Evaluation of Raqeem Health Information System in Primary Healthcare Centers in Makkah, Saudi Arabia, Using the DeLone and McLean Information System Success Model.

Objectives: To evaluate the implementation of Raqeem, a new Electronic Health Information Systems (EHIS) implemented at primary healthcare centers (PHCs) in Makkah. Implementing EHIS requires huge investments, making evaluation of systems success important. Methods: In this cross-sectional survey design study, a developed questionnaire guided by DeLone and McLean Information System success model (D&M model) was used to collect data from PHCs' providers. Descriptive and structural equation modeling (SEM) techniques were performed to describe and examine the association between the model's constructs and assess Raqeem success. Results: A total of 490 providers submitted completed records and were included in this study. The SEM revealed that system quality is significantly and positively associated with use (β = 0.38, p <0.001) and user satisfaction (β = 0.13, p <0.001); information quality is significantly and positively associated with use (β = 0.33, p <0.001) and user satisfaction (β = 0.13, p <0.001); and service quality is significantly and positively associated with use (β=0.23, p <0.001) and user satisfaction (β = 0.08, p = 0.003). Use of the system was significantly and positively associated with user satisfaction (β = 0.40, p <0.001) and perceived net benefits (β = 0.34, p <0.001). Finally, user satisfaction was significantly and positively associated with perceived net benefits (β = 0.73, p <0.001). Conclusion: This evaluation showed overall positive views suggesting implementation success. However, lower scores were observed for service quality, suggesting a need to address that component. Our study also found support for the D&M model of EHIS system implementation.