Skip to main content
Top
Published in: BMC Medical Informatics and Decision Making 1/2023

Open Access 01-12-2023 | Research

Evaluating the success of Iran Electronic Health Record System (SEPAS) based on the DeLone and McLean model: a cross-sectional descriptive study

Authors: Azadeh Bashiri, Mohammad Shirdeli, Fatemeh Niknam, Soheila Naderi, Sahar Zare

Published in: BMC Medical Informatics and Decision Making | Issue 1/2023

Login to get access

Abstract

Background

Quality dimensions are the most important criteria for predicting the success of an information system. The current study aims to evaluate the success of the Iran Electronic Health Record System (SEPAS) based on the DeLone and McLean model for information system success.

Method

This nationwide cross-sectional study was conducted in 2021. Participants were 468 health information management personnel who had working experience with SEPAS. Data were collected using a questionnaire based on the DeLone and McLean model. The validity and reliability of the questionnaire were confirmed. Data were analyzed using SPSS 22 through descriptive and analytic analysis including t-test and ANOVA.

Results

Most participants were female (70.9%) and almost half of the participants mean age was between 30 and 40 years old (49.6%). The total mean of SEPAS success was 3.42 ± 0.53. According to the participants’ perspectives “system quality” was the most influencing factor on SEPAS success. The least influencing factor was SEPAS “benefits”. There was a significant relationship between the mean score of SEPAS success and age (p value = 0.001), Education level (p value = 0.01), and Work experience (p value < 0.001).

