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|Title||Impact of E-Health System Implementation at UNRWA-Gaza Health Centers on Medical Performance and Health Care|
|Title in Arabic||أثر تطبيق نظام الصحة المحوسب في مراكز الصحة التابعة لوكالة الغوث (الأنروا) بغزة على الأداء الطبي والرعاية الصحية|
As United Nations Relief and Works Agency (UNRWA) has recently been implementing an in-house built e-health system at its health centers, this study aims to investigate how the implementation of such electronic primary health care system contributes to the enhancement of medical performance and health care at UNRWA-Gaza health centers. UNRWA has been gradually adopting e-health system which is currently implemented at most of its health centers (19 out of 21 health centers). Population was health centers' staff who are currently making use of the system and who have already developed attitudes toward the system operability and effect on the clinic daily activities and on enhancing staff performance (616 clinical staff), such targeted population include medical staff such as physicians, medical supporting staff such as nurses and administrative staff such as clerks. Researcher followed quantitative approach and target sample utilizing questionnaire tool to survey 320 clinical staff, only 247 usable responses were returned. Researcher used partial least square/structural equation modeling technique to analysis the collected data and test study hypotheses. Study concluded that information quality of the adopted Health Information System (HIS) has both direct and indirect positive impact on staff performance, only direct positive impact on patient care and only positive indirect impact on physician-patient relationship, while system quality was found to have negative direct impact and positive indirect impact on staff performance and has only indirect positive impact on both physician-patient relationship and patient care. Noteworthy that HIS has availability, speed, error detection and error prevention issues. It is recommended that these shortfall be addressed together with improving user perception towards ease of use and usefulness of the system. Management should also work to raise confidence in its medical staff to improve the effect of HIS on medical performance and patient care. It is also recommended that UNRWA should implement crowed management techniques such as queuing systems and on-phone booking to minimize patient waiting time.
|Publisher||الجامعة الإسلامية - غزة|
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