Abstract
It’s well know that socioeconomic, politic, culture and environment have impact on health status of the people Thus, quality information which, is correct, precise, relevant, reliable and timeliness is essential for public health administration. This research and development study aimed to investigate: health information system’s problems in Yasothorn, to develop proper forms and records for data collection and reporting health information, and to evaluate health information users’ satisfaction on information collected from the developed forms and records. The research was conducted in 9 districts of Yasothorn which, consisted 8 community hospitals, 9 district health offices and 110 health centers Group discussions among 143 health personnel who used health information at all levels were conducted to identify health information problems. The study focused on the health information problems of 4 major health tasks: basic information for public health; maternal and child health, family planning; and immunization. The researchers purposively selected 70 health personnel who involved in the health information system’s problem indentification to help developed proper health information reports and forms. These developed records and reports were used in 20 health centers of 2 experimental districts for 3 months. The health personnel in the experimental group were supervised on how to use the developed reports and records and monitored every month. The results were compared with 10 health centers in 2 control districts, which used the ordinary reports and records. There was no supervision and monitoring by the research team in the control group. The quality of health information collected from those developed reports and records was evaluated in term of correctness, reliable, reliable, relevant, preciseness, completeness, up to date, and timeliness. Rrnumberation surveys were conducted to evaluate quality of individual and family’s health information collected by the experimental and control health centers. Questionnaires were used the developed forms and records The results showed that the existing health information system has 48 reports and 1785 items. There were also some repetition, not thorough, too frequently collected and there were so many office and institution involved in data using. The developed health information reports and records could reduced the records from 48 records to 23 records (52.1 percent reduction) and reduced items from 1,785 items to 766 items (57.1 percent reduction) For the quality of health information, most information concerning basic health information was completely recorded (100 percent) in all experimental health centers excepted for the report of health service for families. There were only 55.3 percent of health centers which completely recorded health care for family while 57.9 of the health centers complete reported on birth, death, migrate-in and migrate-out. Most of information was improved in completeness except for the general patient record, which were only 60 percent completed. These health information was helpful excepted the record of health services for family which was 83.3 percent used. The health information collected in the experimental health centers is significantly (p<0.05) better for its completeness, convenient for record than information of the control health centers. Information from both experimental and control health centers had problems of preciseness However, information concerning welfare of family members were significantly different (p<0.05) between the experimental and control groups. Health personnel were highly satisfied with health information collected from the developed records and form especially for its usefulness
