Dissertations / Theses on the topic 'Health services administration – Information technology – Evaluation'
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Forsyth, Rowena Public Health & Community Medicine Faculty of Medicine UNSW. "Tricky technology, troubled tribes: a video ethnographic study of the impact of information technology on health care professionals??? practices and relationships." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/30175.
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Whilst technology use has always been a part of the practice of health care delivery, more recently, information technology has been applied to aspects of clinical work concerned with documentation. This thesis presents an analysis of the ways that two professional groups, one clinical and one ancillary, at a single hospital cooperatively engage in a work practice that has recently been computerised. It investigates the way that a clinical group???s approach to and actual use of the system creates problems for the ancillary group. It understands these problems to arise from the contrasting ways that the groups position their use of documentation technology in their local definitions of professional status. The data on which analysis of these practices is based includes 16 hours of video recordings of the work practices of the two groups as they engage with the technology in their local work settings as well as video recordings of a reflexive viewing session conducted with participants from the ancillary group. Also included in the analysis are observational field notes, interviews and documentary analysis. The analysis aimed to produce a set of themes grounded in the specifics of the data, and drew on TLSTranscription?? software for the management and classification of video data. This thesis seeks to contribute to three research fields: health informatics, sociology of professions and social science research methodology. In terms of health informatics, this thesis argues for the necessity for health care information technology design to understand and incorporate the work practices of all professional groups who will be involved in using the technology system or whose work will be affected by its introduction. In terms of the sociology of professions, this thesis finds doctors and scientists to belong to two distinct occupational communities that each utilise documentation technology to different extents in their displays of professional competence. Thirdly, in terms of social science research methodology, this thesis speculates about the possibility for viewing the engagement of the groups with the research process as indicative of their reactions to future sources of outside perturbance to their work.
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Hu, Paul Jen-Hwa 1962. "Management of telemedicine technology in healthcare organizations: Technology acceptance, adoption, evaluation, and their implications." Diss., The University of Arizona, 1998. http://hdl.handle.net/10150/282579.
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As an exciting information technology-based innovation, telemedicine has potential to enhance physicians' patient care and management, improve healthcare organizations' operations and performance, and cause a paradigmatic shift in health care toward a progressively emerging digital practice. Previous research has concentrated on technology developments and clinical applications and therefore offers limited discussion of technology management. Managing telemedicine technology in healthcare organizations is so complex and dynamic that it has been an important factor in the failure of many early telemedicine attempts. This dissertation research directly addressed organizational management of telemedicine technology. To deal with complexity and dynamism, the research took a multi-phase approach, using a research framework built upon a well-established theoretical foundation. Case study was used in the exploratory phase to provide detailed understanding of the underlying technology implementation process and to generate specific research questions or models for the subsequent descriptive/explanatory phase. Systematic linkage of these investigations was safeguarded by desired methodological triangulation. Findings from the case study and substantiating interviews identified technology acceptance, adoption and evaluation as problematic areas in organizational technology management. Findings of a survey study administered to most physicians practicing in public tertiary hospitals in Hong Kong suggested that perceived usefulness and ease of use, self-efficacy, and subjective norms were important to their accepting telemedicine technology. Similarly, a survey conducted with hospital executive officers, chiefs of service and center directors of all Hong Kong public healthcare establishments indicated that service needs, attitudes of medical staff, and the technology's benefits, risks and compatibility were essential to organizational technology adoption. In addition, results of an evaluative experimental study showed that the clinical decision- making of physicians can be improved through use of appropriate telemedicine technology. The combined findings suggested that these separate technology management issues were closely interrelated rather than isolated. Effects of a technology on physicians' patient care and management practice have important impacts on their technology acceptance, which, in turn, needs to be considered by their affiliating organization when making an adoption decision.
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Johnson, Kendra, Kim K. Nguyen, Shimin Zheng, and Robin P. Pendley. "The Relationship between Quality Improvement and Health Information Technology Use in Local Health Departments." UKnowledge, 2013. https://uknowledge.uky.edu/frontiersinphssr/vol2/iss6/2.
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This research examined if there is a relationship between engagement in quality improvement (QI) and health information technology (HIT) for local health departments (LHDs) controlling for workforce, finance, population, and governance structure. This was a cross-sectional study that analyzed data obtained from the Core questions and Module 1 in the NACCHO 2010 Profile of LHDs. Descriptive statistics, bivariate analyses, and logistic regression analyses were conducted. Findings suggest that LHD engagement in QI has a relationship with utilization of HIT including electronic health records, practice management systems, and electronic syndromic surveillance systems. This study provides baseline information about the HIT use of LHDs. LHDs and their system partners (hospitals, federally qualified health centers, and primary care providers) that utilize HIT as part of their QI decision making may have an easier time of using data to support evidence-based decision making and implementing the provisions of the Patient Protection and Affordable Care Act of 2010 in order to achieve population health for all.
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Peabody, Tyler Robert, and Tali Freed. "RFID TECHNOLOGY SELECTION AND ECONOMIC JUSTIFICATION FOR HEALTHCARE ASSET TRACKING." DigitalCommons@CalPoly, 2013. https://digitalcommons.calpoly.edu/theses/1041.
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Although Radio Frequency Identification (RFID) and Real-Time Location System (RTLS) technologies for inventory tracking have been growing in popularity, the healthcare industry has been reluctant to adopt these technologies. One of the primary reasons for this lack of enthusiasm has been the risk associated with electromagnetic interference between RFID/RTLS systems and medical equipment functionality. The other reason has been the substantial cost and complexity of implementing RFID/RTLS in healthcare organizations. In this study, we show that there are several ways to safely install RFID/RTLS systems to improve the inventory management processes of hospitals and clinics. We then analyze the inventory shrinkage (loss and theft) data of the Veterans Health Administration VISN 10 (the Veterans Integrated Service Network of Ohio) using a mathematical model to estimate the annual shrinkage. Finally, we develop an economic cost/benefit analysis database system in Microsoft Access that can be used to calculate the breakeven point of RFID/RTLS implementations, as well as calculate the expected reduction in inventory- related operating costs. This system can be adapted for cost/benefit analyses in similar inventory-intensive environments.
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Hardy, Jennifer Lynette. "Healthcare providers communication mechanisms using a case management model of care implications for information systems development, implementation & evaluation /." Access electronically, 2006. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20060731.120940/index.html.
