Implementation Differences of Hospital Information System (HIS) in Malaysian Public Hospitals (original) (raw)
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Challenges in the Implementation of Hospital Information Systems in Malaysian Public Hospitals
2017
Hospital Information System plays a significant role in supporting healthcare organization to improve their clinical processes, control cost and respond to the demand for quality care. Despite its importance, the level of implementation of such system in Malaysian public hospitals is still very low due to various issues. This papers reveals the findings from a study at four hospitals in the Northern Region of Malaysia. Data were collected from series of in-depth interviews involving eleven key personnel of the selected hospitals, and were analyzed using interpretive analysis approach. The analysis revealed four categories of challenges which are associated to human, technology and infrastructure, software limitation and support.
AN OVERVIEW OF HOSPITAL INFORMATION SYSTEM (HIS) IMPLEMENTATION IN MALAYSIA
Information system plays an important role in various sectors, including healthcare sector such as hospitals. Hence, the implementation of Hospital Information System (HIS) in Malaysian Public Hospitals is aimed to improve the quality of public healthcare services especially in terms of enhancing patients’ satisfactions and patient record management. However, not all public hospitals in Malaysia have embraced the use of the system. Thus, this paper discusses an overview of HIS implementation at Malaysian hospitals based on previous studies done in this area. Prior to the discussion, several components and types of HIS are explained in general. Furthermore, benefits on HIS implementation are also being described to emphasise the importance of HIS implementation in Malaysian Public Hospitals which is recognising the reasons to implement the system in Malaysian Hospitals.
Journal of Pharmaceutical Sciences and Community, 2021
The Indonesian government has mandated using the Hospital Information System (HIS) since 2013. Until now, not all hospitals in Indonesia have implemented HIS, however. Some barriers have prevented them from applying HIS. This study explores the opportunities and barriers regarding implementing the Hospital Information System (HIS) in Indonesia through a public hospital case study. This study applied a qualitative approach. The approach used interviews to gather data using a pre-tested interview guideline. The guideline used several constructs to structure the questions, i.e., predisposing, enabling, reinforcing, barrier, and projected behavior. Participants were different types of HIS users in the studied hospital, i.e., physician, nurse, pharmacist, administrators, laboratory personnel, and Information Technology (IT) personnel. Data were transcribed verbatim and analyzed thematically. The interviews involved twenty-one participants. Nine themes describe HIS implementation challeng...
2015
Total Hospital Information System (THIS) is a project by the Ministry of Health (MOH) of Malaysia that provide a complete and comprehensive Hospital Information System (HIS) by establishing integrated electronic information handling and processing in a hospital by means of Information and Communications Technology (ICT). Implementation of such rigorous system in a complex organization such as health services involves many challenges, and if they are not tackled appropriately, the system may fail and reject by the user. This paper analyzed and discussed on a few major challenges faced by the MOH on their implementation of THIS at 13 government hospitals nationwide. The challenges include digital gap, knowledge and skills, system quality, redundancy and data abundance. Initiatives taken to address the challenges were explained and some suggestions were also introduced. Furthermore, the article look into the future prospective of the system, on how the system could benefit further whic...
Adoption of Hospital Information System (HIS) in Malaysian Public Hospitals
Procedia - Social and Behavioral Sciences, 2015
Hospital Information System (HIS) is important to be adopted by the hospitals to improve their operations and services. Despite their importance, only 15.2% of Malaysian Public Hospitals implemented the system through THIS, IHIS and BHIS categories which shows low adoption level of HIS in Malaysia. This study aims to identify factors affecting the HIS adoption across different categories of HIS's hospitals. The finding showed that there are significant differences between factors affecting HIS adoption in the THIS compared to IHIS's hospitals, and THIS and BHIS's hospitals. However there is no significant difference among factors between IHIS with BHIS's hospitals.
