype, which was successfully demonstrated to optometrists during Usability Testing sessions for the evaluation. Surveys were also used for the evaluation. The results proved the guidelines were successful, and were usable, effective, efficient and of good quality. A revised, final set of guidelines was then presented. Future researchers and designers may benefit from the contributions made from this research, which are both theoretical and practical.
- Full Text:
- Date Issued: 2020
An access control model for a South African National Electronic Health Record System
- Authors: Tsegaye, Tamir Asrat
- Date: 2019
- Subjects: Medical records -- Data processing , Medical records -- Data processing -- Safety measures , Medical records -- Data processing -- South Africa , Medical records -- Data processing -- Access control , Medical informatics , Medical records -- Management -- South Africa , Health services administration -- South Africa
- Language: English
- Type: text , Thesis , Masters , MCom
- Identifier: http://hdl.handle.net/10962/97046 , vital:31390
- Description: Countries such as South Africa have attempted to leverage eHealth by digitising patients’ medical records with the ultimate goal of improving the delivery of healthcare. This involves the use of the Electronic Health Record (EHR) which is a longitudinal electronic record of a patient’s information. The EHR is comprised of all of the encounters that have been made at different health facilities. In the national context, the EHR is also known as a national EHR which enables the sharing of patient information between points of care. Despite this, the realisation of a national EHR system puts patients' EHRs at risk. This is because patients’ information, which was once only available at local health facilities in the form of paper-based records, can be accessed anywhere within the country as a national EHR. This results in security and privacy issues since patients’ EHRs are shared with an increasing number of parties who are geographically distributed. This study proposes an access control model that will address the security and privacy issues by providing the right level of secure access to authorised clinicians. The proposed model is based on a combination of Role-Based Access Control (RBAC) and Attribute-Based Access Control (ABAC). The study found that RBAC is the most common access control model that is used within the healthcare domain where users’ job functions are based on roles. While RBAC is not able to handle dynamic events such as emergencies, the proposed model’s use of ABAC addresses this limitation. The development of the proposed model followed the design science research paradigm and was informed by the results of the content analysis plus an expert review. The content analysis sample was retrieved by conducting a systematic literature review and the analysis of this sample resulted in 6743 tags. The proposed model was evaluated using an evaluation framework via an expert review.
- Full Text:
- Date Issued: 2019
- Authors: Tsegaye, Tamir Asrat
- Date: 2019
- Subjects: Medical records -- Data processing , Medical records -- Data processing -- Safety measures , Medical records -- Data processing -- South Africa , Medical records -- Data processing -- Access control , Medical informatics , Medical records -- Management -- South Africa , Health services administration -- South Africa
- Language: English
- Type: text , Thesis , Masters , MCom
- Identifier: http://hdl.handle.net/10962/97046 , vital:31390
- Description: Countries such as South Africa have attempted to leverage eHealth by digitising patients’ medical records with the ultimate goal of improving the delivery of healthcare. This involves the use of the Electronic Health Record (EHR) which is a longitudinal electronic record of a patient’s information. The EHR is comprised of all of the encounters that have been made at different health facilities. In the national context, the EHR is also known as a national EHR which enables the sharing of patient information between points of care. Despite this, the realisation of a national EHR system puts patients' EHRs at risk. This is because patients’ information, which was once only available at local health facilities in the form of paper-based records, can be accessed anywhere within the country as a national EHR. This results in security and privacy issues since patients’ EHRs are shared with an increasing number of parties who are geographically distributed. This study proposes an access control model that will address the security and privacy issues by providing the right level of secure access to authorised clinicians. The proposed model is based on a combination of Role-Based Access Control (RBAC) and Attribute-Based Access Control (ABAC). The study found that RBAC is the most common access control model that is used within the healthcare domain where users’ job functions are based on roles. While RBAC is not able to handle dynamic events such as emergencies, the proposed model’s use of ABAC addresses this limitation. The development of the proposed model followed the design science research paradigm and was informed by the results of the content analysis plus an expert review. The content analysis sample was retrieved by conducting a systematic literature review and the analysis of this sample resulted in 6743 tags. The proposed model was evaluated using an evaluation framework via an expert review.