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Webb, Janet Marie. "Information about primary care physicians considered most useful by managed health care consumers." CSUSB ScholarWorks, 1997. https://scholarworks.lib.csusb.edu/etd-project/1370.
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Matondolo, Siyamthanda Luthando. "Utilisation of ICT in healthcare centre to support HIV/AIDS flow of information and service delivery In Khayelitsha." Thesis, Cape Peninsula University of Technology, 2012. http://hdl.handle.net/20.500.11838/2477.
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Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2012.This research is an attempt to investigate the utilisation of Information Communication Technology (ICT) in Healthcare to support the flow of HIV/AIDS patient’s general information in public and private sector. Furthermore, the research examines the detail flow of database information for healthcare service delivery to patients, in particular HIV/AIDS patients, in Khayelitsha Township. Finally, the research will detail the types of technologies currently being utilised to transfer this information, technology utilised for capturing or data collection profile of the patient. The research study data collecting was done in 2009 in mostly private and public healthcare centre in Khayelitsha township. First, the study will concentrate on general utilisation of ICT in healthcare service delivery and flow of information for public and private sector healthcare centres. Additionally, the research also looks at NGOs such as HIV/AIDS Unit in Cape Peninsula University of Technology (CPUT) and Treament Action Campaign (TAC) to find out what ICT equipment is being utilised to transfer this information to adult people to inform and make them to be aware of HIV/AIDS and improve healthcare service delivery to patients and particularly to HIV/AIDS patients. Taking NGO’s such as TAC and CPUT HIV/AIDS Unit that are well informed about HIV/AIDS, nationally and internationally will make our research results to be more precise. The research will also look at the utilisation of ICT in flow of information at healthcare centre such as communication between healthcare providers such as receptionist/clerk, nurses, doctors and medical researchers since they are the first people who deal with HIV/AIDS patient cases when they come for healthcare provision.
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Okoro, Chris U. "Perspectives of Primary Care Physicians on Adopting Electronic Medical Records in the Atlanta, Georgia Area." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5923.
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Slow adoption of electronic medical records (EMR) by primary care physicians in medical office practices has not facilitated the EMR adoption process. The problem is the slow pace of EMR adoption by primary care physicians in the Atlanta, Georgia area has become a public health concern. Research regarding the lived experiences of these physicians with EMR implementation and utilization may identify reasons for the slow adoption. The purpose of this phenomenological study was to explore the lived experiences of primary care physicians, who practice in the Atlanta area, regarding their perception, successes, barriers, and urgency of adoption of EMR in their healthcare practice. Lewin's change management model of health services served as the framework for the study. Data was collected during face-to-face interviews with 19 primary care physicians at Grady's Ponce de Leon Clinic and Grady's East Point Clinic in Atlanta, Georgia. Participants were physicians or residents and not those in authority to make decisions about the EMR at the two clinics. NVivo 10 and automatic coding was used for data analysis to develop themes from the interviews. The findings revealed that the adoption of EMR has enabled primary care physicians to spend more time with their patients, but the barriers such as a lack of interoperability and lack of training, has fostered a feeling of disinterestedness towards EMR adoption. This study supports positive social change that EMR adoption aids in improving patient safety and outcome.
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Sansom, Karen. "Indicators of Academic Success in a Medical Record Technology Program & Their Relationship to Attainment of a Passing Score on the Accreditation Examination." TopSCHOLAR®, 1989. https://digitalcommons.wku.edu/theses/2810.
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During the selection and retention process in a medical record technology program, it is advantageous to identify those students who will fulfill the program's course requirements, as well as subsequently pass the accreditation examination. Graduates of such a program at Wbstern Kentucky University were studied to identify these demoaraphic and academic indicators. Using a stepwise multiple regression analysis, the variables of high school grade point average (GPA), college GPA, and composite ACT score were found to be significantly related to medical record GPA. Using the maximum Rsquare improvement technique, the variables of high school GPA, college GPA, age entering the program, English ACT score and number of credits at graduation were found to be significantly related to overall college GPA at graduation. Multiple regression analysis indicated that high school GPA and composite ACT score were found to be the best predictors of overall performance on the accreditation exam, though the relationship was not significant. Using the discriminant analysis technique, several variables were found to be significant in determining which students will pass the exam and which students will fail. Based on information age when entering the program, and number of medical record core courses repeated contributed significantly to the model. The model was applied to the actual data with a pass/fail accuracy rate of 82% for all students and a rate of 84% for those students passing the exam. Based on additional information after graduation, the variables of medical record GPA, composite ACT score, age when entering the program, and number of credits received at graduation contributed significantly to the model. The model was applied to the actual data with a pass:fail accuracy rate of 78% for all students and a rate of 89% for those students failing the exam.
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Gaudet, Cynthia. "Electronic Bedside Documentation and Nurse-Patient Communication: A Dissertation." eScholarship@UMMS, 2014. https://escholarship.umassmed.edu/gsn_diss/32.
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Nurses are often the first members of the health care team with whom patients interact. The initial impression of the nurses’ receptiveness to the patients’ needs influences the patients’ views of their overall care. Researchers have suggested that understanding communication between individuals can provide the human link, or social element, to the successful implementation and use of electronic health records, including documentation (Lanham, Leykum, & McDaniel, 2012). Zadvinskis, Chipps, and Yen (2014) identified that the helpful features of bedside documentation systems were offset by the mismatch between the system and nurse’s workflow. The purpose of this micro-ethnography study was to explore the culture of nurse-patient interaction associated with electronic documentation at the bedside. Data were collected through passive participant observation, audio-taping of the nurse-patient interactions, and informal and semi-structured interviews with the nurses. A total of twenty-six observations were conducted on three nursing units at an urban healthcare facility in New England. These three units were occupied by similar patient populations and all patients required cardiac monitoring. Three themes consistently emerged from qualitative data analysis: the nurses paused during verbal communication, the nurses played a game of tag between the patient and the computer, and the nurses performed automatic or machine-like actions. The participants described these themes in the informal and semi-structured interviews. The nurses’ actions were observed during passive participant observation, and the audio-taped interactions supported these themes. Understanding the adaptation of caregiving necessitated by bedside electronic documentation will have a positive impact on developing systems that interface seamlessly with the nurses’ workflow and encourage patients’ active participation in their care.
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Ito, Fukunaga Mayuko. "Empowering Patients for Shared Decision Making in Lung Cancer Screening via Text Messages." eScholarship@UMMS, 2020. https://escholarship.umassmed.edu/gsbs_diss/1113.
