Volume 8, Issue 2 (Summer 2025)
Iran J Health Insur 2025, 8(2): 100-111 |
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Research code: 403000980
Ethics code: IR.KMU.REC.1403.614
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Shojaei Baghini M, Mohammadi M, Jafari Sirizi M, Bani Asadi M. Usability Evaluation of the Inpatient Claims Processing System From the Perspectives of Experts and End-Users. Iran J Health Insur 2025; 8 (2) :100-111
URL: http://journal.ihio.gov.ir/article-1-362-en.html
URL: http://journal.ihio.gov.ir/article-1-362-en.html
1- Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
2- National Center for Health Insurance Research, Tehran, Iran
3- Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran ,baniasadi.fm71@gmail.com
2- National Center for Health Insurance Research, Tehran, Iran
3- Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran ,
Abstract: (959 Views)
Introduction: The Inpatient Claims Processing System was developed to streamline data transfer from hospital information systems and validate insurance and tariff data. This study aimed to evaluate the system's usability from the perspectives of experts and users at Kerman University of Medical Sciences.
Methods: This descriptive-analytical study employed a 13-item checklist based on Nielsen’s usability principles, completed by five domain experts. Additionally, users from the Iran Health Insurance Organization and affiliated hospitals of Kerman University of Medical Sciences were surveyed using the Questionnaire for User Interaction Satisfaction (QUIS). The collected data were analyzed using SPSS version 25 and Microsoft Excel.
Results: A total of 70 usability problems were identified. The most frequent issues were related to the principles of "helping users recognize, diagnose, and recover from errors" and "flexible design," while the least frequent issues pertained to "privacy" and "aesthetic design." The highest problem severity was attributed to the "aesthetic design" principle, and the lowest to the "recognition rather than recall" principle. From the users’ perspective, the "screen design" index received the highest usability score. In contrast, "overall system capabilities" and "general perception of working with the system" received the lowest scores from hospital and health insurance users, respectively.
Conclusion: The findings suggest that, although the usability problems identified by both evaluation methods were not highly severe, addressing them could enhance the user experience and improve the overall effectiveness of the Inpatient Claims Processing System.
Methods: This descriptive-analytical study employed a 13-item checklist based on Nielsen’s usability principles, completed by five domain experts. Additionally, users from the Iran Health Insurance Organization and affiliated hospitals of Kerman University of Medical Sciences were surveyed using the Questionnaire for User Interaction Satisfaction (QUIS). The collected data were analyzed using SPSS version 25 and Microsoft Excel.
Results: A total of 70 usability problems were identified. The most frequent issues were related to the principles of "helping users recognize, diagnose, and recover from errors" and "flexible design," while the least frequent issues pertained to "privacy" and "aesthetic design." The highest problem severity was attributed to the "aesthetic design" principle, and the lowest to the "recognition rather than recall" principle. From the users’ perspective, the "screen design" index received the highest usability score. In contrast, "overall system capabilities" and "general perception of working with the system" received the lowest scores from hospital and health insurance users, respectively.
Conclusion: The findings suggest that, although the usability problems identified by both evaluation methods were not highly severe, addressing them could enhance the user experience and improve the overall effectiveness of the Inpatient Claims Processing System.
Keywords: Evaluation, Usability, Iran Health Insurance, Inpatient Claims Processing System, Iranian Electronic Health Record System, Electronic Services
Type of Study: Research |
Subject:
Special
Received: 2025/06/12 | Revised: 2025/10/13 | Accepted: 2025/08/31 | ePublished: 2025/09/30
Received: 2025/06/12 | Revised: 2025/10/13 | Accepted: 2025/08/31 | ePublished: 2025/09/30
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