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 challenges with regards to its implementation. Therefore, this study aimed to explore the implementation of THIS, HIS 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 ANOV A 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 hospital