Document Type : Original Article


1 Health Information Technology Research Center

2 Department of Health Information Management, School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran


Background: Quality is one of the most important criteria for the success of an information
system, which refers to its desirable features of the processing system itself. The aim of this
study was the analysis of system quality of hospital information systems (HIS) in teaching
hospitals of Isfahan based on the DeLone and McLean model. Materials and Methods: This
research was an applied and analytical‑descriptive study. It was performed in teaching hospitals
of Isfahan in 2010. The research population consisted of the HIS’s users, system designers and
hospital information technology (IT) authorities who were selected by random sampling method
from users’ group (n = 228), and system designers and IT authorities (n = 52) using census
method. The data collection tool was two researcher‑designed questionnaires. Questionnaires’
reliability was estimated by using Cronbach’s alpha was calculated. It was 97.1% for the
system designers and IT authorities’ questionnaire and 92.3% for system users’ questionnaire.
Results: Findings showed that the mean of system quality score in a variety of HIS and among
different hospitals was significantly different and not the same (P value ≥ 0.05). In general,
Kosar (new version) system and Rahavard Rayaneh system have dedicated the highest and
the lowest mean scores to themselves. The system quality criterion overall mean was 59.6%
for different HIS and 57.5% among different hospitals respectively. Conclusion: According to
the results of the research, it can be stated that based on the applied model, the investigated
systems were relatively desirable in terms of quality. Thus, in order to achieve a good optimal
condition, it is necessary to pay particular attention to the improving factors of system quality,
type of activity, type of specialty and hospital ownership type.


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