TY - JOUR
T1 - Barriers in health information systems and technologies to support maternal and neonatal referrals at primary health centers
AU - Harahap, Nabila Clydea
AU - Handayani, Putu Wuri
AU - Hidayanto, Achmad Nizar
N1 - Funding Information:
Lack of financial support
Publisher Copyright:
© 2021 The Korean Society of Medical Informatics.
PY - 2021
Y1 - 2021
N2 - Objectives: This study explored health workers’ perceptions and experiences regarding the maternal and neonatal referral system, focusing on barriers of health information systems and technologies (IS/IT) at primary health centers (PHCs) in South Tangerang, Indonesia. Methods: This qualitative study was conducted using semi-structured interviews, which were conducted at the South Tangerang District Health Office and three PHCs. Interviews were conducted with nine participants responsible for maternal and neonatal referrals in their organizations. The data were analyzed using qualitative content analysis. Results: In South Tangerang, the Primary Health Care Information System (SIMPUS) is used to register patients and record data on medical treatment. To facilitate referrals, the PHCs currently use the Integrated Referral Information System (SISRUTE), P-Care, and the Integrated Emergency Management System (SPGDT). The following four IS/IT barriers to support maternal and neonatal referrals were found: technology, human resources, organizational support, and the referral process and implementation. Conclusions: The barriers in technology, human resources, and organizational support cause problems in the maternal and neonatal referral process and in the implementation of referrals. Barriers to referrals can influence patients’ ability to receive appropriate care in a timely fashion and lead to inefficiency in maternal and neonatal referrals. This study contributes knowledge about IS/IT implementation in maternal and neonatal referral systems and provides recommendations to health regulators and application developers for the implementation of IS/IT in Indonesia.
AB - Objectives: This study explored health workers’ perceptions and experiences regarding the maternal and neonatal referral system, focusing on barriers of health information systems and technologies (IS/IT) at primary health centers (PHCs) in South Tangerang, Indonesia. Methods: This qualitative study was conducted using semi-structured interviews, which were conducted at the South Tangerang District Health Office and three PHCs. Interviews were conducted with nine participants responsible for maternal and neonatal referrals in their organizations. The data were analyzed using qualitative content analysis. Results: In South Tangerang, the Primary Health Care Information System (SIMPUS) is used to register patients and record data on medical treatment. To facilitate referrals, the PHCs currently use the Integrated Referral Information System (SISRUTE), P-Care, and the Integrated Emergency Management System (SPGDT). The following four IS/IT barriers to support maternal and neonatal referrals were found: technology, human resources, organizational support, and the referral process and implementation. Conclusions: The barriers in technology, human resources, and organizational support cause problems in the maternal and neonatal referral process and in the implementation of referrals. Barriers to referrals can influence patients’ ability to receive appropriate care in a timely fashion and lead to inefficiency in maternal and neonatal referrals. This study contributes knowledge about IS/IT implementation in maternal and neonatal referral systems and provides recommendations to health regulators and application developers for the implementation of IS/IT in Indonesia.
KW - Health Information Systems
KW - Maternal Health
KW - Newborn Infant
KW - Primary Health Care
KW - Referral and Consultation
UR - http://www.scopus.com/inward/record.url?scp=85107186473&partnerID=8YFLogxK
U2 - 10.4258/HIR.2021.27.2.153
DO - 10.4258/HIR.2021.27.2.153
M3 - Article
AN - SCOPUS:85107186473
VL - 27
SP - 153
EP - 161
JO - Healthcare Informatics Research
JF - Healthcare Informatics Research
SN - 2093-3681
IS - 2
ER -