Designing a Web-Based Health Information System to Improve Data Accuracy and Service Quality at Phana Hospital, Amnat Charoen
Abstract
Purpose of the study: This study aimed to design and evaluate a web-based Health Information System to improve data accuracy and service quality at Phana Hospital, Amnat Charoen.
Methodology: A research and development design with a mixed-method sequential approach was employed. The system was developed using a structured SDLC framework and implemented over a three-month pilot period. Data accuracy was assessed through medical record audits (n=1,250), usability was measured using the System Usability Scale (n=35 staff), and service quality was evaluated using a modified SERVQUAL questionnaire (n=120 patients). Statistical analysis included paired t-tests to compare pre- and post-implementation outcomes.
Main Findings: Incomplete records decreased from 21.0% to 11.8%, duplication errors declined from 10.7% to 4.9%, and average documentation time was reduced from 14.2 to 10.6 minutes (p < 0.001). Service quality improved significantly across all five dimensions, with reliability increasing by +0.67 and responsiveness by +0.69 points. The system achieved a SUS score of 78.4, indicating good usability.
Novelty/Originality of this study: This study introduces an integrative framework linking workflow-based system design, embedded real-time validation mechanisms, and service quality performance evaluation within a district-level hospital context, providing a scalable and context-sensitive digital transformation model.
References
S. Bouchard, S. Gamache, and G. Abdulnour, “Operationalizing mass customization in manufacturing smes a systematic literature review,” Sustain., vol. 15, no. 4, 2023, doi: 10.3390/su15043028.
V. Gupta, “An empirical evaluation of a generative artificial intelligence technology adoption model from entrepreneurs’ perspectives,” Systems, vol. 12, no. 3, 2024, doi: 10.3390/systems12030103.
M. A. Suryawan and A. F. Maradona, “Unveiling the management of community health centers and its impact on service quality and patient satisfaction in the tabanan regency of Bali,” Quant. Econ. Manag. Stud., vol. 5, no. 6, pp. 1241–1249, Dec. 2024, doi: 10.35877/454RI.qems3498.
G. X. L. Silvederio et al., “Gut microbiome composition and diversity of wild-caught and hatchery-bred milkfish (Chanos chanos) fry,” J. Genet. Eng. Biotechnol., vol. 23, no. 3, p. 100520, 2025, doi: 10.1016/j.jgeb.2025.100520.
S. R. Covey, The seven habits of highly effective people. New York, NY: Free Press., 1989.
M. Rifial, A. Razak, D. Darmawansyah, I. Indar, and A. Rahman, “Impact of health system usage, patient satisfaction, information quality, and service quality on hospital management information system utilization at Madani regional general hospital,” J. Angiother., vol. 8, no. 11, pp. 1–8, Nov. 2024, doi: 10.25163/angiotherapy.81110061.
M. J. K. DiMattio and S. S. Hudacek, “Educating generation Z: Psychosocial dimensions of the clinical learning environment that predict student satisfaction,” Nurse Educ. Pract., vol. 49, p. 102901, 2020, doi: https://doi.org/10.1016/j.nepr.2020.102901.
K. Sun, “Bridging the sustainability gap in rural health equity: Policy evaluation and transnational lessons from Guizhou’s targeted medical assistance program,” Front. Public Heal., vol. 13, no. 2, p. 108, Jun. 2025, doi: 10.3389/fpubh.2025.1621223.
G. Jabeen/, G. Goli, and Kafila, “Building Trust: The Foundations of Reliability In Healthcare Bt - Healthcare Industry Assessment: Analyzing Risks, Security, and Reliability,”, Cham: Springer Nature Switzerland, pp. 43–65, 2024, doi: 10.1007/978-3-031-65434-3_3.
D. Sargiotis, “Data quality management: ensuring accuracy and reliability BT - data governance: A guide,” Springer: Cham, pp. 197–216, 2024, doi: 10.1007/978-3-031-67268-2_5.
C. Spencer, “Research on learners ’ preferences for reading from a printed text or from a computer screen,” J. Distance Educ., vol. 21, no. 1, pp. 33–50, 2006.
