The direct effect of institutional factors on healthcare information systems (HIS) organisational interoperability in Malaysian public hospitals.

IF 2.2 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Informatics Journal Pub Date : 2024-10-01 DOI:10.1177/14604582241294218

Saravanan Rajagopal, Vimala Balakrishnan, Yin Kia Chiam

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引用次数: 0

Abstract

Background: Organisational interoperability (OIoP) of the Healthcare Information System (HIS) is crucial for the success of HIS, however little is known about the impact of institutional factors. Objective: This cross-sectional study aimed to investigate the direct effect of institutional factors on OIoP for HIS in public sector hospitals in Malaysia. Methods: A conceptual OIoP framework was developed using the Personal Health Systems Interoperability and Refined eHealth European Interoperability frameworks. A self-administered questionnaire survey was used to solicit data from 300 healthcare professionals. Data were assessed through an Exploratory Factor Analysis followed by a Confirmatory Factor Analysis. Results: Structured equation modelling revealed Security and Privacy Compliance, and Stakeholder Engagement and Awareness to significantly and positively affect OIoP (R² = 0.380). Conclusion: Healthcare organisations should prioritise clear and effective policies and regulations and enough budget and resources for the suggested framework.

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制度因素对马来西亚公立医院医疗信息系统（HIS）组织互操作性的直接影响。

背景：医疗保健信息系统（HIS）的组织互操作性（OIoP）对 HIS 的成功至关重要，但人们对制度因素的影响知之甚少。研究目的本横断面研究旨在调查机构因素对马来西亚公立医院医疗信息系统 OIoP 的直接影响。研究方法使用个人医疗系统互操作性和欧洲电子医疗互操作性改进框架开发了一个概念性的 OIoP 框架。采用自填式问卷调查，向 300 名医疗保健专业人员征集数据。通过探索性因子分析和确认性因子分析对数据进行评估。结果显示结构方程模型显示，安全和隐私合规性以及利益相关者的参与和意识对 OIoP 有显著的积极影响（R2 = 0.380）。结论医疗机构应优先考虑明确有效的政策和法规，并为建议的框架提供足够的预算和资源。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Informatics Journal HEALTH CARE SCIENCES & SERVICES-MEDICAL INFORMATICS

CiteScore

7.80

自引率

6.70%

发文量

审稿时长

6 months

期刊介绍： Health Informatics Journal is an international peer-reviewed journal. All papers submitted to Health Informatics Journal are subject to peer review by members of a carefully appointed editorial board. The journal operates a conventional single-blind reviewing policy in which the reviewer’s name is always concealed from the submitting author.