Information Systems Usage and Performance of Private Health Care Facilities in Laikipia County, Kenya

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Date
2022-05
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Kenyatta University
Abstract
I'cvlnnu;u.\\*c of the health care facilities has been a major health care concern in Kenya. This poor performance has been associated with information system usage. Despite different facilities assimilating these systems in their operations there are factors that affect the flow of information between departments and facilities across the sector thus affecting their overall performance. This study addressed information systems usage on performance among privateh«\.»\[\lluls within the County of Laikipia.The used research objectives entailed: to; establish effects of Staff literacy, information system characteristics, external factors and top management support on performances of private facilities offering healthcare within the County of Laikipia; and this was proved possible to study using descriptive research design. This study was anchored on the Diffusion of Innovation Theory Model (DOI), Technology Acceptance Model (TAM), Contingency Theory and the institution theory. There were 15 private healthcare institutions in the County of Laikipia being engaged where six members, two from the senior management level and four from operations level in each institution were given self-administered open ended questionnaires in order to collect primary data. Questionnaires were dropped and picked later from participants. The study employed descriptive survey was the applied research design. The target population was the private healthcare firms. The study employed stratified and purposive sampling applied in choosing six participants from 15 institutions. The study Analysis of the data was through a descriptive approach done with outcomes presented graphically, by use of tables and figures.Regression analysis was utilized using SPSS version 25.The study established that IT literacy level of the staff significantly impacts the use of information systems in hospitals thus affecting performance. The study also revealed that the characteristic of information systems significantly influences performance of the facilities. It is also evidenced that external factors also influences greatly the performance in healthcare. The study also indicated that top management support influences significantly the performanceof the facilities; health institution usage of information system has an effect on the overall performance and identified the need for different institutions to have integrated systems. The Study recommends that health facility stafT should receive continuous training on information systems as these impacts positively on the overall performance. The study also recommends that health information systems should be integrated from department to department and further facility-to-facility, as this would enhance effective management of patient information and data, thus affecting positively the performance. The study further recommends that @ture stu'dAiefs should look into the relationship between use of IS and performance of public HC facilities.
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