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Background of the Study
Health care service delivery in Nigeria falls short of
international standards resulting from poor state of health care
infrastructure, shortage of medical professionals, threat of re-emerging
infectious diseases, and poor sanitation. Over the last five decades
post-independence, growth, and development in health care has been very poor.
HIV/AIDS has regrettably been a very serious health challenge overtime. About
3.6 million of the populations are HIV positive. More than 300.000 individuals
die from AIDS every year (Aiken et al.
2012). Another major problem is that of infant mortality.
The World Health Organization Report, (2010) indicated an infant mortality of
110 per 1000 live births in Nigeria. As a comparison, the infant mortality in
Sweden is 2.7 per 1000 live births. Poverty has compounded these problems to
give low life-expectancy of 52 years for women and 49 years for men.
Recognizable demographic differences exist in Nigeria with consequent disparity
in availability of health care facilities across the country (Weiner et al.
evalution of clinical data of patients like the electronic medical record
systems help to improve access to health care in remote suburban areas and
ensure improved maintenance of long-term care. Mark et
(2014), in separate studies conducted to assess patient and
community satisfaction, found discontent with community members who decried the
poorly staffed and inadequately equipped Primary Health Centers (PHCs) in their
rural settlements compared to hospitals in urban centers. Such demographic
disparity in health care accessibility benefits from hospital information
technologies and telemedicine to foster collaboration between clinicians in
urban areas and those in rural settlements. Clinical data evaluation for
patients includes strategic decision support systems and clinical documentation
systems. Some of the clinical support systems include Laboratory Information
Systems (LIS), Radiology Information Systems (RIS), and Computerized Order
Entry (COE). Others are pharmacy information systems and personal data analysis
systems with important added feature for messaging between providers and staff,
and the ability to share data with other medical facilities. Telemedicine is a
unique application of hospital information technologies. In its simplest form,
telemedicine uses audiovisual information and communications apparatus to
deliver health care services in a bid to modify socio-economic circumstances of
the beneficiaries and improve accessibility to medical care. A paucity of
government policy regarding the implementation of clinical data evaluation for
patients exists in Nigeria. The lack of strategic government programs has
culminated in the poor adoption of hospital information technologies in health
care facilities across the country. Kahn et al.
(2015) posited that the lack of
access to modern medical health care facilities has compelled many Nigerian
patients to seek treatment with traditional healers and patent medicine
dealers. The more affluent echelon of the society resorts to medical tourism
overseas to obtain health care services, resulting in a loss of foreign
exchange to Nigeria. According to Donabedian, (2016),
poor leadership in Nigeria has led to years of economic downturn affecting
every aspect of social life. Rather than develop medical services in Nigeria,
government officials and wealthy individuals frequently seek medical treatment
abroad even for the most basic health care needs.