Electronic health information systems for public health care in South Africa: a review of current operational systems

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DOI:

https://doi.org/10.12856/JHIA-2017-v4-i1-164

Abstract

Background and Purpose: The South African eHealth Strategy was published in 2012 and acknowledges that health information systems should be used to strengthen the public health care system in the country. While the benefit of electronic health information systems has been documented in the literature, the implementation of these systems in public health care in South Africa remains limited. Currently, patient data is still manually recorded in the patient’s file, while data required for monitoring and evaluation purposes is hand written by the nurses in registers, aggregated and only the results entered into electronic health information systems for analysis.

Methods: The objective of the paper is to review existing electronic health information systems in public health care in South Africa in terms of their role and focus on health care. A qualitative approach was undertaken to identify the role of health information systems that are most prevalent in public health care in South Africa.

Results: The results indicate that the most common role of health information systems include support for  clinical care, e.g. radiology and pathology, as well as monitoring, evaluation and administration purposes. While some systems do capture limited clinical information, there seems to be few systems that support patient centred clinical care.

Conclusions: The recommendation of the paper is that the role of health information systems should be expanded to support direct patient care and improve health outcomes for individuals.

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References

Department of Health, "National eHealth Strategy, South Africa 2012 - 2017," ed. Pretoria: Department of Health, 2012.

B. Chaudhry, J. Wang, S. Wu, M. Maglione, W. Mojica, E. Roth, et al., "Systematic review: impact of health information technology on quality, efficiency, and costs of medical care," Annals of Internal Medicine, vol. 144, pp. 742-752, 2006.

L. Poissant, J. Pereira, R. Tamblyn, and Y. Kawasumi, "The impact of electronic health records on time efficiency of physicians and nurses: a systematic review," Journal of the American Medical Informatics Association, vol. 12, pp. 505-516, 2005.

A. D. Black, J. Car, C. Pagliari, C. Anandan, K. Cresswell, T. Bokun, et al., "The impact of eHealth on the quality and safety of health care: a systematic overview," PLoS medicine, vol. 8, p. e1000387, 2011.

T. Greenhalgh, H. W. Potts, G. Wong, P. Bark, and D. Swinglehurst, "Tensions and paradoxes in electronic patient record research: a systematic literature review using the meta-narrative method," The Milbank quarterly, vol. 87, pp. 729-788, 2009.

World Health Organization, "Management of patient information: trends and challenges in Member States: based on the findings of the second global survey on eHealth (Global Observatory for eHealth Series, v. 6)," ed. Geneva: World Health Organization, 2012.

Department of Health, "A District Hospital Service Package for South Africa. A set of norms and standards," ed. Pretoria: Department of Health, 2002.

R. Beaumont. "Types of Health Information Systems (IS). Available at http://www.floppybunny.org/robin/web/virtualclassroom/chap12/s2/systems1.pdf, 2011

Council for Scientific and Industrial Research and Department of Health, "National Health Normative Standards Framework for Interoperability in eHealth in South Africa. Version 2. CSIR GWDMS Number: 240075," ed. Pretoria: Department of Health, 2014.

R. Courtenay. "Personal correspondance," 5 October 2016

Ataguba, J. E., & McIntyre, D. Paying for and receiving benefits from health services in South Africa: Is the health system equitable? Health Policy and Planning, 27(SUPPL.1), 35–45. http://doi.org/10.1093/heapol/czs005, 2012.

O’Mahony, D., Wright G., Yogeswaran, P., & Govere, F. Knowledge and attitudes of nurses in community health centres about electronic medical records. Curationis, 37(1), Art.#1150, 6 pages. http:// dx.doi.org/10.4102/ curationis.v37i1.1150, 2014.

National Health Laboratory Service, "National Health Laboratory Service. Annual Report 2013-14," ed. Johannesburg: National Health Laboratory Service, 2014.

M. Triegaardt, "Picture Archiving and Communication Systems in the South African public healthcare environment: A suitable structure and guidelines to assist implementation and optimisation," Masters in Engineering, Faculty of Industrial Engineering, Stellenbosch, Stellenbosch, 2013.

