Volume 3, Issue 1-1, January 2015, Page: 17-24
Health Information Technology in Nigeria: Stakeholders’ Perspectives of Nationwide Implementations and Meaningful Use of the Emerging Technology in the Most Populous Black Nation
Ibrahim Taiwo Adeleke, Department of Health Information, Federal Medical Centre, Bida, Nigeria; Centre for Health & Allied Researches, Bida Nigeria; Health Informatics Research Initiatives in Nigeria, Bida, Nigeria
Sunday Adesubomi Erinle, Centre for Health & Allied Researches, Bida Nigeria; Department of Radiology, Federal Medical Centre, Bida, Nigeria
Ameenah Muhammad Ndana, Department of Health Information Management, College of Health Technology, Minna, Nigeria
Tony Chuks Anamah, Department of Health Information, Federal Medical Centre, Bida, Nigeria; Health Informatics Research Initiatives in Nigeria, Bida, Nigeria
Oluseye Abiodun Ogundele, Department of Health Records, Federal Teaching Hospital, Ido-Ekiti, Nigeria
Danjuma Aliyu, Department of Nursing Services, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
Received: Nov. 26, 2014;       Accepted: Nov. 29, 2014;       Published: Dec. 14, 2014
DOI: 10.11648/j.ajhr.s.2015030101.13      View  3991      Downloads  210
Abstract
Background: Nigeria is witnessing continuing advocacy and increase in number of individuals yearning for computerization of health information and healthcare processes. On the other hand, the Government of this most populous black nation is evolving plans and strategies for the adoption and implementation of health information technology (HIT). However, little is known about opinions of the diverse healthcare providers who would act the script of government in ensuring meaningful use of HIT in the country. Objective: This nationwide, cross-sectional study attempted to determine stakeholders’ perspectives of the emerging HIT in Nigeria. Result: HIT stakeholders who gave consent (n=233) at the two conferences participated in the study, 76% of whom were male professionals, mostly (117, 50.2%) from tertiary healthcare institutions. It worthy of note that three of the participants came from United States of America to attend the 1st National Conference on Health Information Technology in Nigeria. Of all participants, the majority (226, 99.1%) opined that HIT will improve communication among healthcare providers. A similar portion (223, 98.2%) were of the opinion that HIT will facilitate prompt retrieval of patient’s health records on point-of-care (POC). Nearly two-third (139, 62.6%) were optimistic of possible realization of nationwide implementations of HIT in the country by the year 2020. The results also indicate that gender, professional inclination, and place of work were important predictors of positive opinion of HIT. The three factors were associated with stakeholders’ opinion that the evolving HIT is capable of improving medical care quality (p=0.059; 0.000; 0.014) of the Nigerian populace. Most stakeholders (61%) recommended that the paper-based health records should be archived post implementation of HIT. Conclusion: The Nigerian healthcare system is manned by providers and stakeholders who are quite abreast of the benefits of health information technology and are willing to embrace the technology in their workflow. This is quite reassuring and tends to prompt the healthcare decision makers to proactively formulate policies and introduce interventions to encourage nationwide acceptance of the emerging technology. Nonetheless, there is more to be done on appropriate clinical documentation in order to set a friendly pedestal for effective takeoff, successful implementations and meaningful use. Appropriate funding and financial incentives for quality improvement is recommended. In addition, the National Conference on HIT should be convened annually and a technical committee be set up to appraise future implementations.
Keywords
Computerized Physician Order Entry, Decision Support Systems, Electronic Health Records, Health Informatics, Health Information Management, Health Information Technology, Interoperability, Meaningful Use
To cite this article
Ibrahim Taiwo Adeleke, Sunday Adesubomi Erinle, Ameenah Muhammad Ndana, Tony Chuks Anamah, Oluseye Abiodun Ogundele, Danjuma Aliyu, Health Information Technology in Nigeria: Stakeholders’ Perspectives of Nationwide Implementations and Meaningful Use of the Emerging Technology in the Most Populous Black Nation, American Journal of Health Research. Special Issue: Health Information Technology in Developing Nations: Challenges and Prospects Health Information Technology . Vol. 3, No. 1-1, 2015, pp. 17-24. doi: 10.11648/j.ajhr.s.2015030101.13
Reference
[1]
T. G. Thompson, D. J. Brailer. The decade of health information technology: delivering consumer-centric and information-rich healthcare. Framework for Strategic Action. Available at www.providersedge.com/ehdocs/ehr_articles/The_Decade_of_ HIT- Delivering_Customer-centric_and_Info-rich_HC.pdf Accessed on November 11, 2011.
[2]
D. W. Bates, A. A. Gawande. Patient safety: improving safety with information technology. New England Journal of Medicine. 2003; 348:2526–2534.
[3]
R. Kaushal, D. W. Bates. Information technology and medication safety: what is the benefit? Quality & Safety in Healthcare, 2002;11:261–265.
