Critical success factors for the implementation of an electronic health record system in the public health care sector of South Africa
- Katurura, Munyaradzi Caurage
- Authors: Katurura, Munyaradzi Caurage
- Date: 2017
- Subjects: Medical records -- South Africa -- Data processing Public health -- South Africa Medical records -- Access control -- South Africa.
- Language: English
- Type: Thesis , Masters , MCom
- Identifier: http://hdl.handle.net/10353/13182 , vital:39472
- Description: South Africa intends to implement a National Health Insurance for its citizens, however, for this to be possible there is a need for registering and tracking all the patients who visit health care institutions. The use of EHRs was identified as the most suitable towards accomplishing the above-mentioned tasks. This study investigated other African countries’ EHR implementation efforts in order to identify the critical success factors for the implementation of EHR in South Africa’s public health system. The study conducted a structured literature review of articles written about EHR implementation in African countries and found that issues such as the high costs of implementation; resistance by health workers; a lack of suitable infrastructure; a lack of skills; political influence and poor government commitment were some of the challenges to the implementation of EHRs in African countries. The study then identified 6 critical factors that could address these challenges and ensure that EHR implementation is successful. Identified factors included Incentivising the health informatics career field to attract and retain ICT professionals; Encouraging participation of all stakeholders in the development process of EHR systems; Investigating and investing in alternative infrastructural facilities; Allocating separate budgets for E-health projects; Developing context relevant E-health implementation strategies and frameworks; and finally, Develop and implement Legislation specific to EHR implementation and continued use. Recommendations were also made on each factor regarding how it could be accomplished.
- Full Text:
- Date Issued: 2017
- Authors: Katurura, Munyaradzi Caurage
- Date: 2017
- Subjects: Medical records -- South Africa -- Data processing Public health -- South Africa Medical records -- Access control -- South Africa.
- Language: English
- Type: Thesis , Masters , MCom
- Identifier: http://hdl.handle.net/10353/13182 , vital:39472
- Description: South Africa intends to implement a National Health Insurance for its citizens, however, for this to be possible there is a need for registering and tracking all the patients who visit health care institutions. The use of EHRs was identified as the most suitable towards accomplishing the above-mentioned tasks. This study investigated other African countries’ EHR implementation efforts in order to identify the critical success factors for the implementation of EHR in South Africa’s public health system. The study conducted a structured literature review of articles written about EHR implementation in African countries and found that issues such as the high costs of implementation; resistance by health workers; a lack of suitable infrastructure; a lack of skills; political influence and poor government commitment were some of the challenges to the implementation of EHRs in African countries. The study then identified 6 critical factors that could address these challenges and ensure that EHR implementation is successful. Identified factors included Incentivising the health informatics career field to attract and retain ICT professionals; Encouraging participation of all stakeholders in the development process of EHR systems; Investigating and investing in alternative infrastructural facilities; Allocating separate budgets for E-health projects; Developing context relevant E-health implementation strategies and frameworks; and finally, Develop and implement Legislation specific to EHR implementation and continued use. Recommendations were also made on each factor regarding how it could be accomplished.
- Full Text:
- Date Issued: 2017
The experience of multi-cultural communication within a South African organization
- Authors: Lesch, Anthea M
- Date: 2000
- Subjects: Intercultural communication -- South Africa , Communication in management -- South Africa , Communication in personnel management -- South Africa
- Language: English
- Type: Thesis , Masters , MCom
- Identifier: vital:3008 , http://hdl.handle.net/10962/d1002517 , Intercultural communication -- South Africa , Communication in management -- South Africa , Communication in personnel management -- South Africa
- Description: This research study was conducted in an attempt to explore the experience of multicultural communication within a South African organization. To this end employees, representing both Black and White culture, within a South African organization in the throes of transformation, were accessed. A model of managing diversity, focussing on the personal, interpersonal and organizational levels, was utilized in an attempt to uncover the nature of the experience of multi-cultural communication within Company X. A qualitative research design, and more specifically the case study method was employed in this study. Consistent with the case study approach a number of data sources were accessed. The primary data source consisted of a 3-stage interview process. Other data sources included documentary sources and company publications. By accessing multiple data sources, the researcher attempted to gain a holistic understanding of the experience of multi-cultural communication. It was found that the societal context of our post-Apartheid society exercises a profound influence on multi-cultural communication. Under Apartheid cultural separation was promoted. Diverse peoples thus have little common basis for interaction and view each other with skepticism and distrust. This exercises an effect on the personal and organizational levels of the managing diversity model. Influences at the personal level relate to the cultural paradigms of the individuals which provide the rules governing interactions and affect judgements of acceptable and unacceptable behaviours. Issues at the organizational level relate to its structures and policies which are still based on the “white is right ideology”. These issues, in turn, affect the interpersonal level of managing diversity, i.e., where the interactions occur, causing “communication short circuits” within the process of multi-cultural communication. In order to deal with failed multi-cultural communication, the individuals have developed a number of coping strategies. The results of the study indicate that both the organization and its employees share a responsibility for creating an environment that will facilitate effective multi-cultural communication.
- Full Text:
- Date Issued: 2000
- Authors: Lesch, Anthea M
- Date: 2000
- Subjects: Intercultural communication -- South Africa , Communication in management -- South Africa , Communication in personnel management -- South Africa
- Language: English
- Type: Thesis , Masters , MCom
- Identifier: vital:3008 , http://hdl.handle.net/10962/d1002517 , Intercultural communication -- South Africa , Communication in management -- South Africa , Communication in personnel management -- South Africa
- Description: This research study was conducted in an attempt to explore the experience of multicultural communication within a South African organization. To this end employees, representing both Black and White culture, within a South African organization in the throes of transformation, were accessed. A model of managing diversity, focussing on the personal, interpersonal and organizational levels, was utilized in an attempt to uncover the nature of the experience of multi-cultural communication within Company X. A qualitative research design, and more specifically the case study method was employed in this study. Consistent with the case study approach a number of data sources were accessed. The primary data source consisted of a 3-stage interview process. Other data sources included documentary sources and company publications. By accessing multiple data sources, the researcher attempted to gain a holistic understanding of the experience of multi-cultural communication. It was found that the societal context of our post-Apartheid society exercises a profound influence on multi-cultural communication. Under Apartheid cultural separation was promoted. Diverse peoples thus have little common basis for interaction and view each other with skepticism and distrust. This exercises an effect on the personal and organizational levels of the managing diversity model. Influences at the personal level relate to the cultural paradigms of the individuals which provide the rules governing interactions and affect judgements of acceptable and unacceptable behaviours. Issues at the organizational level relate to its structures and policies which are still based on the “white is right ideology”. These issues, in turn, affect the interpersonal level of managing diversity, i.e., where the interactions occur, causing “communication short circuits” within the process of multi-cultural communication. In order to deal with failed multi-cultural communication, the individuals have developed a number of coping strategies. The results of the study indicate that both the organization and its employees share a responsibility for creating an environment that will facilitate effective multi-cultural communication.
- Full Text:
- Date Issued: 2000
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