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This paper develops and deploys a theoretical framework for assessing the prospects of a cluster of technologies driving what is often called the digital transformation. There is considerable uncertainty regarding this transformation’s future trajectory, and to understand and bound that uncertainty, we build on Schumpeter’s macro-level theory of ec...
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... In recent years, the healthcare industry has seen a rapid growth in medical and healthcare data, which can be used to improve facilities and public health care utilization and implementation by modern healthcare units using novel treatment and diagnosis methodologies, which gives citizens confidence in using the best public healthcare services available and aids governments in developing better healthcare policies (Yogesh & Karthikeyan, 2022). Informatics units which could make use of standardized software (Idowu, 2015). Unfortunately, the system was not tested at OAUTHC and only five teaching hospitals and medical centres used the system as of 2007. ...
... Presently most Nigerian teaching hospitals have to generate money by billing patients for the services rendered to them, so as to augment the money received from the government to run the hospital and pay staff salaries. Meanwhile, it is believed that if the use of ICT is adopted, the cost of running the hospital in the long run will be reduced and the health care delivery system may be as efficient and effective as it is in the developed world (Idowu, 2015). ...
... As soon as the test results are available, they can be uploaded to the patient's case file. ICT helps patients find medical staff and facilities, provides them with round-the-clock access to health information, and helps preserve patient privacy by encrypting and password-protecting data (Idowu 2015). ...
This paper examined the usage of medical informatics (MI) and its difficulties in Nigerian teaching hospitals. It emphasizes how important MI is to enhancing patient management, clinical decision support, and healthcare efficiency through the integration of information technology. The important role that medical informatics plays in improving healthcare delivery in Nigerian teaching hospitals was also explored. The study's main goal is to evaluate how integrating IT into healthcare might enhance patient care and operational effectiveness. The study emphasizes the difficulties teaching hospitals in Nigeria have in implementing medical informatics, despite the fact that it is becoming more and more essential for contemporary healthcare. The authors evaluated the state of medical informatics today and its influence on healthcare delivery by reviewing case studies from different teaching institutions and available literature in order to address these concerns. The results show that medical informatics has a number of important advantages, such as better patient care through data management, increased operational effectiveness, and easier access to vital health information. However, the report also finds a number of barriers that prevent efficient adoption, including poor infrastructure, restricted access Global 2 to technology, and inadequate training for healthcare personnel. The results of this study imply that removing these obstacles is essential to medical informatics adoption success. Technology integration, such as electronic health records (EHRs), has shown potential in enhancing patient care procedures. The study's result highlights the necessity of implementing medical informatics to improve healthcare delivery at teaching hospitals in Nigeria. To make this integration easier, the authors advise strengthening IT infrastructure, offering thorough training to healthcare personnel, and advocating for laws that will help. In summary, the study highlights how medical informatics can significantly improve Nigeria's healthcare system.
... Machine learning can help address these challenges by providing tools and techniques to handle data-rich healthcare informatics data, reducing costs and promoting personalized care. Idowu, P et al., (2008) this paper discusses the role of Information and Communication Technology (ICT) in health services delivery in Nigeria, focusing on three common ICT indicators: Internet, computing, and telephony. It reviews the state of health informatics in Nigeria, compares it to the UK, and analyzes challenges and suggests solutions. ...
Healthcare informatics, a field that integrates information technology, computer science, and healthcare, is crucial for managing and analyzing data, contributing to academic research, improving patient care, and enhancing healthcare systems. The integration of Artificial Intelligence (AI) in healthcare informatics has revolutionized diagnostics, treatment planning, and administrative processes. This research explores the impact of AI on healthcare informatics, focusing on opportunities such as improved diagnostics, personalized treatment plans, and streamlined administrative processes. Challenges include data privacy, ethical considerations, algorithmic bias, and standardized practices. The study highlights the transformative impact of AI while highlighting the intricacies and essential factors for its seamless integration into healthcare systems. It contributes significantly to the dynamic realm of healthcare informatics.