Conclusion

The total mean of system success was not acceptable. SEPAS has not been much successful in providing net benefits like provision of electronic services which locate patients in the center and improve the delivery of care to them. It sounds that SEPAS is not stable enough that means crashes sometimes. Hence, considering the required infrastructures for quick response and stability is more critical, especially when healthcare providers are supposed to use the SEPAS.
Literature
1.
go back to reference Ben-Assuli O. Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments. Health Policy. 2015;119(3):287–97.CrossRef Ben-Assuli O. Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments. Health Policy. 2015;119(3):287–97.CrossRef
2.
go back to reference Berner ES, Detmer DE, Simborg D. Will the wave finally break? A brief view of the adoption of electronic medical records in the United States. J Am Med Inform Assoc. 2005;12(1):3–7.CrossRef Berner ES, Detmer DE, Simborg D. Will the wave finally break? A brief view of the adoption of electronic medical records in the United States. J Am Med Inform Assoc. 2005;12(1):3–7.CrossRef
3.
go back to reference Chantler C, Clarke T, Granger R. Information technology in the English national health service. JAMA. 2006;296(18):2255–8.CrossRef Chantler C, Clarke T, Granger R. Information technology in the English national health service. JAMA. 2006;296(18):2255–8.CrossRef
4.
go back to reference Khoshraftarrodi A, Jalal IA, Kashi F, Ahmadi J, Kalantari A, Khosroabadi H, et al. Development of EHR architecture. Vision of EHR. Statistics and Information Technology Management Center of Ministry of Health; 2007. p. 1–54. Khoshraftarrodi A, Jalal IA, Kashi F, Ahmadi J, Kalantari A, Khosroabadi H, et al. Development of EHR architecture. Vision of EHR. Statistics and Information Technology Management Center of Ministry of Health; 2007. p. 1–54.
5.
go back to reference Abbasi R, Khajouei R, Mirzaee M. Evaluating the demographic and clinical minimum data sets of Iranian National Electronic Health Record. BMC Health Serv Res. 2019;19(1):450.CrossRef Abbasi R, Khajouei R, Mirzaee M. Evaluating the demographic and clinical minimum data sets of Iranian National Electronic Health Record. BMC Health Serv Res. 2019;19(1):450.CrossRef
6.
go back to reference Riazi H, Jafarpour M, Bitaraf E. Towards National eHealth Implementation—a comparative study on WHO/ITU National eHealth Strategy Toolkit in Iran. Stud Health Technol Inform. 2014;205:246–50. Riazi H, Jafarpour M, Bitaraf E. Towards National eHealth Implementation—a comparative study on WHO/ITU National eHealth Strategy Toolkit in Iran. Stud Health Technol Inform. 2014;205:246–50.
7.
go back to reference Sheikhtaheri A, Tabatabaee Jabali SM, Bitaraf E, TehraniYazdi A, Kabir A. A near real-time electronic health record-based COVID-19 surveillance system: an experience from a developing country. Health Inf Manag J. 2022;18333583221104213. Sheikhtaheri A, Tabatabaee Jabali SM, Bitaraf E, TehraniYazdi A, Kabir A. A near real-time electronic health record-based COVID-19 surveillance system: an experience from a developing country. Health Inf Manag J. 2022;18333583221104213.
8.
go back to reference Gesulga JM, Berjame A, Moquiala KS, Galido A. Barriers to electronic health record system implementation and information systems resources: a structured review. Procedia Comput Sci. 2017;124:544–51.CrossRef Gesulga JM, Berjame A, Moquiala KS, Galido A. Barriers to electronic health record system implementation and information systems resources: a structured review. Procedia Comput Sci. 2017;124:544–51.CrossRef
9.
go back to reference Attafuah PYA, Abor PA, Abuosi AA, Nketiah-Amponsah E, Tenza IS. Satisfied or not satisfied? Electronic health records system implementation in Ghana: Health leaders’ perspective. BMC Med Inform Decis Mak. 2022;22(1):249.CrossRef Attafuah PYA, Abor PA, Abuosi AA, Nketiah-Amponsah E, Tenza IS. Satisfied or not satisfied? Electronic health records system implementation in Ghana: Health leaders’ perspective. BMC Med Inform Decis Mak. 2022;22(1):249.CrossRef
10.
go back to reference Kroth PJ, Morioka-Douglas N, Veres S, Pollock K, Babbott S, Poplau S, et al. The electronic elephant in the room: physicians and the electronic health record. JAMIA Open. 2018;1(1):49–56.CrossRef Kroth PJ, Morioka-Douglas N, Veres S, Pollock K, Babbott S, Poplau S, et al. The electronic elephant in the room: physicians and the electronic health record. JAMIA Open. 2018;1(1):49–56.CrossRef
11.
go back to reference Bossen C, Jensen LG, Udsen FW. Evaluation of a comprehensive EHR based on the DeLone and McLean model for IS success: approach, results, and success factors. Int J Med Inform. 2013;82(10):940–53.CrossRef Bossen C, Jensen LG, Udsen FW. Evaluation of a comprehensive EHR based on the DeLone and McLean model for IS success: approach, results, and success factors. Int J Med Inform. 2013;82(10):940–53.CrossRef
12.
go back to reference Dharma G, Sukadarmika G, Pramaita N. Application of DeLone and McLean methods to determine supporting factors for the successful implementation of electronic medical records at Bali Mandara Eye Hospital. J Appl Sci Eng Technol Educ. 2022;4(2):146–56.CrossRef Dharma G, Sukadarmika G, Pramaita N. Application of DeLone and McLean methods to determine supporting factors for the successful implementation of electronic medical records at Bali Mandara Eye Hospital. J Appl Sci Eng Technol Educ. 2022;4(2):146–56.CrossRef
13.
