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Volume 13, Issue 4 (2025)
Health Educ Health Promot 2025, 13(4): 727-734 |
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Received: 2025/10/17 | Accepted: 2025/11/23 | Published: 2025/11/26
Received: 2025/10/17 | Accepted: 2025/11/23 | Published: 2025/11/26
How to cite this article
Ebrahimnejad M, Raoofi S, Alavinasab M, vahidi Y, Salajegheh M, Alikhah H. Performance Evaluation of Integrated Health System from the Viewpoint of Health Center Staff. Health Educ Health Promot 2025; 13 (4) :727-734
URL: http://hehp.daneshafarand.org/article-4-83029-en.html
URL: http://hehp.daneshafarand.org/article-4-83029-en.html
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Authors
Mozhgan Ebrahimnejad 
, Samira Raoofi , Meysam Alavinasab , Yasna Vahidi , Mina Salajegheh , Hossein Alikhah *1
, Samira Raoofi , Meysam Alavinasab , Yasna Vahidi , Mina Salajegheh , Hossein Alikhah *1
Abstract (606 Views)
Background and Aim: The Integrated Health System (SIB) is an electronic platform designed to record, manage, and integrate health information across healthcare centers. By connecting different service levels, it aims to improve data monitoring, coordination, and service delivery. Given its wide application in primary healthcare, this study aimed to evaluate the performance of the SIB system from the perspective of staff working in health centers affiliated with Maragheh University of Medical Sciences.
Methods:
This qualitative study was conducted in 2024 in health centers under the supervision of Maragheh University of Medical Sciences. Data were collected through semi-structured interviews with 26 key informants, including health workers, healthcare providers, and experienced personnel, selected through purposive sampling. Data analysis was performed using conventional content analysis with MAXQDA version 10 software.
Results:
The analysis identified five main themes and nine sub-themes, including system access challenges (internet disruptions and geographical limitations), infrastructural and technical issues (system errors, design weaknesses, limited system development, and support problems), human and occupational impacts (workload and ergonomic challenges), information management issues (data entry, maintenance, processing, and retrieval difficulties), and potential benefits such as increased data accuracy and reduced errors.
Conclusion:
Despite its advantages, the SIB system faces challenges related to infrastructure limitations and insufficient user training. Improving technical infrastructure, providing continuous training, and establishing feedback mechanisms are necessary to enhance system efficiency. Overall, SIB represents an important step toward integrating health information and strengthening the national health system.
Methods:
This qualitative study was conducted in 2024 in health centers under the supervision of Maragheh University of Medical Sciences. Data were collected through semi-structured interviews with 26 key informants, including health workers, healthcare providers, and experienced personnel, selected through purposive sampling. Data analysis was performed using conventional content analysis with MAXQDA version 10 software.
Results:
The analysis identified five main themes and nine sub-themes, including system access challenges (internet disruptions and geographical limitations), infrastructural and technical issues (system errors, design weaknesses, limited system development, and support problems), human and occupational impacts (workload and ergonomic challenges), information management issues (data entry, maintenance, processing, and retrieval difficulties), and potential benefits such as increased data accuracy and reduced errors.
Conclusion:
Despite its advantages, the SIB system faces challenges related to infrastructure limitations and insufficient user training. Improving technical infrastructure, providing continuous training, and establishing feedback mechanisms are necessary to enhance system efficiency. Overall, SIB represents an important step toward integrating health information and strengthening the national health system.
