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Current Status of E-governance in Healthcare in the Large Hospitals of Bangalore

Shukla, Vertika (2010) Current Status of E-governance in Healthcare in the Large Hospitals of Bangalore. Masters thesis, Christ University.

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Abstract

Healthcare industry has seen a lot of transformation and innovation over the years. It is coming forward as a recognised sector in India after Information Technology and Pharmaceutical. But despite this Indias healthcare infrastructure has not kept pace with the economies and the sectorial growth. Enormous amount of resources have been spent but very little change on actual health status is noticed. This study is undertaken to assess the current status of e-governance (ICT) in large hospitals and try and find out the awareness and accessibility of e-governance to the patients. The survey conducted in hospitals involved the patients responses and responses from the Healthcare Professionals (HCPs). An attempt has been made to find out the effectiveness of various ICT applications in the healthcare like EHR/ EMR or Telehealthcare. Majority of the research on e-governance focussed on overall effective governance and administration but very few studies have been done to highlight the status of e-governance in healthcare in India. Several literatures have highlighted the importance of e-governance in healthcare but they do not show the current level of usage of e-governance in this sector. This research is undertaken to see the level of accessibility and usage of ICT in the hospitals. Based on the review of literatures and having identified the gap, the investigator felt an imperative need to pursue with the current research. The sample consisted of 105 patients and 63 HCPs from the major hospitals of Bangalore (bed size more than 200).The judgmental and stratified random sampling technique was adopted for selecting the respondents. The major findings of the study were: 1.Most of the people still pay a visit to book an appointment and to collect their reports. This calls for increasing the awareness to use ICT (e-mail). 2.Majority of the doctors are not aware of Telehealthcare and thus they are unaware of the benefits also. 3.Computerised patient record is percieved to be cumbersome and ineffective by majority of the HCPs 4.There is a significant statistical difference in the perception about the benefit of Telehealthcare for the patients and doctors among the patients and HCPs. 5.There is a moderate correlation in the level of awareness of health standards and awareness of e-governance among the HCPs (correlation coefficient .543). As the awareness level of health standards grows the awareness of e-governance also goes up. 6.There is a significant variation in the percieved effectivity and accuracy of EMRs in hospitals which maintain EMR and those who dont. It is found that in all those hospitals which do not have EMR the HCPs feel that EMR is an effective and efficient way of maintaining patient records. 7.HCPs who do not have EMR implemented feel that it can manage the patients better for them and thus there is significant variation in their perception with those who have EMR already implemented in their hospitals. 8.Patients with a low income are more satisfied with the current system of maintenance of computerized patient records while there is no variation in level of satisfaction of current system of records management in the higher income group. 9.There is a moderate variation in choosing a particular hospital by the patients on the basis of the facilities provided. Patients with a high income group look for better facilities. 10.Majority of the patients in the income group of 5-10 lacs per annum feel that Telehealthcare is effective for patients.

Item Type:Thesis (Masters)
Subjects:Thesis > MPhil > Management
Divisions:M Phil
ID Code:1827
Deposited By:Knowledge Center Christ University
Deposited On:15 Dec 2011 15:10
Last Modified:30 Jan 2014 20:14

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