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Background: Shared decision-making (SDM) counseling for lung cancer screening is recommended by multiple professional societies and mandated by the Center for Medicare and Medicaid Services since lung cancer screening has both benefits and risks. However, uptake of SDM counseling as well as lung cancer screening itself remain low. We sought to develop educational text messages about lung cancer screening as an innovative implementation intervention tool to promote patient-provider discussion about lung cancer screening.
Methods: After the study team drafted educational text messages about lung cancer screening, informed by existing decision aids, participants who had had lung cancer screening were recruited and asked to review and edit text messages. After that, participants eligible for lung cancer screening without the previous screening experience were recruited and were asked to select the messages to be included in this text message intervention. The final set of 14 text messages were delivered to the participants both with and without the previous lung cancer screening over a period of 14 days. Participants completed a telephone survey assessing their reactions to the messages after receiving the last message.
Results: We successfully involved twelve participants with lung cancer screening experience and eleven lung cancer screening eligible participants without previous screening experience in the development of educational text messages about lung cancer screening. After one participant withdrew, 22 participants received text messages and completed the survey regarding the messages. Most participants (18 of 22) reported reading all 14 text messages, however most recommended sending fewer messages (median recommended number of messages = 10). Participants found the educational text messages informative. Only four participants reported the text messages triggered anxiety and two reported text messages disrupted their daily activities. Participants perceived the text messages would empower patients to discuss lung cancer screening with their providers.
Conclusion: Participants generally supported the use of educational text messages about lung cancer screening to increase patients’ awareness and promote patient-provider discussion. Engaging patients in the development and evaluation of text messages elicited helpful feedback that will inform the content of the messages to be delivered via this lung cancer screening text messages intervention.
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Bazile, Emmanuel Patrick. "Electronic Medical Records (EMR): An Empirical Testing of Factors Contributing to Healthcare Professionals’ Resistance to Use EMR Systems." NSUWorks, 2016. http://nsuworks.nova.edu/gscis_etd/964.
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The benefits of using electronic medical records (EMRs) have been well documented; however, despite numerous financial benefits and cost reductions being offered by the federal government, some healthcare professionals have been reluctant to implement EMR systems. In fact, prior research provides evidence of failed EMR implementations due to resistance on the part of physicians, nurses, and clinical administrators. In 2010, only 25% of office-based physicians have basic EMR systems and only 10% have fully functional systems. One of the hindrances believed to be responsible for the slow implementation rates of EMR systems is resistance from healthcare professionals not truly convinced that the system could be of substantive use to them.
This study used quantitative methods to measure the relationships between six constructs, namely computer self-efficacy (CSE), perceived complexity (PC), attitude toward EMR (ATE), peer pressure (PP), anxiety (AXY), and resistance to use of technology (RES), are predominantly found in the literature with mixed results. Moreover, they may play a significant role in exposing the source of resistance that exists amongst American healthcare professionals when using Electronic Medical Records (EMR) Systems. This study also measured four covariates: age, role in healthcare, years in healthcare, gender, and years of computer use. This study used Structural Equation Modeling (SEM) and an analysis of covariance (ANCOVA) to address the research hypotheses proposed. The survey instrument was based on existing construct measures that have been previously validated in literature, however, not in a single model. Thus, construct validity and reliability was done with the help of subject matter experts (SMEs) using the Delphi method. Moreover, a pilot study of 20 participants was conducted before the full data collection was done, where some minor adjustments to the instrument were made. The analysis consisted of SEM using the R software and programming language.
A Web-based survey instrument consisting of 45 items was used to assess the six constructs and demographics data. The data was collected from healthcare professionals across the United States. After data cleaning, 258 responses were found to be viable for further analysis. Resistance to EMR Systems amongst healthcare professionals was examined through the utilization of a quantitative methodology and a cross-sectional research measuring the self-report survey responses of medical professionals. The analysis found that the overall R2 after the SEM was performed, the model had an overall R2 of 0.78, which indicated that 78% variability in RES could be accounted by CSE, PC, ATE, PP, and AXY. The SEM analysis of AXY and RES illustrated a path that was highly significant (β= 0.87, p < .001), while the other constructs impact on RES were not significant. No covariates, besides years of computer use, were found to show any significance differences.
This research study has numerous implications for practice and research. The identification of significant predictors of resistance can assist healthcare administrators and EMR system vendors to develop ways to improve the design of the system. This study results also help identify other aspects of EMR system implementation and use that will reduce resistance by healthcare professionals. From a research perspective, the identification of specific attitudinal, demographic, professional, or knowledge-related predictors of reference through the SEM and ANCOVA could provide future researchers with an indication of where to focus additional research attention in order to obtain more precise knowledge about the roots of physician resistance to using EMR systems.
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Mchunu, Nokubalela Ntombiyethu. "Adequacy of healthcare information systems to support data quality in the public healthcare sector, in the Western Cape, South Africa." Thesis, Cape Peninsula University of Technology, 2012. http://hdl.handle.net/20.500.11838/1387.
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Thesis submitted in fulfilment of the requirements for the degree
Master of Technology (MTech) in Information Technology
In the Faculty of Informatics and Design,
at the Cape Peninsula University of Technology (CPUT), 2013Healthcare services are vital to all human beings, as our daily lives depend on them. In South Africa approximately eighty per cent of the population uses the public healthcare services. In the current healthcare systems data corruption exists which threatens data quality in the systems. The aim of this study was to understand the existing information handling processes and factors that affect the accuracy and integrity of healthcare data. A qualitative research methodology, under the interpretive paradigm was used for this investigation. Activity theory is used to formulate an analytical framework, the “healthcare information system data quality activity theory framework”. This was very helpful for understanding the healthcare information handling process as an activity system that consists of actors with individual goals. Though the goals are varied, they are joined together by the common objective. The logic of the framework is that a realisation of goals in the activity system depends on a number of factors. At the beginning, there must be a synchronous inter-linkage between the goals of the actors, the mediating factors such as adequate tools, user skills, enabling policies, and the systematic procedures that are diligently enforced. It is assumed that any situation which prevents this inter-linkage will have a negative impact on the realisation of the sought objective. The framework therefore, was very helpful in informing questions, the data collection and ultimately, the analysis processes. The public healthcare sector is the main source of data; other sources were literature, the Internet and books. The analysis of data was done using content analysis to find what themes emerge and the relationship (s) between them in what is being analysed. The findings reveal a lack of adherence to information handling procedures and processes which lead to corrupt data in the systems. In addition, most users have limited skills, which is a hindrance to them in performing their duties as expected by the healthcare sector. In fact, the healthcare sector is also challenged by systems which are constantly slow or down, due to limited network capacity and human errors. The presence of these challenges suggests non-adherence to data handling procedures, which explains the existing corrupt data in the healthcare systems. Therefore the recommendation is that the public healthcare administration must enhance their training programs. The training must be re-designed to cater for the needs of all users, regardless of their background. It needs to improve user skills and boast their confidence in using electronic systems. Obviously, any changes and improvements need to be sustainable, and the sector is unlikely to succeed without enforcement of new procedures. Therefore, adherence to data handling procedures must be strictly enforced, with policies thoroughly communicated to the users. That way, the sector will not only have systems and related policies, but also ensure their full exploitation for improved service delivery in the public healthcare sector in South Africa.
