CHAPTER 6. Discussion and Conclusion. patient health information, such as diagnosis, medicine orders, managing patient

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1 CHAPTER 6 Discussion and Conclusion 6.1 Introduction Health care information system is a computer application to represent patient information in a friendly user interface and allowing users to review and interact with patient health information, such as diagnosis, medicine orders, managing patient appointment and other services. Moreover, application health information system works as data repository for patient health information such as patient registration, systems administrator and financial management. Hence using an information system to support health care management system follows the following steps: 1. Developing an integrated computer application system to manage the patient information and the health care information based on database unit. 2. Developing a website and allowing the health care user and the patients to access the system online. 3. Developing a portal and allowing the users to access the system database. 4. Developing different applications to manage all the health care information and integrated in the database unit. So, information system supports the health care in different way based on the users need such as developing electronic patient record to manage the patient information electronically, managing the patient appointment through using the flexibility of information system. 151

2 On the other hand, using the information system allows the patient information to be accessible and the patient can access his/her own information online, register online and in some systems can book their appointment online. This research outcome with developing an integrated computer application for managing the health care information and giving the patient the opportunity to confirm their own appointments by themselves. This study began by extensive literature review (chapter 2) and finding out what the previous researchers have done to improve the quality of services in the health care (see table 2.3). Chapter 3 highlighted the research methodology that have been used to get the aims of this research, which were by interviewing different research participants to get the real user requirement to develop a system. Chapter 4 was for using the available technology and tools to collect the data and summarizing the user processes and jobs (Case study). The second part is analyzing each available data about the current system and come out with the finding, which is the system needed (modules). In addition after the system developed, the testing process is begun by the user in the real work to get the real feedback needed and improve the system based on the getting feedback. Chapter 5 is highlighted the system design and how the system built such as system interface and system code. 6.2 Contribution to Knowledge A Web based integrated health care management system is a computer application with an interactive web database to manage and analysis the entire health care information such as the following: a) Patient Information, which contains: personal information, consultations history medications history, treatments and diagnosis history, appointments, confirm the patient s appointment online by themselves, documents and payments. 152

3 b) Health Care Information, which contains: insurance companies, health care clients, health care documents, managing the products, managing the products suppliers, different types of reports. c) Health Care Staff, which contains: doctor schedule, staff documents, tracking the system user. 6.3 The Research Outcome Based on the research findings from analyzing the previous studies and the current health care system use, the results proved that the current health care information system is not appropriate and comprehensive enough in managing the health care information. So, the outcome of this research have accomplished the objectives, which is studying previous studies and analyzing the current health care information systems and developing an integrated health care management system. The developed system able to manage the health care information through an interactive data base with friendly interface and able to generate very smart reports and represent it in a helpful chart. 6.4 System Strength The developed system is a web based integrated health care management system has able to overcome the problem of not having an integrated system in most of current hospital (see chapter 1). The features of those systems has been identified as in (table 2.3) in chapter 2. Those systems did not care to integrate all the health care information and they focuses to automate the health care information and generating an electronic patient record. 153

4 The developed system in this research approach has very strengths points. In general, the system developed as a flexible integrated web based to keep track all patient information, payment and appointments. In addition, tracking the doctor schedules. This provides a full view of previous visit history of the patients and the previous diagnosis, investigation, treatments and medications. Moreover, supports the user to put their tasks in priority such as Urgent, High, Medium and Low. Moreover, the developed system can run on the normal web browser, which provides very high flexibility and very user friendly. On the other hand, the system generates very smart reports and analyzes the health care information providing the result in attractive charts, which helps the management in monitoring the health care closely; such as: 1) Provided a very smart report about the patient s appointments, which show up all the appointment information in details and provides a percentage of patient's gender and races, which provides a very wide show; whose is the most come to the health care. 2) Provides a Payment report and analyzing the payments in specific date and provides monthly report about payment amount. In addition, the end of day Payment Report shows details of all payments made during the period time and date. Moreover, reports the payments method and represent the result in analysis diagram. 3) Provides a doctor consultation report, which presents the number of patient that has been treated by each doctor every month round the year. 4) Provide a list of all the health care clients and a report analysis for the company name and their patients such as insurance companies, banks, etc. 5) Document report presents the entire uploaded documents about patient and health care. 154

5 6) Provides a list about the patient complain and treatments, which helps to observe the patients complain treatments. 7) Provides a very smart report about the most medicine used that has been prescribed by doctors. 6.5 System Limitation However the system can do, still have some limitation such as the following: i. This system do not have a function for lab work, which means can not support the laboratory chart such as blood test and other laboratory test because it is more complicated and needs very advanced work. ii. This system cannot support image processing such as x-ray and other images, because including image processing; it needs very advanced program and at least separate research. iii. This system has not been fully tested in the hospital because the system is very big and needs very long time to be full tested. In addition, the hospital management will not accept to test the system for long time for patient information security reason. 6.6 Recommendation for Future Work There are many aspects that need to be considered in order to improve the integrated health care system and the quality of service especially the patient appointment and the appointment confirmation, which work to save both patient and nurse time. It s recommended in the future study the following: i. Enhancing the integrating health care management system to be able to manage all the information in the health care. - Laboratory information. - Image processing and patients images. 155

6 ii. Giving the patient more flexibility to using the health care system such as: - The patient can book the appointment by themselves online. - The patient can change the appointment time and date by them self online. 6.7 Research Conclusion The new integrated web based system developed to help the health care for managing the patient information and enhancing the quality of service and saving time and cost and maintaining data store system in the health care. The problem for using the current system based on the literature review is the difficulty for accessing and updating data and the maintenance process because they are using more than one system for managing the health care information. In addition those systems are not able to allow the patient to use the system online to confirm their appointment. Therefore the developed system in this research is an integrated health care management system, which is a web based computer application based on an interactive database to manage the health care information through a friendly interface and able to use on the web browser. The benefit of this system is keep tracking for all the health care information in one system and it's very easy to use and easy for maintenance. In addition it's accessible online with sturdy security. Moreover the patient will be able to use the system online and confirm their own appointment by themselves using their own username and password. On the other hand the system enables data analysis and generates powerful and helpful reports supported by a colorful diagram for all the health care information, which help the health care management to observe all the health care process closely. 156

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