- Full Text:
- Date Issued: 2019
Factors to improve data quality of electronic medical records
- Authors: Makeleni, Noloyiso Anele
- Date: 2019
- Subjects: Electronic records , Medical records -- Management , Medical records -- Data processing
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/19881 , vital:43618
- Description: Electronic Medical Record (EMR) systems have been identified as having the potential to improve health care and allow the health care sector to reap a number of benefits when implemented successfully. These benefits include enabling quick and easy access to patient files and also reducing the problem of misplaced or lost patient files. Such EMRs allow for patient records to be up to date, provided that health care practitioners capture standard and consistent data in the relevant fields. In Africa, there are only a few countries that have successfully implemented EMR systems due to social and technological challenges. Social factors include lack of computer skilled health workers, lack of adequate training, physician’s resistance to shift from using paper records to electronic records, either due to complex systems or the fear of being replaced by the systems. On the other hand, the technological factors include lack of Information Technology (IT) and clinical resources, lack of internet access, financial barriers to purchase the necessary technological hardware and implementation costs. A few South African health care institutions have implemented EMR systems, however, most of the public health care facilities still make use of a manual system to capture patient information. In the case where public health care facilities do have an EMR system implemented, there are problems with the consistency of the data that is captured. The inconsistency is caused by the different understandings that the health care professionals have regarding the importance of capturing the necessary information that is collected at various points in health care institutions, thus affecting data quality. For the successful implementation and use of EMR systems, everything within the health care organisation should be integrated. In other words, the steering committee and workgroup, the equipment, the product, the processes, the system and the facility design and construction should be incorporated to work together. The common problems identified in literature regarding data quality in EMRs include misspelled words, inconsistent word strings, inaccurate information entered on the record and incompleteness of the record. These problems lead to poor quality information, lack of accessibility of the record, poorly organised notes and inaccurate information about the patient. The South African strategy aims to implement a National Health Insurance (NHI) which will provide citizens with equitable access to health care. For the successful implementation of the NHI strategy, South African health care sectors should address the barriers which were identified and learn from other African countries that have successfully implemented EMR systems and had positive outcomes. Therefore, this study investigates how data quality can be improved on electronic medical records in public health care in South Africa? The qualitative research methodology approach was used for this study. Interviews were conducted with eight health care professionals at Klerksdorp, in the North West province to obtain data regarding the factors they would deem important for the improvement of data quality in EMRs. The Data Quality Framework (DQF) was applied in this study and six dimensions were identified as the factors to improve data quality. These dimensions include completeness, accuracy, consistency, conformity, timeliness, and integrity. From the analysis of the interview responses, it was discovered that there were, in fact, data quality issues experienced at the public health care facilities of South Africa. A need was identified for the use of data quality assessment tools and solutions to address the data quality issues or challenges that health care practitioners are faced with during their daily jobs. Seven barriers were also identified as having an impact on the successful implementation of EMRs at health care institutions. These barriers, together with the data quality issues, influence the successful use of EMRs and should not be overlooked. From these barriers the study developed seven Critical Success Factors which can be used by the National Department of Health to improve the quality of EMRs. , Thesis (MCom) -- Faculty of Management and Commerce, 2019
- Full Text:
- Date Issued: 2019
- Authors: Makeleni, Noloyiso Anele
- Date: 2019
- Subjects: Electronic records , Medical records -- Management , Medical records -- Data processing
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/19881 , vital:43618