go back to reference Khajouei R, Abbasi R, Mirzaee M. Errors and causes of communication failures from hospital information systems to electronic health record: a record-review study. Int J Med Inform. 2018;119:47–53.CrossRef Khajouei R, Abbasi R, Mirzaee M. Errors and causes of communication failures from hospital information systems to electronic health record: a record-review study. Int J Med Inform. 2018;119:47–53.CrossRef
14.
go back to reference Asadi F, Moghaddasi H, Rabiei R, Rahimi F, Mirshekarlou SJ. The evaluation of SEPAS national project based on electronic health record system (EHRS) coordinates in Iran. Acta Inform Med. 2015;23(6):369–73.CrossRef Asadi F, Moghaddasi H, Rabiei R, Rahimi F, Mirshekarlou SJ. The evaluation of SEPAS national project based on electronic health record system (EHRS) coordinates in Iran. Acta Inform Med. 2015;23(6):369–73.CrossRef
15.
go back to reference Safdar R, Ghazisaeidi M, Jebraeily M, Masar E, Shikhtaye M, Farajolah S. Hospital information systems success: a study based on the model adjusted DeLone and McLean in UMSU Hospital. Eur J Exp Biol. 2014;4(5):37–41. Safdar R, Ghazisaeidi M, Jebraeily M, Masar E, Shikhtaye M, Farajolah S. Hospital information systems success: a study based on the model adjusted DeLone and McLean in UMSU Hospital. Eur J Exp Biol. 2014;4(5):37–41.
16.
go back to reference DeLone WH, McLean ER. The DeLone and McLean model of information systems success: a ten-year update. J Manag Inf Syst. 2003;19(4):9–30.CrossRef DeLone WH, McLean ER. The DeLone and McLean model of information systems success: a ten-year update. J Manag Inf Syst. 2003;19(4):9–30.CrossRef
17.
go back to reference Ojo AI. Validation of the DeLone and McLean information systems success model. Healthc Inform Res. 2017;23(1):60–6.CrossRef Ojo AI. Validation of the DeLone and McLean information systems success model. Healthc Inform Res. 2017;23(1):60–6.CrossRef
19.
go back to reference Top M, Yilmaz A, Gider Ö. Electronic medical records (EMR) and Nurses in Turkish Hospitals. Syst Pract Action Res. 2013;26(3):281–97.CrossRef Top M, Yilmaz A, Gider Ö. Electronic medical records (EMR) and Nurses in Turkish Hospitals. Syst Pract Action Res. 2013;26(3):281–97.CrossRef
20.
go back to reference Zaheer S, Sayed SA. Evaluation of EMR implementation in a private hospital from use’s perspective. GSTF J Nurs Health Care. 2013;1:143–7. Zaheer S, Sayed SA. Evaluation of EMR implementation in a private hospital from use’s perspective. GSTF J Nurs Health Care. 2013;1:143–7.
21.
go back to reference Top M, Gider O. Nurses’ views on electronic medical records (EMR) in Turkey: an analysis according to use, quality and user satisfaction. J Med Syst. 2012;36(3):1979–88.CrossRef Top M, Gider O. Nurses’ views on electronic medical records (EMR) in Turkey: an analysis according to use, quality and user satisfaction. J Med Syst. 2012;36(3):1979–88.CrossRef
22.
go back to reference Tubaishat A. Evaluation of electronic health record implementation in hospitals. Comput Inform Nurs CIN. 2017;35(7):364–72. Tubaishat A. Evaluation of electronic health record implementation in hospitals. Comput Inform Nurs CIN. 2017;35(7):364–72.
23.
go back to reference Saghaeiannejad-Isfahani S, Saeedbakhsh S, Jahanbakhsh M, Habibi M. Analysis of the quality of hospital information systems in Isfahan teaching hospitals based on the DeLone and McLean model. J Educ Health Promot. 2015;4:5. Saghaeiannejad-Isfahani S, Saeedbakhsh S, Jahanbakhsh M, Habibi M. Analysis of the quality of hospital information systems in Isfahan teaching hospitals based on the DeLone and McLean model. J Educ Health Promot. 2015;4:5.
24.
go back to reference Overhage J, McCallieJr D. Physician time spent using the electronic health record during outpatient encounters. Ann Intern Med. 2020;172(3):169–74.CrossRef Overhage J, McCallieJr D. Physician time spent using the electronic health record during outpatient encounters. Ann Intern Med. 2020;172(3):169–74.CrossRef
25.
go back to reference Ehrenfeld JM, Wanderer JP. Technology as friend or foe? Do electronic health records increase burnout? Curr Opin Anaesthesiol. 2018;31(3):357–60.CrossRef Ehrenfeld JM, Wanderer JP. Technology as friend or foe? Do electronic health records increase burnout? Curr Opin Anaesthesiol. 2018;31(3):357–60.CrossRef
26.
go back to reference Guo U, Chen L, Mehta PH. Electronic health record innovations: helping physicians—one less click at a time. Health Inf Manag J Health Inf Manag Assoc Aust. 2017;46(3):140–4. Guo U, Chen L, Mehta PH. Electronic health record innovations: helping physicians—one less click at a time. Health Inf Manag J Health Inf Manag Assoc Aust. 2017;46(3):140–4.
27.
go back to reference Riddell WC, Song X. The role of education in technology use and adoption: evidence from the Canadian workplace and employee survey. ILR Rev. 2017;70(5):1219–53.CrossRef Riddell WC, Song X. The role of education in technology use and adoption: evidence from the Canadian workplace and employee survey. ILR Rev. 2017;70(5):1219–53.CrossRef
28.
go back to reference Abu-Shanab EA, editor. Education level as a technology adoption moderator. In: 2011 3rd International conference on computer research and development; 2011. Abu-Shanab EA, editor. Education level as a technology adoption moderator. In: 2011 3rd International conference on computer research and development; 2011.
Metadata
Title
Evaluating the success of Iran Electronic Health Record System (SEPAS) based on the DeLone and McLean model: a cross-sectional descriptive study
Authors
Azadeh Bashiri
Mohammad Shirdeli
Fatemeh Niknam
Soheila Naderi
Sahar Zare
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Medical Informatics and Decision Making / Issue 1/2023
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/s12911-023-02100-y

Other articles of this Issue 1/2023

BMC Medical Informatics and Decision Making 1/2023 Go to the issue