I. Abdullah, B. Hudayana, P. M. Kutanegara, and A. Indiyanto, “Beyond school reach: Character education in three schools in Yogyakarta, Indonesia,” J. Educ. Soc. Res., vol. 9, no. 3, pp. 145–159, Sep. 2019, doi: 10.2478/jesr-2019-0032.
F. M. Atici and M. Uyanik, “Analysis of discrete fractional operators,” Appl. Anal. Discret. Math., vol. 9, no. 1, pp. 139–149, 2015, doi: 10.2298/AADM150218007A.
G. E. Atsriku, “The adoption of agriculture technology in small-scale farming in the adumasa community in Ghana.,” no. December, pp. 1–56, 2020.
M. Gök and Ç. Şen, “Evaluation of the physical and acoustical competences of vocational music education institutions in terms of the requirements of music education.,” Int. Online J. Educ. Teach., vol. 9, no. 1, pp. 284–307, 2022.
V. Phan, L. Wright, and B. Decent, “Addressing competing objectives in allocating funds to scholarships and need-based financial aid,” Proc. 15th Int. Conf. Educ. Data Mining, EDM 2022, no. July, pp. 110–121, 2022, doi: 10.5281/zenodo.6853028.
J. A. Bawalsah, “Students with and without handwriting difficulties,” vol. 17, no. 7, pp. 2447–2461, 2022.
B. Himmetoglu, D. Aydug, and C. Bayrak, “Education 4.0: Defining the teacher, the student, and the school manager aspects of the revolution,” Turkish Online J. Distance Educ., vol. 21, no. July, pp. 12–28, 2021, doi: 10.17718/TOJDE.770896.
Z. Yaraş and F. Kanatlı Öztürk, “Society 5.0 in Human Technology Integration: Digital Transformation in Educational Organizations,” Int. J. Progress. Educ., vol. 18, no. 1, pp. 458–474, 2022, doi: 10.29329/ijpe.2022.426.26.
A. I. Mahardika, N. Wiranda, M. Arifuddin, M. Kamal, M. Erlina, and M. Hayati, “The Student Response to Interactive E-Modules to Support Science Literacy in Distance Learning Physics,” Int. J. Innov. Sci. Res. Technol., vol. 6, no. 11, pp. 258–261, 2021.
C. Hidayati, E. W. P. Thet, and P. Nouanthong, “Evaluation: Media booklet about education on prevention of flour albus for teenage girl,” J. Eval. Educ., vol. 5, no. 2, pp. 50–60, 2024, doi: 10.37251/jee.v5i2.928.
H. Ames, C. Glenton, and S. Lewin, “Purposive sampling in a qualitative evidence synthesis,” BMC Med. Res; Methodol., 2019.
R. K. Naik Jandavath and A. Byram, “Healthcare service quality effect on patient satisfaction and behavioural intentions in corporate hospitals in India,” Int. J. Pharm. Healthc. Mark., vol. 10, no. 1, pp. 48–74, 2016, doi: 10.1108/IJPHM-07-2014-0043.
B. Negi et al., “Anti-methicillin resistant staphylococcus aureus activity, synergism with oxacillin and molecular docking studies of metronidazole-triazole hybrids,” Eur. J. Med. Chem., vol. 115, no. 3, pp. 426e – 437, 2016, doi: 10.1016/j.ejmech.2016.03.041.
K. Ganasegeran et al., “A systematic review of the economic burden of type 2 diabetes in Malaysia,” Int. J. Environ. Res. Public Health, vol. 17, no. 16, pp. 5723–5735, Aug. 2020, doi: 10.3390/ijerph17165723.
M. Rifial, A. Razak, D. Darmawansyah, I. Indar, and A. Rahman, “Impact of health system usage, patient satisfaction, information quality, and service quality on hospital management information system utilization at madani regional general hospital,” J. Angiother., vol. 8, no. 11, pp. 1–8, Nov. 2024, doi: 10.25163/angiotherapy.81110061.
M. Gayatri et al., “Risk factors for primary postpartum haemorrhage-related maternal deaths: evidence from maternal verbal autopsy in jember district, Indonesia,” Bahrain Med. Bull., vol. 44, no. 4, pp. 1161–1171, 2022, doi: 10.1097/ms9.0000000000003224.