- Description: Electronic Medical Record (EMR) systems have been identified as having the potential to improve health care and allow the health care sector to reap a number of benefits when implemented successfully. These benefits include enabling quick and easy access to patient files and also reducing the problem of misplaced or lost patient files. Such EMRs allow for patient records to be up to date, provided that health care practitioners capture standard and consistent data in the relevant fields. In Africa, there are only a few countries that have successfully implemented EMR systems due to social and technological challenges. Social factors include lack of computer skilled health workers, lack of adequate training, physician’s resistance to shift from using paper records to electronic records, either due to complex systems or the fear of being replaced by the systems. On the other hand, the technological factors include lack of Information Technology (IT) and clinical resources, lack of internet access, financial barriers to purchase the necessary technological hardware and implementation costs. A few South African health care institutions have implemented EMR systems, however, most of the public health care facilities still make use of a manual system to capture patient information. In the case where public health care facilities do have an EMR system implemented, there are problems with the consistency of the data that is captured. The inconsistency is caused by the different understandings that the health care professionals have regarding the importance of capturing the necessary information that is collected at various points in health care institutions, thus affecting data quality. For the successful implementation and use of EMR systems, everything within the health care organisation should be integrated. In other words, the steering committee and workgroup, the equipment, the product, the processes, the system and the facility design and construction should be incorporated to work together. The common problems identified in literature regarding data quality in EMRs include misspelled words, inconsistent word strings, inaccurate information entered on the record and incompleteness of the record. These problems lead to poor quality information, lack of accessibility of the record, poorly organised notes and inaccurate information about the patient. The South African strategy aims to implement a National Health Insurance (NHI) which will provide citizens with equitable access to health care. For the successful implementation of the NHI strategy, South African health care sectors should address the barriers which were identified and learn from other African countries that have successfully implemented EMR systems and had positive outcomes. Therefore, this study investigates how data quality can be improved on electronic medical records in public health care in South Africa? The qualitative research methodology approach was used for this study. Interviews were conducted with eight health care professionals at Klerksdorp, in the North West province to obtain data regarding the factors they would deem important for the improvement of data quality in EMRs. The Data Quality Framework (DQF) was applied in this study and six dimensions were identified as the factors to improve data quality. These dimensions include completeness, accuracy, consistency, conformity, timeliness, and integrity. From the analysis of the interview responses, it was discovered that there were, in fact, data quality issues experienced at the public health care facilities of South Africa. A need was identified for the use of data quality assessment tools and solutions to address the data quality issues or challenges that health care practitioners are faced with during their daily jobs. Seven barriers were also identified as having an impact on the successful implementation of EMRs at health care institutions. These barriers, together with the data quality issues, influence the successful use of EMRs and should not be overlooked. From these barriers the study developed seven Critical Success Factors which can be used by the National Department of Health to improve the quality of EMRs. , Thesis (MCom) -- Faculty of Management and Commerce, 2019
- Full Text:
- Date Issued: 2019
Physicians' perspectives on personal health records: a descriptive study
- Authors: Harmse, Magda Susanna
- Date: 2016
- Subjects: Medical records -- Data processing , Medical records -- Management , Information storage and retrieval systems -- Hospitals , Personal information management
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: http://hdl.handle.net/10948/6876 , vital:21156
- Description: A Personal Health Record (PHR) is an electronic record of a patient’s health-related information that is managed by the patient. The patient can give access to other parties, such as healthcare providers and family members, as they see fit. These parties can use the information in emergency situations, in order to help improve the patient’s healthcare. PHRs have an important role to play in ensuring that a patient’s complete health history is available to his healthcare providers at the point of care. This is especially true in South Africa, where the majority of healthcare organizations still rely on paper-based methods of record-keeping. Research indicates that physicians play an important role in encouraging the adoption of PHRs amongst patients. Whilst various studies have focused on the perceptions of South African citizens towards PHRs, to date no research has focused on the perceptions of South African physicians. Considering the importance of physicians in encouraging the adoption of PHRs, the problem being addressed by this research project thus relates to the lack of information relating to the perceptions of South African physicians of PHRs. Physicians with private practices at private hospitals in Port Elizabeth, South Africa were surveyed in order to determine their perceptions towards PHRs. Results indicate perceptions regarding benefits to the physician and the patient, as well as concerns to the physician and the patient. The levels of trust in various potential PHR providers and the potential uses of a PHR for the physician were also explored. The results of the survey were compared with the results of relevant international literature in order to describe the perceptions of physicians towards PHRs.
