Stakeholder influence in public sector information systems strategy implementation—The case of public hospitals in South Africa

Hwabamungu, Boroto; Brown, Irwin; Williams, Quentin

doi:10.1016/j.ijmedinf.2017.11.002

Cited by 14 publications

(7 citation statements)

References 47 publications

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“…Otherwise, in their research conducted on decision making which tends to have a direct impact on employee's performance, Bonavia & Brox-Ponce (2018) highlighted that in most of the cases in decision making the role of transparency is less than expected. In the other hand, as in the case of the study conducted by Hwabamungu, et al (2018) in the case of the public hospitals in South Africa. This research will find its significance in understanding also whether managerial decisions in the public sector must be emphasized on individuals to improve their performance and fulfil the general interest.…”

Section: Introductionmentioning

confidence: 94%

Factors Affecting the Performance of Public Sector Practitioners in the Republic of Congo

Moukouyou-Kouaka¹,

Awolusi²

2020

IMBR

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In most of the structures of the public sector in the Republic of Congo, the quality of services provided to the general public has never been of good quality as perceived by the population. Consequently, the purpose of this study is to understand the root cause of inefficiency in the public sector of the Republic of Congo. A descriptive survey was designed for this purpose. Gill et al. (2008) argument on the most preferred use of interviews questionnaires in qualitative research was utilized to gather data from the sampled respondents. The data obtained from the individual's interviews were analysed using SPSS software. The traditional approaches of employee's performance management were analysed and plotted. The results of the study revealed that many employees were not adequately trained to perform their duties; in the meantime, most of these employees have not received any training in the last 10-15 years. Furthermore, it was also revealed that the top management doesn't undertake performance management appraisal and also the latter doesn't promote career development. Therefore, the employees suggested capacity building training. Revision of the salary scale and improvement of working conditions as the things that needs to be changed to improve their performance. Finally, the researcher concluded that among others actions that can be taken there is need to initiate a restructuration of the public sector in the Republic of Congo

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Section: Introductionmentioning

confidence: 94%

Factors Affecting the Performance of Public Sector Practitioners in the Republic of Congo

Moukouyou-Kouaka¹,

Awolusi²

2020

IMBR

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“…The organisational structure defines the functions carried out across a health care system to achieve its objectives, including decisions relating to the acquisition and implementation of health technologies. 48 Thus, an organisational structure and its respective stakeholders play a vital role in influencing the implementation structure of HIS. It is through these structures that decisions such as planning, budgeting, recruitment of health care practitioners and distribution of infrastructure resources are managed in the tiered health systems.…”

Section: Organisational Structurementioning

confidence: 99%

Systematic review: Decentralised health information systems implementation in sub-Saharan Africa

Ogundaini

Achieng²

2022

TDSA

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Globally the health space is being revolutionised by rapid digital transformation to support care activities, promote healthier lifestyles and ensure informed decision making to improve service delivery. However, many health systems in sub-Saharan Africa are yet to realise the full potential of health information systems (HIS) as a digital transformation initiative. The objective of this article is to establish how the sociotechnical challenges in Africa’s health systems can be addressed by recommending a fitting approach to implement HIS relevant to the context of the continent. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) technique was applied to search, identify and filter articles over a 10-year period by applying inclusion and exclusion criteria accordingly. Only 42 articles satisfied the objective of this article. The emergent themes include contextual factors, coordination and collaboration, data complexity, organisation structure, accountability and stakeholders’ perspectives. The results indicated that less attention has been given to how the implementation approach could impact the output of health systems. In conclusion, the authors argue that a decentralised approach to the implementation of HIS is more appropriate for Africa’s health systems. The premise of the authors’ argument is informed by the tiered structure of health systems, varying levels of infrastructural development and use of large volumes of health-related data for resources allocation at the national level. Future studies should investigate the processes for formulation and evaluation of health policies to actively redress the administrative issues associated with the current functional HIS in each African country.Transdisciplinarity Contribution: The paper contributes to the practical implications of implementing HIS in sub-Saharan African health systems by highlighting the contextual realities and data governance complexities that support a decentralised approach towards ensuring resilience and health security.

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“…In other to overcome organizational complexity as it affects IS, some studies recommends that healthcare organizations should have the following; interoperable IS (Leal, Guédria, & Panetto, 2019); competent human resources, support and commitment from top management (Hernandez et al, 2018); develop a framework allowing the interconnection of entities and actors to work with a right integrated IS (Guha, & Kumar, 2018); motivation of stakeholders involved in developing IS and a framework for managing the implementation of IS projects (Hwabamungu et al, 2018). In fact, as Alotaibi and Liu (2017) mentioned, there are, sometimes, misalignment between relevant business requirements content and IS architectural solution, thereby lowering its quality.…”

Section: Enterprise Architecture and Healthcare Organizational Complexitymentioning

confidence: 99%

Healthcare Organizations and Enterprise Architecture: A Case Study in Canada

Tallé

Uche

2021

ESJ

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The paper focuses on exploring the perceptions of stakeholders (medical doctors, nurses, pharmacists, IT staff and other employees) in healthcare organizations in Canada on how they developed Enterprise Architecture (EA) to improve managerial decision making and align business activities and Information Technology (IT). Both quantitative and qualitative methods were adopted for this research. A total of 120 questionnaires were sent out but only 72 responses were received. Participants included industry professionals involved in implementing information systems (IS) within healthcare organizations. Data was collected physically and through emails. Also 3 subject matter experts (experts) were interviewed for the study. These experts each have over ten years’ experience in EA practice and are doctorate degree holders (PhDs). The results of the study showed that stakeholders see the potential for EA to be a tool for planning IT/IS projects, breaking down organizational silos, creating digital transformation, and proactively responding to disruptive forces. They do not see EA as the necessary tool for integrating IT solutions.

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Stakeholder influence in public sector information systems strategy implementation—The case of public hospitals in South Africa

Cited by 14 publications

References 47 publications

Factors Affecting the Performance of Public Sector Practitioners in the Republic of Congo

Factors Affecting the Performance of Public Sector Practitioners in the Republic of Congo

Systematic review: Decentralised health information systems implementation in sub-Saharan Africa

Healthcare Organizations and Enterprise Architecture: A Case Study in Canada

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