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Ling, Meng-Chun. "Senior health care system." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2785.
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Senior Health Care System (SHCS) is created for users to enter participants' conditions and store information in a central database. When users are ready for quarterly assessments the system generates a simple summary that can be reviewed, modified, and saved as part of the summary assessments, which are required by Federal and California law.
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Saladino, Renato Sebastiao. "Contribuição para estudo do uso de sistemas de informações gerenciais nos laboratórios de análises clínicas de pequeno, médio e grande porte e porte extra na Grande São Paulo, em 2005." Universidade de São Paulo, 2005. http://www.teses.usp.br/teses/disponiveis/9/9136/tde-19012018-155420/.
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Os Laboratórios de Análises Clínicas têm acompanhado a evolução da ciência médica e da tecnologia de diagnóstico. Buscam atender as necessidades de pacientes e médicos. A evolução dos computadores favorece uso de sistemas de informações nos laboratórios. Os sistemas computadorizados auxiliam o Laboratório, melhorando serviços e diminuindo erros. Quando um laboratório informatiza sua emissão de laudos, está fazendo uso de um sistema de processamento de transações. O laboratório pode utilizar dados armazenados, adicionar dados externos, fazendo uso de um sistema de informações gerenciais. Este estudo verifica se laboratórios de análises clínicas da Grande São Paulo, que emitem seus laudos por computador, também fazem uso de um sistema de informações gerencial. Foram entrevistados 32 laboratórios, 9 pequenos, 14 médios, 7 grandes e 2 de porte extra Concluiu-se que nenhum dos laboratórios possui um sistema de informações gerencial pleno, e que o porte do laboratório não influencia nas características dos sistemas utilizados.The Clinical Analyses Laboratories have folloied the evolution of medical science and the technology of diagnosis. They search to look after to the necessities of patients and physicians. The evolution of the computers favors use of information systems in the laboratories. The assist the Laboratory, improving services and diminishing errors. When a laboratory use a computerized systems its emission of results, is making uses of a transactions processing system. The laboratory can use stored data, add external data, making use a management information system. This study verifies if clinical analyses laboratories of the Grande São Paulo, that emit its results by computer, also make use of a management information system. 32 laboratories, 9 small ones, 14 medium, 7 big and 2 of extra size had been interviewed. It was concluded that none of the laboratories possess a full of management information system, and that the size of the laboratory does not influence in the characteristics of the used systems.
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Lucchesi, Maurício. ""A gestão de unidades de saúde mental em hospitais gerais na grande São Paulo"." Universidade de São Paulo, 2001. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-09082005-141938/.
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Apesar de terem surgido há mais de um século na Europa, o crescimento do número de unidades de saúde mental em hospitais gerais no Brasil veio de encontro às diretrizes das reformas sanitária e psiquiátrica propaladas partir da década de setenta. Desde então, essas unidades não foram submetidas a uma avaliação sistemática. O presente trabalho teve por objetivo conhecer os modos de funcionamento, a inserção na rede de assistência à saúde mental e o compromisso populacional de algumas dessas unidades na Região Metropolitana da Grande São Paulo. Para isso buscou-se obter, segundo a lógica de um processo avaliatório, as premissas que norteariam o uso de informações por gestores situados em diversos níveis em relação às unidades estudadas. Os resultados evidenciaram falta de clareza quanto ao papel desse tipo de equipamento dentro da rede assistencial, o que parece ser fruto da ausência de uma política de saúde mental na região. As dificuldades mais freqüentemente relatadas, como a impossibilidade de garantir a vinculação de pacientes em serviços extra-hospitalares especializados após a internação e a grande proporção de pacientes que chegam aos pronto-atendimentos sem necessitarem de um cuidado de urgência, não foram tidas como passíveis de algum tipo de resposta por parte dos hospitais gerais. Nas unidades, onde se privilegiam informações sobre a produção dos serviços em detrimento da avaliação do acesso e do impacto no estado de saúde da população que reside na área de abrangência do hospital, há um funcionamento independente do restante da rede, o que contribui para a fragmentação e iniqüidade da assistência à saúde mental. Um dos principais exemplos é a exclusão de pacientes das enfermarias psiquiátricas dos hospitais gerais, particularmente os cronificados, cuja patologia impossibilita a efetividade da terapêutica médica dentro do prazo estipulado para a internação. Em contrapartida, foram identificadas iniciativas que pretendem resgatar a integralidade da atenção, prioritariamente aos pacientes que merecem intervenções de maior complexidade e de longo prazo. Quanto ao cuidado aos pacientes portadores de transtornos mentais mais prevalentes, uma alternativa seria utilizar mecanismos de pressão entre os quais informações sobre a utilização dos pronto-atendimentos psiquiátricos para que os gestores municipais passem a investir nesse sentido.Although having appeared more than a century ago in Europe, the increase in the number of mental health units in general hospitals in Brazil met the guidelines of the public health and psychiatric reforms propagated since the early seventies. Since then, these units haven't been submitted to a systematic assessment. The objective of present work was to be acquainted with the functioning modes of some of these units in São Paulo metropolitan area, their insertion in the mental health assistance system and their commitment to the population. In order to do so, there was an attempt to obtain, according to an assessment logic, the premisses guiding the use of information by the managers situated in different levels in relation to the studied units. The findings showed little clarity concerning the uses of such instruments inside the assistance system, which seems to be connected to the lack of a mental health policy for the studied region. The most frequently mentioned difficulties, like the impossibility to guarantee the patient the continuity of the treatment in the extra hospital services, after he has left the hospital, and the great proportion of patients that arrive at urgency services without having the need to receive urgent care, were not seen as something that general hospitals themselves could contribute to. The units, where the information about the services' production were privileged to the prejudice of the assesment of the services' access and the impact of the unit on the healthconditions of the population living under its referal areas, function independently of the rest of the mental health services, which contributes to the mental health care fragmentation and iniquity. One of the principal examples is the exclusion of patients from the the general hospitals' psychiatric inpatient services, especially the chronically mentally ill, whose pathologies make an effective treatment impossible, considering the period of time set for hospitalization. On the other hand, there has been identified initiatives that wish to redeem the integrate care, especially for the patients that require a more complex and long run treatment. An alternative for the care of the patients that have the most prevalent disabilities would be the use of pressure mechanisms like information concerning the uses of psychiatric urgency services to estimulate local managers investments.