Implementation of Hospital Information System in Indonesia: A Review
Systematic Reviews in Pharmacy, 2021
Objective: The government of Indonesia has mandated the use of the Hospital Information System (HIS) since 2013. Previous research has revealed the various factors of success and failure of HIS implementation in Indonesia. This variation is due to the uniqueness and characteristics of each hospital. Therefore, this review aims to provide a clearer picture of Indonesia's HIS implementation's main factors. Methods: This review included literature in the area of interest. i.e., the HIS implementation in Indonesia, which was published from 2009 to 2019. The literature was searched within the Indonesian and international databases through their websites. The article selection was conducted by two researchers independently, using these two inclusion criteria, i.e.,1) original and peer-reviewed research, 2) research investigating HIS's implementation involving a case study at a hospital in Indonesia, 3) articles are in the national language (Bahasa Indonesia) and English, 4) fu...
Assessment of hospital information systems implementation: a case study
Studies in Health Technology and Informatics, 2011
The use of integrated Hospital Information Systems is related with many benefits for the healthcare system, increasing the effectiveness of the provided services and assuring quality of care. Aim of this study is to investigate the types of Information Systems, the level of integration and the problems identified during the implementation phase, in three public hospitals. The above are expected to contribute to the understanding of the organizational, human resource and technical factors related with the successful implementation of a hospital IS. In order to investigate those elements, an assessment questionnaire was developed and completed by nine hospitals IT employees of the three hospitals. In addition, open interviews were organized with the same employees to further formulate an overall aspect, while in one hospital case, observation and discussion with four different categories of involved staff was undertaken. It was found that the implementation problems are mainly related with the underfunding, inadequate use of standards, lack of skilled IT experts, insufficiently trained personnel and users' reserve. The problems may be tackled with a supportive hospital administration committed to the successful implementation. The external contracting company working on its own, without any participation of the hospital IT department seems to be a failure recipe. It is evident that an active management support and skillful hospital IT employees, are expected to result to success stories during the implementation of integrated hospital information systems.
Journal of Telecommunication, Electronic and Computer Engineering, 2018
Successful implementation of Information System (IS) in government hospitals is indeed a challenging task. Fail to prevent or control challenges of Information System (IS) implementation have led to the failure of its implementation. Government has invested a big amount of money on information system (IS) projects to improve service delivery in healthcare. However, several of them failed to be implemented successfully due to several factors. This article proposes how Change Management (CM) helps in preventing the failure of IS implementation, hence ensuring the success of it. This study starts by discovering challenges of IS implementation in government hospitals. Combination of extensive literature review and deep interview approaches were employed to discover these challenges. CM has been employed in designing a prevention model to cater the challenges. The model caters three main phases of implementation; pre-implementation, during implementation, and post-implementation by adopt...
International Journal of Medical Informatics, 2017
Introduction: After implementation, evaluation of hospital information systems (HISs) is critical to ensure the fulfillment of the system goals. This study aimed to assess the success or failure of HISs in public hospitals affiliated with Zahedan University of Medical Sciences. Materials and methods: A cross-sectional descriptive and analytic study was performed in 2016. The study population comprised IT and HIS authorities and hospital information system users. The sample consisted of 468 participants. The data were collected using two questionnaires and analyzed with the SPSS software using descriptive and analytical statistics. Results: The mean score of functional, behavioral, ethical, organizational, cultural and educational factors from the users' perspective was 3.14 ± 0.66, 2.97 ± 0.60, 3.39 ± 0.70, 2.96 ± 0.642, 3.09 ± 0.63, and 2.95 ± 0.74, respectively. The mean score of organizational, behavioral, cultural, technological, educational and legal factors from IT and HIS authorities' perspective was 3.51 ± 0.54, 3.35 ± 0.45, 2.75 ± 0.61, 3.58 ± 0.32, and 3.96 ± 0.59, respectively. Conclusions: The evaluated hospital information systems were considered relatively successful in terms of functional, ethical, and cultural factors but were considered as a relative failure in terms of behavioral, organizational, and educational factors form the users' perspective. Only the legal factor showed success, while organizational, behavioral, technical and educational factors showed relative success and the cultural factor showed relative failure from HIS and IT authorities' perspective. Therefore, assessing the users' needs before implementing the system, involving them in various stages of implementation, training them, and improving their computer skills seem to be necessary to achieve a better level of system success.