Abstract:
In today’s competitive organization, the major challenge is effective management of information. The only sure way of managing gathered information in an efficient and effective manner is by use of technology. Hence, the implementation of health information system involves significant financial investment from health care providers. Policy decision makers therefore need to have a good understanding of how information systems can be effectively implemented, and how they are used by health care staff subsequently once they have been set in within work processes. The study was guided by the following research objectives: to assess how infrastructure facilities affects provision of medical services in Moi Teaching and Referral Hospital; to determine the effect of social structure on provision of medical services in Moi Teaching and Referral Hospital and to determine the effect of Staff ICT skills and expertise on provision of medical services in Moi Teaching and Referral Hospital. Descriptive survey design was used to elicit data from the employees of Moi Teaching and Referral Hospital who had been selected to form the study sample through Cluster sampling, Proportionate sampling and Simple random sampling techniques. The target population was 3144 staff from various departments. The sample size was 175 staff. Structured questionnaires were the main data collection tools. Inferential analysis was used to analyze the quantitative data. The study findings indicated that there is a strong positive non-linear correlation between the dependent variable and independent variables. R2 is a measure of how much of the variability in outcome is accounted for by the predictors. Also, the value of R2 has increased to 0.525 or 52.50% of variation in Adoption. The study concluded that the factors that predict provision of medical services at MTRH are infrastructure facilities 26%, social structure 21% and skills and expertise 16%; when staff motivation, working environment and hospital policy are held constant. The study, therefore, recommends that the Moi Teaching and Referral Hospital should ensure that their systems are up to date with the current systems in the markets and they are regularly updated. This is because old systems are prone to security threats since they can be manipulated by people with bad intentions like hackers which can compromise the security of vital information. Also, the hospital management should ensure that they award appropriate salaries and allowances to the human resource. This will be a source of motivation to the employees who are a crucial determinant of the quality of provision of medical service in the hospital. The study was purely cross sectional. The study recommends a longitudinal study in the same so as to establish long term relationship between the variable.