Keywords:
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References
1. Shirvani S, Maleki M, Motlagh M, Kavosi Z, Tofighi S, Gohari M. Self assessment of Iran universities of medical sciences based on European foundation for quality management (EFQM) and Iran excellence model. World Appl Sci J. 2011;15(10):1391-7. [Link]
2. Al-Rawajfah O, Tubaishat A. Barriers and facilitators to using electronic healthcare records in Jordanian hospitals from the nurses' perspective: A national survey. Inform Health Soc Care. 2019;44(1):1-11. [Link] [DOI:10.1080/17538157.2017.1353998]
3. WHO. Pandemic influenza preparedness and response: A WHO guidance document. Geneva: World Health Organization; 2009. [Link]
4. Ammenwerth E, Gräber S, Herrmann G, Bürkle T, König J. Evaluation of health information systems-problems and challenges. Int J Med Inform. 2003;71(2-3):125-35. [Link] [DOI:10.1016/S1386-5056(03)00131-X]
5. Barzekar H, Safdari R, Eshraghiyan MR, Dargahi H. The study of organizational factors affecting the application of information technology by middle managers in TUMS hospitals. PAYAVARD SALAMAT. 2013;7(2):123-32. [Persian] [Link]
6. Shahmoradi L, Ahmadi M, Haghani H. Defining evaluation indicators of health information systemsand a Model Presentation. J Health Adm. 2007;10(28):15-24. [Persian] [Link]
7. Asadi F, Hosseini A, Moghaddasi H, Nasr Haydarabadi N. Primary health care information systems in health centers of Tehran, Iran. Health Inf Manag. 2012;9(1). [Persian] [Link]
8. Khammarnia M, Setoodehzadeh F, Peyvand M, Setayesh AH, Rezaei K, KordTamini A, et al. Evaluation of integrated health system technology acceptance among the users of health centers of Zahedan University of Medical Sciences; Iran. Evid Based Health Policy Manag Econ. 2019;3(3):154-61. [Link] [DOI:10.18502/jebhpme.v3i3.1503]
9. Paré G, Raymond L, De Guinea AO, Poba-Nzaou P, Trudel MC, Marsan J, et al. Barriers to organizational adoption of EMR systems in family physician practices: A mixed-methods study in Canada. Int J Med Inform. 2014;83(8):548-58. [Link] [DOI:10.1016/j.ijmedinf.2014.06.003]
10. Kalkhajeh SG, Aghajari A, Dindamal B, Shahvali-Kuhshuri Z, Faraji-Khiavi F. The integrated electronic health system in Iranian health centers: Benefits and challenges. BMC Prim Care. 2023;24(1):53. [Link] [DOI:10.1186/s12875-023-02011-x]
11. Bitaraf S, Janani L, Hajebi A, Motevalian SA. Information system success of the Iranian integrated health record system based on the clinical information system success model. Med J Islam Repub Iran. 2022;36:25. [Link] [DOI:10.47176/mjiri.36.25]
12. Rezapour R, Dorosti AA, Farahbakhsh M, Azami-Aghdash S, Iranzad I. The impact of the Covid-19 pandemic on primary health care utilization: An experience from Iran. BMC Health Serv Res. 2022;22(1):404. [Link] [DOI:10.1186/s12913-022-07753-5]
13. Gu D, Li T, Wang X, Yang X, Yu Z. Visualizing the intellectual structure and evolution of electronic health and telemedicine research. Int J Med Inform. 2019;130:103947. [Link] [DOI:10.1016/j.ijmedinf.2019.08.007]
14. Jebraeili M, Ahmadi M, Hajavi A, Gouhari MR, Sedghi JM, Zare Z. Electronic health records: Personnel readiness assessment. J Health Adm. 2010;13(39):17-24. [Persian] [Link]
15. Valaitis R, Martin-Misener R, Wong ST, MacDonald M, Meagher-Stewart D, Austin P, et al. Methods, strategies and technologies used to conduct a scoping literature review of collaboration between primary care and public health. Prim Health Care Res Dev. 2012;13(3):219-36. [Link] [DOI:10.1017/S1463423611000594]
16. Flatow V, Ibragimova N, Divino C, Eshak D, Twohig B, Bassily-Marcus A, et al. Quality outcomes in the surgical intensive care unit after electronic health record implementation. Appl Clin Inform. 2015;6(4):611-8. [Link] [DOI:10.4338/ACI-2015-04-RA-0044]
17. Mohammadi AM, Saeed S. Evaluating the performance of the integrated health system in the quality of health care delivery from the viewpoint of health workers and health care providers throughout iran in 2020. J Health Biomed Inform. 2021;8(2):184-92. [Persian] [Link]
18. Sadoughi F, Aminpour F. How to evaluate health information systems: Evaluation stages. Iran J Med Educ. 2011;10(5):950-63. [Persian] [Link]
