Development of implementation models for hospital information system (HIS) in Malaysian public hospitals
Studies have shown that Hospital Information System (HIS) implementation improve hospital’s management and activities in terms of cost and time reductions. However, there are only 15.2% out of 138 Malaysian Public Hospitals implemented HIS. Literatures have further highlighted various issues and cha...
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| Format: | Thesis |
| Published: |
2016
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| Subjects: | |
| Online Access: | http://eprints.uthm.edu.my/9228/ http://eprints.uthm.edu.my/9228/1/Nurul_Izzatty_Ismail.pdf |
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| Summary: | Studies have shown that Hospital Information System (HIS) implementation improve
hospital’s management and activities in terms of cost and time reductions. However,
there are only 15.2% out of 138 Malaysian Public Hospitals implemented HIS.
Literatures have further highlighted various issues and challenges with regards to its
implementation. Therefore, this study aimed to explore the implementation of THIS,
IHIS and BHIS’s hospitals as well as factors affecting them. This study employed a
mixed methods approach to answer the research objectives. In the first phase of this
study, semi-structured interviews were conducted with nine participants consisted of the
hospital directors, Information Technology officers and HIS users. It is found that
THIS’s hospital implementation phases differed from IHIS and BHIS’s hospitals, while
IHIS and BHIS’s hospitals have similar phases based on Business Interaction Phases of
Business Action Theory. Human context was discovered to play important roles in the
HIS implementation. A survey was conducted in the second phase of this study among
HIS users at different categories of HIS’s hospitals. Two hundred and twenty-nine
questionnaires were returned to yield a response rate of 45.8%. Based on ANOVA
findings, factors affecting THIS implementation were significantly different from those
in IHIS and BHIS’s hospitals. There was no significance different between IHIS and
BHIS’s hospitals. There are three major contributions of this study: 1) Distinctive
implementation phases for THIS hospital and IHIS-BHIS hospital were discovered for
HIS implementation. 2) New models of HIS implementation which highlight the Human
context were proposed, and 3) Different factors were found to affect HIS
implementation at different types of HIS’s hospitals. |
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