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Smith, Ursula Antoinnette. "The effects of information technology on the delivery of nursing care : a comparative study." Thesis, 2016. http://hdl.handle.net/10321/1512.
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Submitted in fulfillment of the requirements for the Degree in Masters of Technology in Nursing, Department of Nursing, Durban University of Technology, Durban, South Africa, 2016.Background In response to the advances made in information technology (IT), many healthcare institutions worldwide have integrated IT into their healthcare systems. Some hospitals in South Africa have changed to a computer- based system for the delivery of nursing care and nursing documentation, whereas others still use a paper-based system. The main aim of introducing IT in nursing is to improve the quality of nursing care. Research has shown, however, that IT can negatively impact on the quality of nursing care rather than improve it. This study compared the delivery of nursing care in two public hospitals in the eThekwini district in KwaZulu-Natal: one hospital which uses a computer-based documentation system for patient care and one hospital which uses a paper-based documentation system. Aim of the study The aim of the study is to determine the effects of IT on the delivery of nursing care as experienced by registered and enrolled nurses working in the hospital setting. Methodology A quantitative comparative descriptive design was used in this study. The delivery of nursing care in a hospital which uses a computer-based documentation system for patient care was compared with a hospital which uses a paper-based documentation system. The participants in this study were registered and enrolled nurses working in the wards and units of the two selected hospitals. Data was collected through the administration of a questionnaire (Appendix G) directed at the registered and enrolled nurses in the two hospitals involved in the study. One hundred percent of registered and enrolled nurses in the two selected hospitals at the time of data collection were approached and invited to participate in the study. One hundred and four participants for the hospital which uses a computer-based documentation system and 104 participants for the hospital which uses a paper-based documentation system were willing to participate in the study. Data was summarised and described using descriptive statistics such as frequencies, measures of central tendency such as means and modes, as well as means of variability such as range, variance and standard deviation. Graphs and tables were used to graphically represent the data. Data analysis was done using the Statistical Package for the Social Sciences (SPSS), version 22. Findings The effects of IT on the delivery of nursing care was measured by the quality of nursing documentation, the amount of time nurses have available for hands-on patient care and the reduction of medication errors. This study revealed that IT positively affected the experiences of nurses with the delivery of nursing care, with only a few exceptions. Information technology did not decrease the use of unauthorised abbreviations. It also did not improve the time nursing care was rendered being reflected in nursing documentation. Errors being made when entering patient data from, for example, cardiac monitors, intravenous pumps or results to investigations into the patient’s record were not decreased by IT. Furthermore, IT failed to improve nurses being alerted to drug interactions and to contra-indications of prescribed medications. There were a few instances where IT had a negative effect on the delivery of nursing care. Information technology increased the need to copy the same data when creating and updating a nursing care plan as well as documenting nursing care. Although the need for taking telephonic orders was reduced through the use of IT, it was found that when nurses in the hospital with a computer-based documentation system took telephonic orders, errors were made more often than when nurses in the hospital with a paper-based documentation system took telephonic orders.
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Bhana, Rakshika Vanmali. "A review of health care indicators in the South African district health information system used for planning, monitoring and evaluation." Thesis, 2010. http://hdl.handle.net/10413/797.
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Serame, Fundisile. "Determinant analysis of mobile information technology innovation for field-based healthcare." 2014. http://encore.tut.ac.za/iii/cpro/DigitalItemViewPage.external?sp=1001594.
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M. Tech. Business Information SystemsField-based healthcare is the provisioning of healthcare outside a traditional healthcare facility whose location is fixed. Although healthcare is not location and time dependent, the delivery of the service is often constrained to particular location and time. That is, although data accuracy and timely access to medical information is vital, healthcare service providers are not mobile enough to provide the on-demand healthcare service to patients. With restricted mobility, mistakes, unavailability and inaccuracy of information can have life-threatening consequences. To this point, this mini-dissertation argues that Mobile Information Technology (IT) Innovation could leverage field-based healthcare. Thus Mobile IT is considered essential to reducing medical errors, enhancing patient safety and improving quality of healthcare service delivery. Mobile IT can also be leveraged to meet ICT infrastructural challenges of field-based healthcare. That is, to enhance this service delivery, Mobile IT innovation will include the use of mobile devices such as mobile phones, smart phones, pocket computers, wireless networks and other technologies such as Radio Frequency Identification, smart cards, as well as information systems accessed through these technologies. In recent years, cases of Mobile IT application in healthcare service, particularly in South Africa, suggest the use of Mobile IT for disease management, monitoring as well as evaluation of patient care activities. There is a need for an empirical study to highlight the determinant factors that influence Mobile IT innovation for field-based healthcare. In response to this need, this study captured and unraveled the complexity of Mobile IT innovation for field-based healthcare through a case study conducted at a healthcare service provider.
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Feller, Daniel. "An Evaluation of Computational Methods to Support the Clinical Management of Chronic Disease Populations." Thesis, 2020. https://doi.org/10.7916/d8-60pj-0831.
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Innovative primary care models that deliver comprehensive primary care to address medical and social needs are an established means of improving health outcomes and reducing healthcare costs among persons living with chronic disease. Care management is one such approach that requires providers to monitor their respective patient panels and intervene on patients requiring care. Health information technology (IT) has been established as a critical component of care management and similar care models. While there exist a plethora of health IT systems for facilitating primary care, there is limited research on their ability to support care management and its emphasis on monitoring panels of patients with complex needs. In this dissertation, I advance the understanding of how computational methods can better support clinicians delivering care management, and use the management of human immunodeficiency virus (HIV) as an example scenario of use.
