The Quality in Health Information Systems Study: Perceptions of the quality of digital health information systems in the global health domain.

Abstract

This study explores the diverse perspectives of stakeholders on the definition and concerns surrounding the quality of electronic medical records (EMRs). Furthermore, it illustrates how the EMR quality aspects can be mapped into the STEEEP framework. Several trends emerged, including a heightened concern for clinical decision support and data quality by EMR builders and implementers, a high focus on stakeholder engagement and capacity building for decision makers, and a strong focus on technical aspects of EMRs for domain experts. Effectiveness and efficiency were identified as key domains, focusing on clinical decision support, data availability and quality, and meeting functional requirements. It was noted that interoperability and data exchange were emphasized across a number of domains, while patient-centeredness and equity were given relatively less attention. Quality assessment and implementation were also identified as critical factors, emphasizing the importance of stakeholder engagement and planning. The study made several recommendations, including the need for user-centered EMR design, standard data sharing, and further investigation of equity issues.