M. S. Farooq, N. Feroze, and Y. T. Kai, “Computer simulation instruction and pupils’ achievement in basic science, akure township, NIGERIA,” Int. Online J. Prim. Educ., vol. 6, no. 2, pp. 30–38, 2017.
Widodo, F. N. Mahmudah, Roemintoyo, S. Sivapalan, and B. Setyawan, “Future leadership capacity for VET with the Various Demands,” Pegem Egit. ve Ogr. Derg., vol. 13, no. 1, pp. 156–167, 2022, doi: 10.47750/pegegog.13.01.18.
A. Dengel, M. Z. Iqbal, S. Grafe, and E. Mangina, “A Review on Augmented Reality Authoring Toolkits for Education,” Front. Virtual Real., vol. 3, no. April, pp. 1–15, 2022, doi: 10.3389/frvir.2022.798032.
M. Haq, “A Comparative Analysis of Qualitative and Quantitative Research Methods and a Justification for Adopting Mixed Methods in Social Research . The University of Bradford Institutional Repository,” Annu. PhD Conf. Univ. Bradford Sch. Manag., pp. 1–22, 2023.
J. Holguin-Alvarez, J. Cruz-Montero, J. Ruiz-Salazar, R. L. Atoche Wong, and I. Merino-Flores, “Effects of feedback dynamics and mixed gamification on cognitive underachievement in school,” Contemp. Educ. Technol., vol. 17, no. 1, pp. 1–25, 2025, doi: 10.30935/cedtech/15717.
E. Natalie et al., “‘You’re actually part of the team’: A qualitative study of a novel transitional role from medical student to doctor,” BMC Med. Educ., vol. 23, no. 1, pp. 1–10, 2023, doi: 10.1186/s12909-023-04084-9.
A. Abulibdeh, E. Zaidan, and R. Abulibdeh, “Navigating the confluence of artificial intelligence and education for sustainable development in the era of industry 4.0: Challenges, opportunities, and ethical dimensions,” J. Clean. Prod., vol. 437, no.1, pp. 1405-1427, 2024, doi: 10.1016/j.jclepro.2023.140527.
Y. Y. Tang, Z. Cui, and T. H. Kim, “The effects of scapular stabilization exercises accompanied by spine stabilization exercises using an unstable surface on muscle activities for subjects with scapular winging,” Int. J. Hum. Mov. Sport. Sci., vol. 11, no. 1, pp. 77–87, 2023, doi: 10.13189/saj.2023.110110.
V. A. Kagonya, O. O. Onyango, M. Maina, D. Gathara, M. English, and A. Imam, “Characterising support and care assistants in formal hospital settings: A scoping review,” Human Resources for Health, vol.13, no.4, pp. 32-40, 2022, doi:10.1186/s12960-023-00877-7
H.-F. Lu, “Statistical learning in sports education: A case study on improving quantitative analysis skills through project-based learning,” J. Hosp. Leis. Sport Tour. Educ., vol. 32, no.2, pp. 1004-1017, 2023, doi: 10.1016/j.jhlste.2023.100417.
H. Mohajan, “Quantitative research: A successful investigation in natural and social sciences,” J. Econ. Dev. Environ. People, vol. 9, no. 4, pp. 52–79, 2020.
A. E. Strode, P. P. Singh, C. M. Slack, and D. R. Wassenaar, “Research ethics committees in a tight spot: Approving consent strategies for child research that are prima facie illegal but are ethical in terms of national guidelines,” South African Med. J., vol. 108, no. 10, pp. 828–832, 2018, doi: 10.7196/SAMJ.2018.v108i10.13203.
J. T. Calonia, D. P. Pagente, D. J. Desierto, and R. T. Capio, “Time management and academic achievement: examining the roles of prioritization, procrastinationand socialization,” Int. J. Innov. Sci. Res. Technol., vol. 8, no. 6, pp. 766–775, 2023, doi: 10.5281/zenodo.8115965.
Copyright (c) 2025 Weerapong Thanjangreed, Lloyd Arvin Malaluan
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and acknowledge that the Journal of Health Innovation and Environmental Education is the first publisher licensed under a Creative Commons Attribution 4.0 International License.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges and earlier and greater citation of published work.
.png)
.png)