The research described herein is segmented into 3 aims; the first was to understand the processes and barriers associated with care management and assess whether existing IT can support clinicians in this domain. The second and third aim focused on informing potential solutions to the technological shortcomings identified in the first aim. In the studies of the first aim, I conducted interviews and observations in two HIV primary care programs and analyzed the data generated to create a conceptual framework of population monitoring and identify challenges faced by clinicians in delivering care management. In the studies of the second aim, I used computational methods to advance the science of extracting from the patient record social and behavioral determinants of health (SBDH), which are not easily accessible to clinicians and represent an important barrier to care management. In the third aim, I conducted a controlled experimental evaluation to assess whether data visualization can improve clinician’s ability to maintain awareness of their patient panels.
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Thumbiran, Kumarasen. "The role of information management in the Department of Health, with particular reference to eThekwini Emergency Medical Rescue Services in KwaZulu-Natal." Thesis, 2010. http://hdl.handle.net/10413/9899.
Full textAbstract:
The KwaZulu-Natal Department of Health highlighted in the 2005-2009/2010 Strategic Plan many challenges. One of the major challenges was an inadequate management information system at Emergency Medical Rescue Services (EMRS). It was further stated that decision-making becomes risky in the absence of reliable and accurate
information. EMRS provides an ambulance service to the citizens of KwaZulu-Natal. This research will focus on EMRS in eThekwini District. In order to provide the best possible service to the citizens there has to be effective information management. The questionnaire survey used in this research project attempted to reach a broad cross-section of the various groups of people (management, operations and administrative staff) who take part in information work, and hence develop a broad sense of their perceptions and beliefs about how information is managed and used at
eThekwini EMRS. The answering of questions varied between the groups. This showed that managers, operational staff and administrative staff have different perceptions on information management. Some of the recommendations included: EMRS has to adopt information as a strategic
resource; information must be used in addressing problem areas; staff must have access to information that EMRS gathers; and further research has to be conducted at EMRS to address the challenges the organisation faces.Thesis (MPA)-University of KwaZulu-Natal, Westville, 2010.
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Tabane, Gabaitsane Manita. "Perceptions of nurses with regard to the use of computer information technology at primary health care clinics in the eastern part of Ekurhuleni." Thesis, 2014. http://hdl.handle.net/10210/8774.
Full textAbstract:
M.Cur. (Nursing Management)Information technology is the management of a computer-based information system, particularly software applications and computer hardware, which are used to handle all aspects of information storage, retrieval, transmittal, protection, and processing information securely. The lack of reliable health information is one of the major obstacles to the effective planning of the health services in South Africa. The existing information systems are fragmented and incompatible; most systems are manually driven with minimal computerisation which results in inadequate analysis, interpretation and the use of data at PHC level. The use of computer information technology in the health facilities will improve service delivery; reduce the cost of providing health care; and enhance the management and control of service. Yet, it seems that nurses are insufficiently using computer information technology at the PHC clinics in the eastern part of Ekurhuleni. It has been observed that nurses do not use Computer Information Technology (CIT) to the benefit of the clients. It was unclear what the perceptions of PHC professional nurses about CIT were. The purpose of this study was to explore and describe the perceptions of primary health care nurses with regard to the use of Computer Information Technology (CIT) with the purpose of recommending the actions to be taken by the nurse manager about computer information technology. In this study a quantitative, exploratory and descriptive design was used in order to obtain factual reasoning and information from professional nurses working at five (5) primary health clinics in the eastern part of Ekurhuleni. The total sample of professional nurses was n = 150. The method of data collection was a self-administered and structured survey- questionnaire that took 30 minutes to complete. Descriptive statistics were compiled by using the Statistical Package of the Social Sciences (SPSS) Version 20 software program. Validity and reliability were ensured by the judgments of the researcher and experts about whether the research instrument had covered the comprehensive set of facets that encompassed the concepts (the use of information technology at primary health care clinics). It also included pre-testing of the instrument to establish the consistency with which participants understood, interpreted and responded to all the carefully formulated questions in the survey-questionnaire. Ethical principles and standards for nurse researchers were adhere to. The findings indicated that there were aspects that need to be addressed in respect of the use of information technology in primary health care clinics. Limitations of study and the recommendations for nursing practice, management and research were discussed. This study determined the perceptions of nurses with regard to the use of computer information technology at the PHC clinics that lead to recommendations on the actions to be taken by the nurse managers about the use of computer information technology at PHC clinics.
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Carlo, Unda Maria Lorena. "Use of informatics methods to identify problems and then design, develop and evaluate solutions to support health workers in their management of malaria." Thesis, 2016. https://doi.org/10.7916/D8Z31ZTG.
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Malaria is both a preventable and curable disease if treated early and appropriately. However, it is estimated that every 30 seconds a child dies of malaria in sub-Saharan Africa. The use of innovative eHealth/mHealth tools for malaria that seamlessly integrate into the workflow of healthcare workers could potentially ameliorate this problem. Successful design and development of these tools require an overarching understanding of the socio-technical context for the problems and opportunities in the application domain. A series of studies involving malaria management in the Millennium Village Project (MVP) cluster in rural Ghana were performed. A new method introduced by the author was applied to prioritize health information needs of stakeholders that have the potential to have a higher impact in solving health related problems. The result of applying this method was a group of impactful interventions for the MVP malaria program in Ghana. Findings from this study were validated with the MVP Ghana eHealth team, and after mutual agreement, an eHealth/mHealth intervention around malaria supply chain management was selected for further study. User-Centered Design (UCD) methods were adapted for use in a resource poor setting. Functional and non-functional requirements were identified. A low fidelity prototype was created and early usability inputs were collected. A high fidelity prototype was created to provide decision support to health workers through visualizations of stock levels and recommendations of quantities to order. Results from evaluation studies of the high fidelity prototype with end users suggest that they perceive the prototype as both easy to use and useful, with a potential for adoption and with a low risk of implementation. Usability problems found during the course of the study should be addressed to increase the potential of adoption. To obtain a more complete list of usability issues, both users’ and experts’ evaluations are recommended as well as the use of native and foreign test facilitators.