- Full Text:
- Date Issued: 2016
- Authors: Harmse, Magda Susanna
- Date: 2016
- Subjects: Medical records -- Data processing , Medical records -- Management , Information storage and retrieval systems -- Hospitals , Personal information management
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: http://hdl.handle.net/10948/6876 , vital:21156
- Description: A Personal Health Record (PHR) is an electronic record of a patient’s health-related information that is managed by the patient. The patient can give access to other parties, such as healthcare providers and family members, as they see fit. These parties can use the information in emergency situations, in order to help improve the patient’s healthcare. PHRs have an important role to play in ensuring that a patient’s complete health history is available to his healthcare providers at the point of care. This is especially true in South Africa, where the majority of healthcare organizations still rely on paper-based methods of record-keeping. Research indicates that physicians play an important role in encouraging the adoption of PHRs amongst patients. Whilst various studies have focused on the perceptions of South African citizens towards PHRs, to date no research has focused on the perceptions of South African physicians. Considering the importance of physicians in encouraging the adoption of PHRs, the problem being addressed by this research project thus relates to the lack of information relating to the perceptions of South African physicians of PHRs. Physicians with private practices at private hospitals in Port Elizabeth, South Africa were surveyed in order to determine their perceptions towards PHRs. Results indicate perceptions regarding benefits to the physician and the patient, as well as concerns to the physician and the patient. The levels of trust in various potential PHR providers and the potential uses of a PHR for the physician were also explored. The results of the survey were compared with the results of relevant international literature in order to describe the perceptions of physicians towards PHRs.
- Full Text:
- Date Issued: 2016
Factors affecting the adoption and meaningful use of electronic medical records in general practices
- Authors: Masiza, Melissa
- Date: 2012
- Subjects: Medical records -- Data processing , Medical records
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: vital:9814 , http://hdl.handle.net/10948/d1018561
- Description: Patients typically enter the healthcare systems at the primary care level from where they are further referred to specialists or hospitals as necessary. In the private healthcare system, primary care is provided by a general practitioner (GP). A GP will refer a patient to a specialist for treatment when necessary, while the GP remains the main healthcare provider. The provision of care is, thus, fragmented which results in continuity of care becoming a challenge. Furthermore, the majority of healthcare providers continue to use paper-based systems to capture and store patient medical data. However, capturing and storing patient medical data via electronic methods, such as Electronic Medical Records (EMRs), has been found to improve continuity of care. Despite this benefit, research reveals that smaller practices are slow to adopt electronic methods of record keeping. Hence this explorative research attempts to identify factors that affect the lack of adoption and meaningful use of EMRs in general practices. Four general practices are surveyed through patient and staff questionnaires, as well as GP interviews. Socio-Technical Systems (STS) theory is used as a theoretical lens to formulate the resulting factors. The findings of the research indicate specific factors that relate to either the social, environmental or technical sub-systems of the socio-technical system, or an overlap between these sub-systems. It is significant to note that within these sub-systems, the social sub-system plays a key role. This is due to various reasons revealed by this research. Furthermore, multiple perceptions emerged from the GP and patient participants during the analysis of the findings. These perceptions may have an influence on the adoption and potential meaningful use of an EMR in a general practice. Additionally, the socio-technical factors identified from this research highlight the challenges related to encouraging the adoption and meaningful use of EMRs. These challenges are introduced by the complexities represented by these factors. Nevertheless, addressing the factors will contribute towards improving the rate of adoption and meaningful use of EMRs in small practices.
- Full Text:
- Date Issued: 2012
Factors affecting the adoption and meaningful use of electronic medical records in general practices
- Authors: Masiza, Melissa
- Date: 2012
- Subjects: Medical records -- Data processing , Medical records
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: vital:9814 , http://hdl.handle.net/10948/d1018561
- Description: Patients typically enter the healthcare systems at the primary care level from where they are further referred to specialists or hospitals as necessary. In the private healthcare system, primary care is provided by a general practitioner (GP). A GP will refer a patient to a specialist for treatment when necessary, while the GP remains the main healthcare provider. The provision of care is, thus, fragmented which results in continuity of care becoming a challenge. Furthermore, the majority of healthcare providers continue to use paper-based systems to capture and store patient medical data. However, capturing and storing patient medical data via electronic methods, such as Electronic Medical Records (EMRs), has been found to improve continuity of care. Despite this benefit, research reveals that smaller practices are slow to adopt electronic methods of record keeping. Hence this explorative research attempts to identify factors that affect the lack of adoption and meaningful use of EMRs in general practices. Four general practices are surveyed through patient and staff questionnaires, as well as GP interviews. Socio-Technical Systems (STS) theory is used as a theoretical lens to formulate the resulting factors. The findings of the research indicate specific factors that relate to either the social, environmental or technical sub-systems of the socio-technical system, or an overlap between these sub-systems. It is significant to note that within these sub-systems, the social sub-system plays a key role. This is due to various reasons revealed by this research. Furthermore, multiple perceptions emerged from the GP and patient participants during the analysis of the findings. These perceptions may have an influence on the adoption and potential meaningful use of an EMR in a general practice. Additionally, the socio-technical factors identified from this research highlight the challenges related to encouraging the adoption and meaningful use of EMRs. These challenges are introduced by the complexities represented by these factors. Nevertheless, addressing the factors will contribute towards improving the rate of adoption and meaningful use of EMRs in small practices.
