HARNESSING TECHNOLOGY TO IMPROVE QUALITY HEALTH CARE IN A HIGHLY URBANIZED CITY: A SEQUENTIAL MIXED METHOD STUDY ON THE NAVOTAS HEALTH WORKERS' ADOPTION OF AN ELECTRONIC MEDICAL RECORD SYSTEM
Abstract
Quality health care delivery in the context of growing, Filipino urban community demands such a timely call for technological innovations. One of these innovations is the advent of Community Health Information Tracking System,... [ view full abstract ]
Quality health care delivery in the context of growing, Filipino urban community demands such a timely call for technological innovations. One of these innovations is the advent of Community Health Information Tracking System, popularly known as CHITS. This new technology launched in 2011 at the highly urbanized city of Navotas, aims to provide an easy access to medical data – this fitly accommodates the annual demand of urban population growth, which is extremely useful among pediatric and maternal patients. In the span of three years in existence, the system dashboard of CHITS consistently reflects that the majority of health centers show only an average in their compliance. Some centers unfortunately fall below the expected standards. The study hence explores the underlying factors that either promote or inhibit the intention of health workers to adopt the regular use of CHITS. Using a sequential mixed method design, sixty-five health workers across ten health facilities of Navotas City agreed to participate in a survey and a focus group discussion. The objective of which is to determine and describe the association of socio-demographic variables and the Unified Theory of Acceptance and Use of Technology model (UTAUT model) to that of behavioral intention among health workers. Using Spearman’s Rho Correlation, it shows that the initiative to use CHITS and facilitating conditions do not have association with the longevity of its use. Qualitative study clearly reveals that most health workers prefer non-personal incentive programs such as improvement of information technology infrastructure and better working conditions. This study highly recommends the utilization of grass-roots approach which stems from the ideas of health workers in providing ways to achieve an effective, long-term adoption to CHITS.
Authors
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Liberty Domingo
(Navotas City Health Department)
Topic Area
V. Healthcare Service 5.1 Accessibility of healthcare services and its optimization 5.2 He
Session
PS-1 » POSTER SESSION 1 (12:10 - Friday, 1st April, TBA)
Paper
Abstract_Harnessing_technology_to_improve_quality_health_care_in_a_highly_urbanized_city_Dr.LDomingo_Phil_Dec_22_2015.docx
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