Attitude of Health Information Managers towards Patients in Nigeria: Evidence from Three Selected Teaching Hospitals
Eidah Sule Yahaya *
Department of Health Information Management, Faculty of Allied Health Sciences, Prowess University Delaware, USA.
*Author to whom correspondence should be addressed.
Abstract
Background: Health Information Managers (HIMs) occupy a pivotal role in Nigeria's tertiary healthcare system, yet their attitudes towards patients remain understudied. This study assessed HIM attitudes and the factors shaping them across three major teaching hospitals.
Methods: A mixed-methods descriptive cross-sectional survey design was employed, integrating quantitative and qualitative data collection and analysis approaches. Data were collected from 300 HIMs across the University of Ilorin Teaching Hospital (UITH), Ahmadu Bello University Teaching Hospital (ABUTH), and Obafemi Awolowo University Teaching Hospital (OAUTH) using a validated structured questionnaire. Descriptive statistics, Pearson's correlation, multiple regression, Chi-square tests, and thematic analysis were applied.
Results: All 300 respondents (100%) self-reported positive attitudes; however, this finding should be interpreted cautiously given the well-documented potential for social desirability bias in self-report healthcare surveys. Technological resources were widely rated adequate and positively influenced attitudes. Training participation was moderate (mean frequency 2.50–2.80), yet 90–95% strongly believed that continuous professional development (CPD) improves attitude. A statistically significant association was found between communication practices and patient feedback frequency (χ² = 26.72, df = 16, p < 0.05). Qualitative analysis revealed three key themes: ethical breaches in confidentiality, systemic morale constraints, and aspirations for digital transformation.
Conclusion: Despite universally positive self-reported attitudes, underlying systemic, technological, and organisational challenges critically impair HIM service delivery. Integrated investment in ICT infrastructure, mandatory CPD, and patient-centred communication protocols is urgently recommended.
Keywords: Health Information Managers, attitude, Patient-centred care, Nigeria, teaching hospitals, electronic health records, professional development, communication