[4]
Institute of Medicine. To err is human: building a safer health system. Institute of Medicine Report on Medical Errors. Washington, DC: National Academies Press, 2000.
[5]
Institute of Medicine. Patient safety: achieving a new standard for care. Washington, DC: National Academies Press, 2004.
[6]
R. Kaushal, K. N. Barker, D. W. Bates. How can information technology improve patient safety and reduce medication errors in children’s health care? Archives of Pediatrics & Adolescent Medicine. 2001;155:1002–1007.
[7]
P. Kilbridge. Crossing the chasm with information technology: bridging the quality gap in healthcare. California HealthCare Foundation, 2002.
[8]
M. Amatayakul. Electronic Health Records. In: Health Information Management Technology: An Applied Approach. (2nd ed.) Johns ML (Ed). American Health Information Management Association Chicago Illinois, 2007; p120.
[9]
E.K. Huffman, Medical Record Management (9th edition). Physicians’ Records Company Berwyn Illinois. Revised by the American Health Information Management Association, 1990 p541-569.
[10]
R. K. Sinha. Impact of health information technology in public health. Sri Lanka Journal of Bio-Medical Informatics 2010;1(4):223-36.
[11]
Institute of Medicine (U.S.), Committee on Quality of Healthcare in America. Crossing the quality chasm: a new health system for the 21st Century. Washington, DC: National Academy Press; 2001.
[12]
D. W. Bates, M. Cohen, L. L. Leape, J. M. Overhage, M. M. Shabot, T. Sheridan. Reducing the frequency of errors in medicine using information technology. J Am Med Inform Assoc. 2001; 8(4): 299–308.
[13]
D. Jackie. ICT in the health sector: literature review. InfoDev. 2006:1-7. Available at: www.asksource.info/res_library/ict.htm (Accessed on: May 17, 2010)
[14]
K. Janus, V. E. Amelung, L. C. Baker, M. Gaitanides, F. W. Schwartz, T. G. Rundall. Job satisfaction and motivation among physicians in academic medical centres: insights from a cross-national study. Journal of Health Politics Policy Law. 2008;33(6):1133-67.
[15]
L. Kloss. Redefining the role of health information management in the new world of information governance. Iron Mountain Incorporated, 2013.
[16]
R. M. Wachter. Could computerization harm patient safety? Med Gen Med. 2006;8(2):84. PMCID: PMC1785161
[17]
C. J. McDonald. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006; 144(7):510-516. doi:10.7326/0003-4819-144-7-200604040- 00010.
[18]
Y. Y. Han, J. A, Carcillo, S. T. Venkataraman, et al. Unexpected increased mortality after implementation of a commercially sold Computerized Physician Order Entry System. Pediatrics. 2005;116;1506. doi: 10.1542/peds.2005-1287.
[19]
R. Koppel, J. P. Metlay, A. Cohen, et al. Role of Computerized Physician Order Entry Systems in facilitating medication errors. JAMA. 2005;293(10):1197-1203. doi:10.1001/jama.293.10.1197.
[20]
T. A. Shamliyan, S. Duval, J. Du, R. L. Kane. Just what the doctor ordered. review of the evidence of the impact of Computerized Physician Order Entry system on medication errors. Health Services Research. 2008;43(1):32-53.
[21]
J. S. Ash, M. Berg, E. Coiera. Some unintended consequences of information technology in healthcare: the nature of patient care information system-related errors. J Am Med Inform Assoc 2004;11:104-112 doi:10.1197/jamia.M1471.
[22]
B. Karsh, M. B. Weiger, P. A. Abbott, R. L. Wears. Health information technology: fallacies and sober realities. J Am Med Inform Assoc 2010;17:617-623 doi:10.1136/jamia.2010.005637].
[23]
K. T. Elder, J. C. Wilthshire, R. N. Rooks, R. BeLue, L. C. Gary. Health information technology and physician career satisfaction. Perspect Health Inf Manag. 2010 7:1d. PMC2921302.
[24]
J. Adler-Milstein. Healthcare requires big changes to complement new IT. Harvard Business Review, April 2009.
[25]
D. Classen, D. W. Bates, C. R. Denham. Meaningful Use of Computerized Prescriber Order Entry. J Patient Saf. 2010; 6(1):15-23. www.journalpatientsafety.com.
[26]
D. Blumenthal, M. Tavenner. N The “Meaningful Use” Regulation for Electronic Health RecordsEngl J Med. 2010;363(6):501-504.
[27]
M. I. M. Salleh, R. A. R. Yaacob, M. S. M. Saleh. The effect of performance impact on the integrity management of electronic medical records. Australian Journal of Basic and Applied Sciences. 2013;7(6):237-245.
[28]
M. C. Azubuike, J. E. Ehiri. Health information systems in developing countries: benefits, problems, and prospects. The Journal of the Royal Society for the Promotion of Health. 1999; 119:180. doi: 10.1177/146642409911900309.
