Elicitation and prioritization of requirements for electronic health records for oncology in low resource settings: A concept mapping study.

作者: Johnblack K. Kabukye , Nicolet de Keizer , Ronald Cornet

DOI: 10.1016/J.IJMEDINF.2019.104055

关键词:

摘要: Abstract Background Understanding functional and non-functional requirements is essential to successfully implement electronic medical record (EMR) systems. Actual will be different for contexts. Objective To elicit prioritize implementing EMRs in oncology low middle income countries (LMICs), relate these from high-income countries. Participants setting Cancer care stakeholders including oncologists, general doctors, nurses, biostatisticians, information technologists, LMICs, were involved. Methods Concept mapping was used. Statements of obtained during focus group discussions (FGDs) interviews. Using surveys, the clustered ranked on importance feasibility. Data analyzed SPSS using agglomerative hierarchical clustering multidimensional scaling, create cluster maps go-zone reflecting relationships between their prioritization. Results Four FGD sessions, with twenty participants, conducted. In addition, six participants interviewed. Twenty-two sixty-three them One hundred sixty requirement statements generated which reduced sixty-four after de-duplication merging. Nine clusters encompassing following domains, order importance: Security, Conducive organization, Management/Governance, General EMR functionalities, Computer infrastructure, management, Usability, Oncology decision support, Ancillary requirements. On ranking, scored 3.74 4.80 importance, 3.55 4.46 feasibility, a 5-point Likert scale. We concept use when communicating stakeholders. Conclusion For overlap those countries, but generic Infrastructural organizational are still considered priority LMICs compared oncology-specific or advanced features e.g. computerized support interoperability. fast cost-effective method eliciting prioritizing user-centered manner.

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