Implementation Differences of Hospital Information System (HIS) in Malaysian Public Hospitals

Abstract

Abstract-Hospital Information System (HIS) is important to healthcare sector especially in public hospitals as they need to serve the public with high-quality healthcare treatments. HIS helps to improve patients care services. Thus, the Malaysian Government has introduced three (3) categories of HIS namely Total Hospital Information System (THIS), Intermediate Hospital Information System (IHIS), and Basic Hospital Information System (BHIS) among Malaysian public hospitals. However, only 15.2% of the Malaysian public hospitals are implementing the system. Moreover, there is limited number of empirical studies on HIS implementation in Malaysia. Thus, this paper aims to investigate issues and challenges in HIS implementation for each category of HIS by using in-depth interviews. Nine participants were involved in the interviews. The interview data were transcribed verbatim and analysed based on Content and Thematic Analysis using NVivo software. The results showed that different category of HIS faced different issues and challenges.Index Terms-Basic hospital information system, hospital information system, intermediate hospital information system, total hospital information system.

An evaluation model for the implementation of hospital information system in public hospitals using multi-criteria-decision-making (MCDM) approaches

“…According to the National Library of Medicine [45], HIS is "the integrated, computer-assisted system designed to keep, manipulate, and retrieve information concerned with the administrative and clinical aspects of providing medical services within the hospital." In addition, according to Ismail et al [21], HIS is defined as a computer system by which the whole administrative and medical data of a hospital is managed to make the career of health experts well-organized and operational. In another definition by Kim [46,47], HIS has been defined as "a designer computer system devised to enhance the clinical and administrative functions of a hospital."…”

“…As an example, in Pakistan, hospital sector faces a barrier of IS infrastructure, which finds difficulty in obtaining a suitable software and hardware [126]. Additionally, Ismail et al [21] surveyed several tertiary public hospitals in Malaysia to identify the issues and challenges in the development of HIS.…”

“…Sulaiman and Wickramasinghe [118] and Ismail et al [21] pointed out the apparent issue of vendor support in the Malaysian public hospitals. Jahanbakhsh et al [22] conduct a study to identify the major barriers regarding the HIS utilization.…”

“…Nilashi et al [25] and Ahmadi et al [5] strongly suggest that Malaysian public hospitals should not overlook the importance of vendor support if they want to successfully implement HIS. Therefore, vendor support has been frequently suggested to be a critical factor for the adopting unit to successfully continue the adoption of Hospital technology in hospitals [4], [21], [25], [87], [95], [134].…”

“…Even though the HIS has brought the immense change to process of care delivery, it has attempted to increase the quality and safety of care [1], [9], [18][19][20]. However, compared to other technologies in the healthcare domain, the acceptance level of HIS is low [5], [17], [21][22][23][24]. HIS can support patient care planning and enhance decision making of clinical or administrative functions.…”