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Wolpin, Seth E. "An exploratory study of an intranet dashboard in a multi-state healthcare system." Thesis, 2003. http://hdl.handle.net/1957/31814.
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Introduction: Management of complex systems is facilitated through effective
information systems that provide real-time data to decision makers. For example,
instrument panels in airplanes ensure that pilots have well-designed feedback
concerning the status of mission-critical variables. Problem: While pilots have
dashboards for feedback and communication, healthcare executives may be
unaware of effective use of evidence-based guidelines within their healthcare
system. Purpose: The first objective of this research was to design and implement
an automated intranet dashboard reporting performance measures for a
geographically dispersed health system. The second objective was to describe how
this dashboard might increase cooperation and coordination for individuals and
organizations involved with healthcare delivery. Design: This research was
exploratory in nature, employing descriptive research approaches. A convenience
sample of healthcare executives completed a baseline survey at the start of the
study assessing levels of communication and cooperation. After three months of
exposure to the dashboard, participants were asked to complete a follow-up
survey. All visits to the dashboard were recorded in a web server log file.
Semistructured qualitative exit interviews were also conducted to explore reactions
to the dashboard, experiences with receiving outcome reports, and barriers to
communicating and coordinating with counterparts. Results: Descriptive analysis
of paired survey scores found substantial increases on a number of survey items,
suggesting that the dashboard contributes toward increased communication and
coordination for healthcare executives. This finding is balanced by the limited
rigor in the research design and an analysis of the web server log file, which found
few visitations to the dashboard by research participants. Qualitative data analysis
suggests that current reporting mechanisms are suboptimal for healthcare
executives and that one solution is the use of dashboards. Conclusion: This study
resulted in a number of important discoveries and avenues for further research. A
more rigorous research design is needed to explore the role of intranet dashboards
in healthcare settings.Graduation date: 2004
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Chuma, Kabelo Given. "Security of electronic personal health information in a public hospital in South Africa." Diss., 2020. http://hdl.handle.net/10500/27239.
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The adoption of digital health technologies has dramatically changed the healthcare sector landscape and thus generates new opportunities to collect, capture, store, access and retrieve electronic personal health information (ePHI). With the introduction of digital health technologies and the digitisation of health data, an increasing number of hospitals and peripheral health facilities across the globe are transitioning from a paper-based environment to an electronic or paper-light environment. However, the growing use of digital health technologies within healthcare facilities has caused ePHI to be exposed to a variety of threats such as cyber security threats, human-related threats, technological threats and environmental threats. These threats have the potential to cause harm to hospital systems and severely compromise the integrity and confidentiality of ePHI. Because of the growing number of security threats, many hospitals, both private and public, are struggling to secure ePHI due to a lack of robust data security plans, systems and security control measures. The purpose of this study was to explore the security of electronic personal health information in a public hospital in South Africa. The study was underpinned by the interpretivism paradigm with qualitative data collected through semi-structured interviews with purposively selected IT technicians, network controllers’, administrative clerks and records management clerks, and triangulated with document and system analysis. Audio-recorded interviews were transcribed verbatim. Data was coded and analysed using ATLAS.ti, version 8 software, to generate themes and codes within the data, from which findings were derived. The key results revealed that the public hospital is witnessing a deluge of sophisticated cyber threats such as worm viruses, Trojan horses and shortcut viruses. This is compounded by technological threats such as power and system failure, network connection failure, obsolete computers and operating systems, and outdated hospital systems. However, defensive security measures such as data encryption, windows firewall, antivirus software and security audit log system exist in the public hospital for securing and protecting ePHI against threats and breaches. The study recommended the need to implement Intrusion Protection System (IPS), and constantly update the Windows firewall and antivirus program to protect hospital computers and networks against newly released viruses and other malicious codes. In addition to the use of password and username to control access to ePHI in the public hospital, the study recommends that the hospital should put in place authentication mechanisms such as biometric system and Radio Frequency Identification (RFID) system restrict access to ePHI, as well as to upgrade hospital computers and the Patient Administration and Billing (PAAB) System. In the absence of security policy, there is a need for the hospital to put in place a clear written security policy aimed at protecting ePHI. The study concluded that healthcare organisations should upgrade the security of their information systems to protect ePHI stored in databases against unauthorised access, malicious codes and other cyber-attacks.Information Science
M. Inf. (Information Security)
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Kiess, Christopher. "Errors and adverse consequences as a result of information technology use in healthcare : an integrated review of the literature." Thesis, 2013. http://hdl.handle.net/1805/3750.
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Indiana University-Purdue University Indianapolis (IUPUI)Health Information Technology (HIT) has become an integral component of healthcare today. The HITECH Act (2009) and Meaningful Use objectives stand to bring wide-sweeping adoption and implementations of HIT in small, medium and large sized healthcare organizations across the country. Though recent literature has provided evidence for the benefits of HIT in the profession, there have also been a growing number of reports exploring the adverse effects of HIT. There has not, however, yet been a systematic account of the adverse effects of HIT in the healthcare system. The current push for HIT coupled with a lack of critical appraisal of the potential risks of implementation and deployment within the medical literature has led to a general unquestioning and unregulated acceptance of the implementation of technology in medicine and healthcare as a positive addition with little or no risk. While the benefits of HIT are clear, a review of the existing studies in the literature would provide a holistic vision of the adverse effects of HIT as well as the types and impact within the nation’s health care system to inform future HIT development and implementation. The development of a general understanding of these adverse effects can serve as a review and summary for the use of informatics professionals and clinicians implementing HIT as well as providing future direction for the industry in HIT implementations. Additionally, this study has value for moving forward in informatics to develop frameworks for implementation and guidelines and standards for development and regulation of HIT at a federal level. This study involves the use of an integrative literature review to identify and classify the adverse effects of HIT as reported in the literature. The purpose of this study is to perform an integrative review of the literature to 1) identify and classify the adverse effects of HIT; 2) determine the impact and prevalence of these effects; 3) identify the recommended actions and best practices to address the negative effects of HIT. This study analyzed 18 articles for HIT-induced error and adverse consequences. In the process, 228 errors and/or adverse consequences were identified, classified and represented in an operational taxonomic schema. The taxonomic representation consisted of 8 master categories and 30 subcategories. Additionally, the prevalence and impact of these errors were evaluated as well as recommendations and best practices in future systems design. This study builds on previous work in the medical literature pertaining to HIT-induced errors and adverse consequences and offers a unique perspective in analyzing existing studies in the literature using the integrative review model of research. It is the first work in combining studies across healthcare technologies and analyzing the adverse consequences across 18 studies to form a cohesive classification of these events in healthcare technology.