... While not medication, it should take years before HIV weakens your immune system to the purpose that you just have AIDS (Idowu, et. al., ,2008) , (Osunyomi, et. al., 2015). There's no cure for HIV/AIDS, however, there are medications that may dramatically slow the progression of the illness. These medicines have reduced AIDS deaths in several developed nations. There are several matches of reasoning that have traversed. Other momentous phenomenal inspections and completely diff ...
A Multi-layered Mamdani Fuzzy Soft Expert System is planned to diagnose HIVAIDS. The Proposed DHA-MLMFES System is an Automatic diagnose of HIV-AIDS exploitationMulti-layer Mamdani Fuzzy Soft Expert System (DHA-ML-MFES) knowledgeable System, willclassify the various stages of HIV-AIDS like No-HIV-AIDS, HIV Stage 1, 2, 3 and Aids. The ExpertSystem has seven input variables at layer-I and four input variables at layer-II. At layer-I input,variables are headache, fatigue, aching muscles, sore throat, swollen lymph nodes, red rashes, feverthat detects output condition of HIV-AIDS, infection, and different downside. The additional inputvariables at layer-II are PCR+, PCR+ P24+, P24+ Ab+ (ELISA), Ab+ Wb-inderminate that verify theoutput condition of HIV-AIDS like No-HIV-AIDS, HIV stage I, II, III or AIDS and alternativeinfection and downside. Results display investigation of the accuracy of the outcomes up to 94 percentof exploitation planned DHA- Multi-layer Mamdani Fuzzy Soft Expert Structure to set up theadvanced HIV-AIDS technique with help of physician assumptions and compile it to the medical Labof Roscommon University Hospital, Ireland.
... Information and Communication Technology (ICT) has become a major tool in delivery of health services and has had a revolutionary impact on how we live and perceive the world. ICT enables people to interact and communicates no matter the distance, also makes it easy for us to obtain goods and services in convenient ways [5]. ...
This project is the result of a volunteer program that took place in the Republic Guinea-Bissau (RGB) at the Paediatric Hospital. The Paediatric Hospital was working with the same technologic skills as Portugal in the 70’s years. There was no wired network between departments, no informatic system and all work was handmade. The physicians received incomplete clinical reports and, sometimes, with gross errors. There was no triage neither outpatient short list during the medical urgency period. The outpatients needed to wait for long time to get the analytical report and most time without meal or single bread. On the Clinical Analysis Laboratory, the biologic sample identification and the manual data report were lower changes to be credible and there was no final checklist. This paper describes the improvements made by the authors in the hospital logistical processes and in the development and implementation of an information system that was started in March 2018. These improvements were developed based on lean manufacturing principles, on methods and best practices for some referenced case studies fromAmerica, Saudi Arabia, Italy and England. As a result, the hospital reduced outpatient waiting time, improved Hospital, Laboratory and outpatient outcomes, increased confidence work for physicians and laboratory technics
... information and communication technology (ICT) has become a tool in service delivery and has a revolutionary impact on how people live and perceive the world [1]. Scholars [2] state that ICT has touched every aspect of life, giving birth to the contemporary "Es": e-learning, e-commerce, egovernance, e-banking, e-shopping and e-health. The healthcare environment is increasingly adopting the use of technology for its everyday delivery. ...