S. S. Boochever, "HIS/RIS/PACS integration: getting to the gold standard," Radiol Manage, vol. 26, pp. 16-24, 2004.

L. Cilliers, & S. Flowerday, (2014). User Acceptance of Telemedicine by Health Care Workers: A case of the Eastern Cape Province, South Africa. Electronic Journal of Information Systems in Developing Countries, 65 (5), 1-10.

T. Chowles. (2014, 30 June 2015). JAC- Supplier Profile. Available: http://ehealthnews.co.za/suppliers/jac/

O. Schulze, "Digital Medical Imaging & Management within the Western Cape: Policy Framework and Implementation Document," W. C. Department of Health, Ed., ed. Cape Town: Department of Health, 2007.

Ethniks. (2013, 11 November 2013). About Delta 9. Available: http://www.ethniks.co.za/D9_About.html

Faranani IT Services. (2014, 10 August 2014). Patient Administration and Billing (PAAB) System. Available: http://www.faranani.com/service_cat2_sub1.htm

G. Reagon, J. Irlam, and J. Levin, National Primary Health Care Facilities Survey 2003. Durban: Health Systems Trust, 2004.

B. Mash, L. Fairall, O. Adejayan, O. Ikpefan, J. Kumari, S. Mathee, et al., "A morbidity survey of South African primary care," PloS one, vol. 7, p. e32358, 2012.

A. Garrib, N. Stoops, A. McKenzie, L. Dlamini, T. Govender, D. Rohde, et al., "An evaluation of the district health information system in rural South Africa," South African Medical Journal, vol. 98, pp. 549-552, 2008.

C. Heunis, E. Wouters, G. Kigozi, M. Engelbrecht, Y. Tsibolane, S. van der Merwe, et al., "Accuracy of Tuberculosis Routine Data and Nurses’ Views of the TB-HIV Information System in the Free State, South Africa," Journal of the Association of Nurses in AIDS Care, vol. 22, pp. 67-73, 2011.

G. Wright and A. Odama, "Health Data Ownership and Data Quality: Clinics in the Nyandeni District, Eastern Cape, South Africa," Engineering Management Research, vol. 1, pp. p146 - 152, 2012.

Council for Scientific and Industrial Research, "CSIR Annual Report 2015/16," ed. Pretoria: Council for Scientific and Industrial Research, 2016.

Department of Health, "District Health Management Information System (DHMIS) Policy," ed. Pretoria: Department of Health, 2011.

R. English, T. Masilela, P. Barron, and A. Schonfeldt, "Health Information Systems in South Africa," in South African Health Review 2011, E. R. Padarath A, Ed., ed Durban: Health Systems Trust, 2011.

Department of Health, "DHS News: Newsletter of the District Health System," vol. 3, ed. Pretoria: Department of Health, 2011, pp. 1-7.

B. M. Mayosi, N. J. Mekwa, J. Blackburn, H. Coovadia, I. B. Friedman, M. Jeenah, et al., "Strengthening research for health, innovation and development in South Africa," ed. Pretoria:

S. Ajami, & R. Arab-Chadegani, (2013). Barriers to implement Electronic Health Records (EHRs). Materia Socio-Medica, 25(3), 213–5. http://doi.org/10.5455/msm.2013.25.213-215

F. Venter, "HIV Treatment in South Africa: the challenges of an increasingly successful antiretroviral programme," in South African Health Review 2012/13, A. Padarath and R. English, Eds., ed Durban: Health Systems Trust, 2013.

L. Cilliers, & S. Flowerday, (2012). Technology acceptance of Telemedicine in the Eastern Cape Department of Health. Presented at IST-Africa 2012, Tanzania: IST-Africa, ISBN 978-1-905824-38-0.

N. Ntuli. (2012, South Africa Report National Commitments and Policy Instrument (NCPI). Available: http://aidsreportingtool.unaids.org/206/south-africa-report-ncpi

Institute of Medicine. Crossing the Quality Chasm. Washinton, DC: National Academies Press; 2001.

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Published

2017-11-05

How to Cite

[1]
Wright, G. et al. 2017. Electronic health information systems for public health care in South Africa: a review of current operational systems. Journal of Health Informatics in Africa. 4, 1 (Nov. 2017). DOI:https://doi.org/10.12856/JHIA-2017-v4-i1-164.