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Development of National and Sub-national Electronic Health Records to Enable Health Data Exchange for Improved Maternal Health Service Delivery and Program: The Case of a Tertiary Care State Government Hospital in India.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Development of National and Sub-national Electronic Health Records to Enable Health Data Exchange for Improved Maternal Health Service Delivery and Program: The Case of a Tertiary Care State Government Hospital in India./
作者:	Kumar, Manish.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
面頁冊數:	154 p.
附註:	Source: Dissertations Abstracts International, Volume: 82-12, Section: B.
Contained By:	Dissertations Abstracts International82-12B.
標題:	Public health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28314657
ISBN:	9798515279608

Development of National and Sub-national Electronic Health Records to Enable Health Data Exchange for Improved Maternal Health Service Delivery and Program: The Case of a Tertiary Care State Government Hospital in India.
Kumar, Manish.

Development of National and Sub-national Electronic Health Records to Enable Health Data Exchange for Improved Maternal Health Service Delivery and Program: The Case of a Tertiary Care State Government Hospital in India. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 154 p.

Source: Dissertations Abstracts International, Volume: 82-12, Section: B.

Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2021.

This item must not be sold to any third party vendors.

Despite the fact that understanding stakeholders and their health information needs, health data systems, and workflows are essential for the development of electronic health records to enable inter-organizational health data exchange for decision-making, there is limited research evidence about how to enable inter-organizational health data exchange in India. A qualitative case study focused on a tertiary care state government hospital in India was conducted. The study aimed to identify factors that favor or hampered development of electronic health records, document and describe stakeholder, their health information needs, data systems and workflows associated with maternal health, and proposed a health data exchange model for improving maternal health services and programs at hospital, state, and national levels. The study applied purposive sampling to identify and collect data from twenty key informants using key informant interview technique. Inductive analysis was conducted. The findings suggested that leadership support and coordination, budgetary constraint, centralized decision-making authority, siloed data collection and reporting systems, shortage of workforce, gaps in health information technology education and training, and poor system design affected development of health data exchange. The findings showed national level agencies were driving adoption and use of electronic health records, provision of financial incentives, program development and had limited engagement of the state and hospital level stakeholders. Both electronic and paper-based data collection, storage, and data sharing systems and the processes and the workflows were complex and ad-hoc. Following an iterative design process and based on the essential requirements suggested by the key informants an interorganizational health data exchange model was developed. The proposed model leverages electronic heath records to enable use of data for patient care, and reuse of data to support management and administrative decisions at hospital, state, and national levels. The model shows how to balance inter- and intra-organizational data exchange needs. The study also offers five recommendations to facilitate the operationalization of the health data exchange model. The study adds to the current knowledge base and calls for additional research focused on strengthening use and reuse of data for clinical and public health decision making at different health system levels.

ISBN: 9798515279608Subjects--Topical Terms:

534748
Public health.
Subjects--Index Terms:

Decision-making

Development of National and Sub-national Electronic Health Records to Enable Health Data Exchange for Improved Maternal Health Service Delivery and Program: The Case of a Tertiary Care State Government Hospital in India.
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