- Full Text:
- Date Issued: 2012
Health information technologies for improved continuity of care: a South African perspective
- Authors: Mostert-Phipps, Nicolette
- Date: 2011
- Subjects: Medical records -- Data processing , Medical technology -- South Africa , Medical innovations -- South Africa , Health -- Information services
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9730 , http://hdl.handle.net/10948/1619 , Medical records -- Data processing , Medical technology -- South Africa , Medical innovations -- South Africa , Health -- Information services
- Description: The fragmented nature of modern health care provision makes it increasingly difficult to achieve continuity of care. This is equally true in the context of the South African healthcare landscape. This results in a strong emphasis on the informational dimension of continuity of care which highlights the importance of the continuity of medical records. Paper-based methods of record keeping are inadequate to support informational continuity of care which leads to an increased interest in electronic methods of record keeping through the adoption of various Health Information Technologies (HITs). This research project investigates the role that various HITs such as Personal Health Records (PHRs), Electronic Medical Records (EMRs), and Health Information Exchanges (HIEs) can play in improving informational continuity of care resulting in the development of a standards-based technological model for the South African healthcare sector. This technological model employs appropriate HITs to address the problem of informational continuity of care in the South African healthcare landscape The benefits that are possible through the adoption of the proposed technological model can only be realized if the proposed HITs are used in a meaningful manner once adopted and implemented. The Delphi method is employed to identify factors that need to be addressed to encourage the adoption and meaningful use of such HITs in the South African healthcare landscape. Lastly, guidelines are formulated to encourage the adoption and meaningful use of HITs in the South African healthcare landscape to improve the continuity of care. The guidelines address both the technological requirements on a high level, as well as the factors that need to be addressed to encourage the adoption and meaningful use of the technological components suggested. These guidelines will play a significant role in raising awareness of the factors that need to be addressed to create an environment conducive to the adoption and meaningful use of appropriate HITs in order to improve the continuity of care in the South African healthcare landscape.
- Full Text:
- Date Issued: 2011
- Authors: Mostert-Phipps, Nicolette
- Date: 2011
- Subjects: Medical records -- Data processing , Medical technology -- South Africa , Medical innovations -- South Africa , Health -- Information services
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9730 , http://hdl.handle.net/10948/1619 , Medical records -- Data processing , Medical technology -- South Africa , Medical innovations -- South Africa , Health -- Information services
- Description: The fragmented nature of modern health care provision makes it increasingly difficult to achieve continuity of care. This is equally true in the context of the South African healthcare landscape. This results in a strong emphasis on the informational dimension of continuity of care which highlights the importance of the continuity of medical records. Paper-based methods of record keeping are inadequate to support informational continuity of care which leads to an increased interest in electronic methods of record keeping through the adoption of various Health Information Technologies (HITs). This research project investigates the role that various HITs such as Personal Health Records (PHRs), Electronic Medical Records (EMRs), and Health Information Exchanges (HIEs) can play in improving informational continuity of care resulting in the development of a standards-based technological model for the South African healthcare sector. This technological model employs appropriate HITs to address the problem of informational continuity of care in the South African healthcare landscape The benefits that are possible through the adoption of the proposed technological model can only be realized if the proposed HITs are used in a meaningful manner once adopted and implemented. The Delphi method is employed to identify factors that need to be addressed to encourage the adoption and meaningful use of such HITs in the South African healthcare landscape. Lastly, guidelines are formulated to encourage the adoption and meaningful use of HITs in the South African healthcare landscape to improve the continuity of care. The guidelines address both the technological requirements on a high level, as well as the factors that need to be addressed to encourage the adoption and meaningful use of the technological components suggested. These guidelines will play a significant role in raising awareness of the factors that need to be addressed to create an environment conducive to the adoption and meaningful use of appropriate HITs in order to improve the continuity of care in the South African healthcare landscape.