The strategic visions in the health care system now underpin application of Information Communication Technology for effective care delivery. Recognising the potentials of ICT for Health, the Nigerian government as part of its policy derive towards achieving effective health care delivery by the year 2020, adopted use of ICT for effective healthcare delivery. Part of the target was establishment of ICT/Health informatics units in teaching hospitals in the country. This study assessed level of knowledge and utilization of health informatics among medical doctors in Ahmadu Bello University, Shika-Zaria. Premised on the Unified Theory of Acceptance and Use of Technology, this study adopted descriptive survey method and structured questionnaire as its instrument of data collection. Findings revealed that 91.4% (n=201) of the 220 sampled medical doctors in ABUTH are aware of health informatics and that 68.2% (n=150) have knowledge of how to use it. The most prominent areas of health informatics among the medical doctors are ‘Management Information System’, ‘Electronic Health Record System’ and ‘Electronic Medical Record’. However, only 58.6% (n=129) of the medical doctors in BUTH Shika- Zaria are actually utilizing health informatics. Internet (n=133, 60.5%) and interpersonal sources (n= 71, 32.3%) were found to be the major sources of information of knowledge and utilization of health informatics among the medical doctors. The study therefore recommends that ABUTH, Shika-Zaria should put in place more mechanism for creating awareness on use of health informatics varieties and a strong need for time-series research to examine future development in respect to knowledge and utilization of health informatics in Nigerian health institutions.
... While the former is for the prevention or protection from any damage, the latter entails maintenance to correct or repair damaged ICT facilities. 86 Therefore, the shortage of ICT infrastructure resulting from high cost of acquisition and maintenance is one factor militating against e-governance in public health crisis situation. ...
Public Health Emergencies have been characterised with several restrictions to the fundamental Rights of Citizens. Right to Freedom of Association and Movement, are limited as a measure to curb the spread of Infectious Diseases during public health crisis. Such restriction presents a challenge to citizens' governance, political participation and access to Healthcare. This paper adopts the doctrinal approach in addressing the legal and policy framework for such restriction in time of health crisis. The paper discovers that the use of Information communications Technology during health emergencies bridges the gap in governance, citizen participation and adequate health care services delivery. The paper concludes by making far reaching recommendations on the need for the enactment of specific laws, which expressly provides for virtual or remote participation, E-governance and E-healthcare during Public Health Emergencies.
... Anyway, electronic data frameworks in emergency hospitals in non-industrial nations are "uncommon to nonexistent" (Rotich, Hannan et al., 2003). In a climate where the mindfulness and energy about electronic hospital data frameworks (HIS) does not exist, HIS future is a genuine test (Idowu, Cornford et al., 2008). Despite seemingly insurmountable opposition, if a medical clinic in a non-industrial nation chose to change its data framework and execute a HIS, there would be shockingly inadequate writing on valuable encounters to direct that emergency hospitals through the change. ...
Effective healthcare interoperability is associated with the capability of the service to offer a platform for data distribution between healthcare Professionals, process, procedures, and policies. This includes the way the health data of patient are stored and allows healthcare professionals to effectively access and interpret patient’s conditions. The Survey be targeted healthcare professionals in selected hospitals of Lahore Pakistan to investigate factors affecting health care professional’s adoption of health information systems. The study factors are Behavioural Intention, Usability, Perceived usefulness, Cost Effectiveness, Facilitating Conditions, and Performance Expectancy. Some demographic information also included in it.
... The overall average use of ICTs for supply chain management, staff training, mobile transactions, health insurance claims, and electronic media record was below 10% in all facilities surveyed. The poor ICT usage in healthcare management found in this study has also been associated with a lack of ICT facilities in some previous studies in Nigeria [2,6,13]. It may also be due to poor infrastructures such as lack of electricity supply, as reported in some studies [1,7,14]. ...
