Introduction and Purpose Evaluating hospital information system (HIS) evaluation indicators has a significant impact on the health planning and policy-making process. Therefore, the present study was conducted to explore the HIS evaluation indicators using the logic model.
Methods This qualitative research was conducted in 2024. First, the concepts were identified through a literature review. Subsequently, through semi-structured interviews with 20 experts (including health system managers, policymakers, and HIS experts from the hospitals in northern Iran), the indicators were identified. Purposive sampling and snowball sampling were used to select the participants. All indicators were evaluated, coded, and categorized based on similarity and symmetry. Then, themes were identified and analyzed using content analysis. Finally, an expert panel was asked to classify the indicators based on the Logic model into structural, process, output, and outcome levels.
Results After eliminating duplicates and overlapping indicators, 471 indicators were found. Based on the panel of experts’ opinions, 407 indicators were finally selected. Based on the Logic model, they were categorized into 100 structural indicators, 101 process indicators, 95 output indicators, and 111 outcome indicators. From the participants’ perspective, eight main themes were extracted: management & leadership, administration & support, facilities & equipment, productivity, paraclinical services, clinical services, financial, and environmental. These themes effectively explain HIS indicators in line with the Logic odel.
Conclusion The Logic model, by linking activities, processes, outputs, and outcomes, provides a comprehensive analysis of HIS performance. It is recommended that hospitals in Iran focus on improving infrastructure, service quality, strategic monitoring, and social responsibility to enhance HIS performance and sustainability.