EFFICACY OF MODIFIED MULTICOMPONENT SYSTEM “1C: ENTERPRISE” IMPLEMENTATION

Abstract

Background: Automated accounting and controlling system “1C: Enterprise” is widely used in Russia for optimizing the system of controlling materials and technical resources. Medical organizations modify them in line with their primary activity objectives. For many years, the Scientific Center of Children’s Health has been successfully using a 1C-based medical information system including electronic patient records. An innovative product — an additional block for accounting equipment and supplies (E&S) — was developed in 2014.

Objective: Our aim was to conduct a sociological analysis of results of the first stage of modified multicomponent system “1C: Enterprise” implementation.

Methods: The cross-sectional full-design study was conducted from October 2014 to June 2015. We used the analytical method, the opinion poll method and the expert method. We developed a special questionnaire for the purposes of the poll. We assessed opinions of clinic employees, departments and services indirectly or directly working with the system.

Results: The study results demonstrate that multifunctional and adapted towards peculiarities of activities of the Scientific Center of Children’s Health system “1C: Enterprise” provides more efficient control over the use of drugs, expendables and other E&S in patient terms. It also allows simplifying and automatizing operation of the E&S accounting system by the employees and generating financial statements for a given period in terms of patient/department/clinic. At the same time, the poll revealed problematic technical, informational and motivational aspects. This is confirmed by the degree of involvement/personal interest of employees in the end result, as well as by the priorities of motivation for quality work.

Conclusion: Analysis of attitude of accountable persons to the modification of accounting policy of the Scientific Center of Children’s Health served as the basis for developing measures of optimizing system operation by the employees. These measures include additional on-site training and a personified incentive system.