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Mashamaite, Sello Sophonia. "The effects of an electronic medical record on patient management in selected Human Immunodefiency Virus clinics in Johannesburg." Diss., 2011. http://hdl.handle.net/10500/5734.
Full textAbstract:
The purpose of the study was to describe the effects of an EMR on patient management in selected HIV clinics in Johannesburg.
A quantitative, descriptive, cross-sectional study was undertaken in four HIV clinics in Johannesburg. The subjects (N=44) were the healthcare workers selected by stratified random sampling. Consent was requested from each subject and from the clinics in Johannesburg. Data was collected using structured questionnaires.
Median age of subjects was 36, 82% were female. 86% had tertiary qualifications. 55% were clinicians. 52% had 2-3 years work experience. 80% had computer experience, 86% had over one year EMR experience. 90% used the EMR daily, 93% preferred EMR to paper. 93% had EMR training, 17% used EMR to capture clinical data. 87% perceived EMR to have more benefits; most felt doctor-patient relationship was not interfered with. 89% were satisfied with the EMR’s overall performance. The effects of EMR benefit HIV patient management.Health Studies
MA (Public Health)
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Carney, Timothy Jay. "An Organizational Informatics Analysis of Colorectal, Breast, and Cervical Cancer Screening Clinical Decision Support and Information Systems within Community Health Centers." Thesis, 2013. http://hdl.handle.net/1805/3243.
Full textAbstract:
Indiana University-Purdue University Indianapolis (IUPUI)A study design has been developed that employs a dual modeling approach to identify factors associated with facility-level cancer screening improvement and how this is mediated by the use of clinical decision support. This dual modeling approach combines principles of (1) Health Informatics, (2) Cancer Prevention and Control, (3) Health Services Research, and (4) Organizational Change/Theory. The study design builds upon the constructs of a conceptual framework developed by Jane Zapka, namely, (1) organizational and/or practice settings, (2) provider characteristics, and (3) patient population characteristics. These constructs have been operationalized as measures in a 2005 HRSA/NCI Health Disparities Cancer Collaborative inventory of 44 community health centers. The first, statistical models will use: sequential, multivariable regression models to test for the organizational determinants that may account for the presence and intensity-of-use of clinical decision support (CDS) and information systems (IS) within community health centers for use in colorectal, breast, and cervical cancer screening. A subsequent test will assess the impact of CDS/IS on provider reported cancer screening improvement rates. The second, computational models will use a multi-agent model of network evolution called CONSTRUCT® to identify the agents, tasks, knowledge, groups, and beliefs associated with cancer screening practices and CDS/IS use to inform both CDS/IS implementation and cancer screening intervention strategies. This virtual experiment will facilitate hypothesis-generation through computer simulation exercises. The outcome of this research will be to identify barriers and facilitators to improving community health center facility-level cancer screening performance using CDS/IS as an agent of change. Stakeholders for this work include both national and local community health center IT leadership, as well as clinical managers deploying IT strategies to improve cancer screening among vulnerable patient populations.
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Raposo, João Nuno Marques. "Avaliação do sucesso da adoção de um ERP no contexto de educação da gestão no ensino universitário." Master's thesis, 2017. http://hdl.handle.net/10071/16090.
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Os sistemas de Enterprise Resource Planning (ERP) são hoje considerados o pilar central
das empresas, visto suportarem todas as atividades empresariais a uma escala global. Com
o crescimento do mercado de sistemas empresariais, existe uma forte procura das
empresas por colaboradores com competências na área. Esta é uma oportunidade que as
instituições de ensino têm vindo a aproveitar, de forma a melhorar os seus ìndicies de
performance (empregabilidade, procura, satisfação, entre outros), e a aproximarem as
competências dos alunos com as necessidades do mercado. Nesta dissertação pretende-se
avaliar quais os determinantes de sucesso para a adoção de um ERP num contexto de
ensino, se este traz melhorias na aprendizagem e sedimentação de conhecimentos de
gestão e aproxima o conhecimento dos alunos aos requisitos do mercado. Assim,
inicialmente, foi elaborado um plano curricular capaz de fornecer conceitos teóricos
chave e de proporcionar a interação com um ERP. Com o intuito de avaliar o sucesso da
integração do ERP no plano curricular foram desenvolvidos dois estudos com métodos
diferentes, um qualitativo e o outro quantitativo. No primeiro estudo (qualitativo) foi
averiguado o entendimento dos alunos quanto aos conhecimentos chave sobre os ERP.
No segundo estudo, o objetivo é o de modelar a realidade da adoção desta tecnologia no
contexto da aprendizagem da gestão e, consequentemente, determinar quais podem ser os
determinantes fulcrais para o sucesso da adoção do ERP. O estudo foi desenvolvido na
instituição de ensino superior universitário, ISCTE-IUL, tendo sido a amostra constituída
por alunos com percursos académicos em gestão e engenharia. Os resultados obtidos
sugerem que os alunos retiveram satisfatoriamente os conhecimentos desenvolvidos no
programa curricular e que a satisfação dos alunos é o principal fator para o sucesso do
ERP.Enterprise Resource Planning (ERP), are considered companie’s cornerstone as they support every business activities globally. Due to the growth of enterprise systems market, there is an increasing demand for human resources with know how in this field. This trend offers an opportunity to higher education’s institutions to improve their performance indicators (employability rate, course demand, satisfaction, among others), and close the gap between student skills and market needs. The aim of this dissertation is to evaluate which are the success determinants for ERP adoption in a learning environment, to assess if it brings improvements to management learning and approximate student’s knowledge to market requirements. Taking this into account, firstly was developed a program curriculum capable of delivering key theoretical concepts and a hands-on approach on a real ERP. To assess ERP integration success on the program curricula, it was elaborated two studies with different methods, the first qualitative and the other quantitative. The qualitative method aimed to verify student’s understanding of ERP concepts. Whereas the second method’s goal was to model the adoption of this technology to management learning context, and consequently determine which are the key success determinants for ERP adoption in higher education. The investigation was conducted in ISCTE-IUL university and the students composing the study’s sample had management and engineering backgrounds. The obtained results showed that students retained good knowledge from the proposed course and that student’s satisfaction is the major factor for ERP integration success