Investigating the Realization of the Consequences of Using the Integrated Health System (SIB) from Users' Point of View in Primary Healthcare Centers in Isfahan, Iran

Most previous studies have not referred to the implications of using electronic health record systems. So the purpose of the present study is to investigate the realization of the consequences of using the Integrated Health System (SIB) from userschr('39') point of view in Isfahan, Iran.

This was a descriptive cross-sectional study with the statistical population including all users of SIB located in Isfahan primary healthcare centers. The sample consisted of 320 users according to Morgan table. A questionnaire was arranged in five dimensions including problem solving, decision rationalization, horizontal integration, vertical integration, and customer service. After examining the validity and reliability of the questionnaire, the data were analyzed by single sample t-test in SPSS software.

The findings showed that although the implementation and use of SIB contributed to improving the integrity and coordination of horizontal (t = 2.30, P < 0.050) and vertical (t = 1.96, P < 0.050) communications as well as customer service (t = 8.31, P < 0.001), it had no significant role in problem solving (t = 0.68, P > 0.050) and decision rationalization (t = 1.05, P > 0.050).

Problem solving and decision rationalization have been the main objectives of SIB; nevertheless, users evaluated them as main weaknesses of the system. So paying attention to the needs of different users is recommended to its stakeholders.