19. Kimiafar K. Designing a model for assessing the success and failure of hospital information systems in Iran [MA Thesis]. Tehran: Iran University of Medical Sciences; 2013. [Persian] [Link]
20. Fortune J, Peters G. Information systems: Achieving success by avoiding failure. Hoboken: Wiley; 2005. [Link]
21. Alipour J, Karimi A, Ebrahimi S, Ansari F, Mehdipour Y. Success or failure of hospital information systems of public hospitals affiliated with Zahedan University of Medical Sciences: A cross sectional study in the Southeast of Iran. Int J Med Inform. 2017;108:49-54. [Link] [DOI:10.1016/j.ijmedinf.2017.10.005]
22. Jafari H, Ranjbar M, Amini-Rarani M, Hashemi F, Bidoki SS. Experiences and views of users about delivering services through the integrated health system: A qualitative study. TOLOOEBEHDASHT. 2020;19(2):57-71. [Persian] [Link] [DOI:10.18502/tbj.v19i2.3396]
23. Yazdanpanah A, Eatemadololama H, Hessam S. Investigating the obstacles of implementing health information systems from viewpoint of personnel of Mehriz healthcare system in 2017. 2018;3(1):74-8. [Link] [DOI:10.22270/ujpr.v3i1.R13]
24. Mirani N, Ayatollahi H, Haghani H. A survey on barriers to the development and adoption of electronic health records in Iran. J Health Adm. 2013;15(50):65-75. [Persian] [Link]
25. Naseri S, Saremi M, Namdari M, Pouyakian M. Usability of the integrated health system (SIB) among public health and midwifery users. J Health Adm. 2022;25(3):87-107. [Persian] [Link]
26. Taheri F, Kavousi A, Faghihnia TY, Farshad AA, Saremi M. Validity and reliability assessment of Persian version of system usability scale (sus) for traffic signs. Iran Occup Health. 2017;14(1):12-22. [Persian] [Link]
27. Torabian S, Damari B, Cheraghi MA. 'Rural Insurance': Family physicians' satisfaction. PAYESH. 2014;13(5):561-73. [Persian] [Link]
28. Sadoughi F, Ahmadi M, Shahi M, Davari Dolatabadi N. Minimum data set for elderly health: A comparison of selected countries. J Health Biomed Inform. 2016;2(4):248-56. [Persian] [Link]
29. Kabir MJ, Ashrafian AH, Rabiee SM, Keshavarzi A, Hosseini S, Nasrollahpour SSD. Satisfaction of urban family physicians and health care providers in Fars and Mazandaran provinces from integrated health system. J Health Biomed Inform. 2018;4(4):244-52. [Persian] [Link]
30. Tavakoli F, Nasiripour A, Reyahi L, Mahmoodi M. The effect of health policy and structure of health insurance on referral system in the urban family physician program in Iran. J Health Manag. 2017;8(3):85-93. [Persian] [Link]
31. Imani E, Khademi Z, Yousefi P, Bahrami Z, Nagizadeh F. Experiences of nursing managers about hospital information system: A qualitative study. Hormozgan Med J. 2014;16(3):223-32. [Link]
32. Lasloom AAA, Alsharari YS, Alsharari TS, Alazmi AM, Aljabbab BM, Alkhaibari MI, et al. Comprehensive analysis of integrated healthcare systems: Health administration, social services, health insurance, medical secretarial work, and health informatics. J Ecohumanism. 2024;3(8). [Link] [DOI:10.62754/joe.v3i8.5640]
33. Stylianides A, Mantas J, Roupa Z, Yamasaki EN. Development of an evaluation framework for health information systems (DIPSA). Acta Inform Med. 2018;26(4):230-4. [Link] [DOI:10.5455/aim.2018.26.230-234]
34. Khudoba O, Yukalo M. Management aspects of the integration of medical statistics and information systems for effective resource planning in the healthcare system. Econ Scope. 2025. [Link] [DOI:10.30838/EP.196.123-127]
35. Tham TY, Tran TL, Prueksaritanond S, Isidro JS, Setia S, Welluppillai V. Integrated health care systems in Asia: An urgent necessity. Clin Interv Aging. 2018;13:2527-38. [Link] [DOI:10.2147/CIA.S185048]
36. Veillard J, Cowling K, Bitton A, Ratcliffe H, Kimball M, Barkley S, et al. Better measurement for performance improvement in low‐and middle‐income countries: The primary health care performance initiative (PHCPI) experience of conceptual framework development and indicator selection. Milbank Q. 2017;95(4):836-83. [Link] [DOI:10.1111/1468-0009.12301]
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