Clinicians User Satisfaction with Paper-Based Patient Information System in Kenyatta National Hospital and Mbagathi County Hospital, Nairobi, Kenya
Kimani, Alice Wanjiku
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User satisfaction with paper-based information system is a subjective evaluation of the various individual, organizational, and societal consequences of information systems use. Despite the widespread use, the need to identify the extent to which clinicians are satisfied with the patient information systems in health institutions is still necessary. The purpose of this study was therefore to investigate the clinicians' (doctors, dentists and clinical officers) user satisfaction with paper-based patient information systems in Kenyatta National Hospital (KNH) and Mbagathi County Hospital (MCH).The specific objectives were: To determine the proportion of clinicians who were satisfied, to determine the influence of user characteristics, to determine the organizational characteristics that influenced satisfaction and to determine the influence of information quality to clinician’s satisfaction. This was a cross sectional descriptive study. The two hospitals were purposively selected. The study employed stratified random sampling. Probability proportionate to size sampling of the clinicians was done and simple random sampling was done to identify the respondents. Data collection tools employing both quantitative and qualitative parameters were used in this study. Questionnaire was pretested in Mathari Hospital and thereafter refined accordingly. Data was obtained from 190 clinicians using self-administered questionnaires, FODs and KT interviews to provide in-depth information. Data was analyzed by SPSS Version 16.0 and the results of the findings presented in form of figures and tables while association between variables was assessed using chi square statistics. The findings showed that clinician's satisfaction was at 15.3%. Age (x2=42.079, df=3, p=.OOO), years worked (X2=41.973, df=4, p=.OOO), education (X2=4.518, df=I, p=0.034), designation (X2=23.385, df=3, p=.OOO) was statistically significant to clinicians user satisfaction. Overall organizational characteristics (X2=6.409, df=l, p=.Oll) and information quality dimensions (p< .01) was statistically- significant in relation to clinician's user satisfaction. The study therefore showed need to address factors that contribute to very low clinicians' satisfaction level with paper based patient information systems. Findings of this study will be used by policy makers to develop policy on information systems to ensure that clinicians' requirements are met.