Background: The use of information communication and technology (ICT) in Nigeria has been proven to have changed how the treatment is provided for both in-patients and outpatients in health facilities. Yet, information about their availability is rare. This study aimed to determine the availability of ICTs in Nigerian healthcare facilities. Methodology: This was a facility-based survey conducted in 872 healthcare facilities in 33 states of Nigeria with the Federal Capital Territory, Abuja, from May to July 2019. Data collection included individual interviews and site inspections. The data collected were analyzed with IBM-SPSS 25.0. Results: The study comprised 113 private and 759 public health facilities. The proportion of private and public facilities that use log forms recording orders was 86.7% and 79.8%, respectively. Computer availability was 52.2% in private 24.6% in public healthcare facilities. Basic handsets were the most available ICT tool, with 79.6% in private and 74.6% in public health facilities, mainly acquired by staff members. Availability of Local area network (LAN) was (23.9% vs. 8.4%) and WiFi (13.3% vs. 3.7%)) in private and public health facilities, respectively (p<0.001). The primary use of the ICT was for routine communication, with 76.1% in private and 70.6% in public facilities (p>0.05). In contrast, the use of ICT for other medical functions such as patient records and supply chain management was very shallow. Conclusion: There is a need for government and donor agencies such as the WHO and the United Nations to collaborate to ensure the provision of ICTs to Nigerian healthcare facilities.
... Several barriers are also noted to impede use of ICT among nurses, which may include behavioural issues like perception and satisfaction of nurses towards ICT and time frame required for documentation, doubts especially by older nurses about working in an environment filled with technology and fear of making errors while using the technologies [7]; characteristics of the individual, the technology and the organizational context [11], including the belief that technology can affect the nurse-patient relationship, the questioning of the quality of health care given through eHealth and technology issues such as interoperability, user friendliness and installation issues [12]. Another study also found electric power supply, Government attitude, cost of ICT equipment, telecommunication facilities, internet connectivity as well as resistance to new technology as barriers to integration of ICT into nursing care [13]. ...
... These findings are in tandem with findings from the study of [6], where barriers to ICT implementation included lack of computer equipment, lack of electricity supply lack of computer skills, cost of computer, attitude of health professionals and cultural/environmental factors. Several other studies by [2,13,16,17], identified several factors that affect the use of ICT in nursing care, including electric power supply, cost of ICT equipment, lack of technical support, lack of ICT knowledge, lack of confidence in using computers, poor internet connectivity and resistance to new technology, which also supports findings from this study. Having identified these barriers, therefore, adequate actions must be taken to surmount these barriers to improve the adoption of ICT in healthcare. ...
Background: The introduction of Information and Communication Technologies (ICTs) in healthcare has positively influenced how healthcare professionals including nurses, deliver patient care especially in developed countries. However, nurses in developing countries are still faced with a lot of challenges militating against effective integration of ICT into patient care. Therefore, the need to identify factors influencing the adoption and use of ICT among nurses. Methods: The study employed a cross-sectional study design, using questionnaires to obtain data from 321 nurses in selected hospitals in Ibadan Oyo State, Nigeria. A total 305 nurses completed the questionnaire. Data were cleaned, coded and analysed using SPSS 25.0. Descriptive statistics such as frequencies, percentages, mean and standard deviation were used to summarize and present data. Furthermore, association between variables were tested using chi square at p value 0.05 level of significance. Results: The mean age of the participants was (x=34.4±9.3). A high proportion of the participants, 35% were not efficient in the use of computers. Also, the major factors implicated by the respondents for non-adoption and use of ICT include lack of management interest, (x= 3.7 ±1.2), and poor ICT Infrastructure, (x= 3.6 ±1.3). Factors found to be associated with efficiency in computer use include age (p = 0.001), designation of the nurses (p = 0.001), gender (p = 0.011), years of experience (p = 0.001) and ownership of a personal computer (p = 0.001). Conclusion: Multiple factors have been found to militate against adoption of ICT in healthcare especially by nurses. It is therefore imperative that concerned stakeholders take appropriate actions to provide adequate ICT facilities in their settings in order to aid better patient management.
... Besides, the use ICT will improve network and collaboration in the health sector, promote the acquisition of ICT skills within the Nigerian health system and address other threats to national health system. (Idowu, Ogunbodede Idowu, 2003;Idowu, Cornford, Bastin, 2008) . ...
This study provided empirical evidence on the quality of health service delivery in Federal tertiary hospitals in Nigeria and the extent to which quality health service delivery is predicted by knowledge management practices, interprofessional collaboration and information technology application