- Full Text:
- Date Issued: 2011
A code of practice for practitioners in private healthcare: a privacy perspective
- Authors: Harvey, Brett D
- Date: 2007
- Subjects: Information storage and retrieval systems -- Medical care , Medical records -- Data processing , Privacy, Right of Comparative studies
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: vital:9735 , http://hdl.handle.net/10948/521 , Information storage and retrieval systems -- Medical care , Medical records -- Data processing , Privacy, Right of Comparative studies
- Description: Whereas there are various initiatives to standardize the storage, processing and use of electronic patient information in the South African health sector, the sector is fragmented through the adoption of various approaches on national, provincial and district levels. Divergent IT systems are used in the public and private health sectors (“Recommendations of the Committee on …” 2003). Furthermore, general practitioners in some parts of the country still use paper as a primary means of documentation and storage. Nonetheless, the use of computerized systems is increasing, even in the most remote rural areas. This leads to the exposure of patient information to various threats that are perpetuated through the use of information technology. Irrespective of the level of technology adoption by practitioners in private healthcare practice, the security and privacy of patient information remains of critical importance. The disclosure of patient information whether intentional or not, can have dire consequences for a patient. In general, the requirements pertaining to the privacy of patient information are controlled and enforced through the adoption of legislation by the governing body of a country. Compared with developed nations, South Africa has limited legislation to help enforce privacy in the health sector. Conversely, Australia, New Zealand and Canada have some of the most advanced legislative frameworks when it comes to the privacy of patient information. In this dissertation, the Australian, New Zealand, Canadian and South African health sectors and the legislation they have in place to ensure the privacy of health information, will be investigated. Additionally, codes of practice and guidelines on privacy of patient information for GPs, in the afore-mentioned countries, will be investigated to form an idea as to what is needed in creating and formulating a new code of practice for the South African GP, as well as a pragmatic tool (checklist) to check adherence to privacy requirements.
- Full Text:
- Date Issued: 2007
- Authors: Harvey, Brett D
- Date: 2007
- Subjects: Information storage and retrieval systems -- Medical care , Medical records -- Data processing , Privacy, Right of Comparative studies
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: vital:9735 , http://hdl.handle.net/10948/521 , Information storage and retrieval systems -- Medical care , Medical records -- Data processing , Privacy, Right of Comparative studies
- Description: Whereas there are various initiatives to standardize the storage, processing and use of electronic patient information in the South African health sector, the sector is fragmented through the adoption of various approaches on national, provincial and district levels. Divergent IT systems are used in the public and private health sectors (“Recommendations of the Committee on …” 2003). Furthermore, general practitioners in some parts of the country still use paper as a primary means of documentation and storage. Nonetheless, the use of computerized systems is increasing, even in the most remote rural areas. This leads to the exposure of patient information to various threats that are perpetuated through the use of information technology. Irrespective of the level of technology adoption by practitioners in private healthcare practice, the security and privacy of patient information remains of critical importance. The disclosure of patient information whether intentional or not, can have dire consequences for a patient. In general, the requirements pertaining to the privacy of patient information are controlled and enforced through the adoption of legislation by the governing body of a country. Compared with developed nations, South Africa has limited legislation to help enforce privacy in the health sector. Conversely, Australia, New Zealand and Canada have some of the most advanced legislative frameworks when it comes to the privacy of patient information. In this dissertation, the Australian, New Zealand, Canadian and South African health sectors and the legislation they have in place to ensure the privacy of health information, will be investigated. Additionally, codes of practice and guidelines on privacy of patient information for GPs, in the afore-mentioned countries, will be investigated to form an idea as to what is needed in creating and formulating a new code of practice for the South African GP, as well as a pragmatic tool (checklist) to check adherence to privacy requirements.
- Full Text:
- Date Issued: 2007
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