[29]
I. T. Adeleke, A. H. Lawal, R. A. Adio, A. A. Adebisi. Information technology skills and training needs of health information management professionals in Nigeria: a nationwide study. Health Information Management Journal, 2014. doi.org/10.12826/18333575.2014.0002.Adeleke.
[30]
I. T. Adeleke, A. O. Adekanye, K. A. Onawola, et al. Data quality assessment in healthcare: a 365-day chart review of inpatients' health records at a Nigerian tertiary hospital. Journal of American Medical Informatics Association. 2012;19(6):1039-42. doi:10.1136/amiajnl-2012-000823.
[31]
I. T. Adeleke, A. O. Adekanye, A. D. Jibril, F. F. Danmallam, H. E. Inyinbor, S. A. Omokanye. Research knowledge and behaviour of health workers at Federal Medical Centre, Bida: a task before learned mentors. El Mednifico Journal. 2014;2:2.
[32]
I. S. Bello, F. A. Arogundade, A. A. Sanusi, I. T. Ezeoma, E. A. Abioye-Kuteyi, A. Akinsola. Knowledge and utilization of information technology among healthcare professionals and students in Ile-Ife, Nigeria: A case study of a University Teaching Hospital. Journal of Medical Internet Research. 2004;6(4): e45.
[33]
I. T. Adeleke, A. O. Adekanye, S. A. Adefemi, et al. Knowledge, attitudes and practice of confidentiality of patients’ health records among healthcare professionals at Federal Medical Centre, Bida. Nigerian Journal of Medicine. 2011; 20(2): 228-235.
[34]
I. T. Adeleke, M. A. Asiru, B. M. Oweghoro, A. B. Jimoh, A. M. Ndana. Computer and internet use among tertiary healthcare providers and trainees in a Nigerian public hospital. American Journal of Health Research. Special Issue: Health Information Technology in Developing Nations: Challenges and Prospects Health Information Technology. 2015; 3(6):1-10. doi: 10.11648/j.ajhr.s.20150306.11.
[35]
Ministry of Health. National Strategic Health Development Plan (NSHDP) 2010- 2015. Nov 2010 50-51p. Available at www.NSHDP_inside_pages_23_12_10.pdf. Accessed on 4th November 2011.
[36]
M. M. Ibrahim. Benefits realization of the implementation of electronic health records (EHRs) in Nigeria. In: I. T. Adeleke & O. O. Ajayi (ed). Conference Proceedings of Health Information Managers’ Association of Nigeria. HIM Connect, 2014:7-15.
[37]
R. J. Baron. Meaningful Use of Health Information Technology Is Managing Information. JAMA. 2010; 304(1):89-90.
[38]
C. Robert, K. Trana, V. Loa, et al. Effects of clinical communication interventions in hospitals: a systematic review of information and communication technology adoptions for improved communication between clinicians. International Journal of Medical Informatics. 2012;81:723-732.
[39]
S. Hoffman, A. Podgurski. Meaningful use and certification of Health Information Technology: What about Safety? Journal of Law, Medicine & Ethics. 2011:77-80.
[40]
L. A. Huryk. Factors influencing nurses’ attitudes towards healthcare information technology. Journal of Nursing Management. 2010;18(5): 606-612.
[41]
D. Classen, D. W. Bates, C. R. Denham. Meaningful use of Computerized Prescriber Order Entry. J Patient Saf. 2010; 6(1):15-23. www.journalpatientsafety.com.
[42]
A. Broos. Gender and information and communication technologies (ICT) anxiety: male self-assurance and female hesitation. CyberPsychology & Behavior. 2005;8(1):21-31. doi:10.1089/cpb.2005.8.21. [Abstract]
[43]
K. Chih-Hung, Y. Ju-Yu, C. Cheng-Chung, C. Sue-Huei, Y. Cheng-Fang. Gender differences and related factors affecting online gaming addiction among Taiwanese Adolescents. Journal of Nervous & Mental Disease. 2005;193(4):273-277 [Abstract].
[44]
J. W. Aaronson, C. L. Murphy-Cullen, W. M. Chop, R. D. Frey. Electronic medical records: the family practice resident perspective. Fam Med. 2001; 33(2):128-32.
[45]
A. L Terry, C. F. Thorpe, G. Giles, et al. Implementing electronic health records. Can Fam Physician. 2008 May; 54(5): 730–736. PMCID: PMC2377228.
[46]
K. H. Damsky, L. D. Gamm, J. J. Vasey, C. K. Barsukiewicz. Electronic medical records: are physicians ready? J Healthcare Manag. 1999;44(6):440-54.
[47]
S. H. Houser, L. A. Johnson. Perceptions regarding electronic health record implementation among health information management professionals in Alabama: a statewide survey and analysis. Perspectives in Health Information Management. 2008;5(6):1-15.
[48]
The Consumer-Purchaser Disclosure Project. Meaningful Use of Health Information Technology What It Is and Why It Matters to Patients and Purchasers, 2010. Available at www.healthcarediclosure.org. Accessed on November 18, 2014.
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