Imran Aslan
Bingöl University, Turkey
Title: The effect of information technology in turkish healthcare system: e-prescription case study and healthcare optimization
Biography
Biography: Imran Aslan
Abstract
The aim of that study is to analyze the effects of Information Technology in healthcare and develop suggestions. Turkish healthcare and Information Technology (IT) in healthcare are explained. Some studies done in healthcare around World are presented and explained in details to see the effects of IT in healthcare. Moreover, Turkish healthcare management and some indices are introduced briefly. Moreover, newly e-prescription implemented in Turkey is examined and a case study done in Istanbul, Erzurum and Kayseri cities is examined. The resistance developed against e-prescription is analyzed according to gender, age, hospital or pharmacy, experience, working time, social status and willingness from 367 surveys. Structural Equation Modelling (SEM) is used to test Technology Acceptance Model (TAM) for e-prescription by using 6 likert-scales. Moreover, suggestions done in open questions are grouped to improve e-prescription. It is found from that study that there are some problems with service quality of e-prescription. To increase the adoption of system, service quality is an important factor to be developed. Users stated that the main reason of high resistance was lack of information given to staff and complexity of program. Moreover, interruptions of system have created huge resistance and dissatisfaction. Improvement of infrastructure and speed up of connectivity are found the best way to increase efficiency by higher quality, better working of medula, and getting more technical support from IT department. Another opinion is that integrated automation among hospitals can help doctors to see old medicines and diagnoses from other hospitals. Furthermore, users stated that security of patient data will not be any problem in future. One of main aims of this study is to find weaknesses and strengths of healthcare industry, by defining problems, finding solutions and suggesting some models through existing studies and analyzing current healthcare system in Turkey. To generalize and learn the existing system of Turkey, two hospitals in Istanbul and one hospital in Bingöl are selected and systems and problems of them are defined. Observations, surveys and interviews are used To learn the existing problems. Surveys and interviews of the hospital are analyzed by statistical tools, Operation Research and some management models. The connections of these hospitals with existing system of overall Turkish Healthcare System are explained. On-going problems are defined. Later, some crucial parts such as queues, wastage of resources, satisfaction, information technologies, emergency room, operating room, dialysis, and routing of ambulances in the hospital are determined. These critical parts are tried to be modeled in case studies in each chapter such as dialysis analysis, breast cancer, congestion of system, stress, queues etc. Main problems depending on hospital type are defined and some solutions are tried to be developed. Later, the existing systems of the hospitals are generalized. Opportunities and threats of specific and general situations are determined in healthcare by SWOT analysis. Moreover, SWOT method and benchmarking are used to deploy strategies by TOWS matrix.