Factors influencing adoption of hospital information system framework in Malaysian public hospitals

Hospital Information System (HIS) is an integrated Information System (IS) designed to enhance clinical, financial and administrative functions of a hospital. HIS is vital to the healthcare sector especially in public hospitals as they need to serve the public with high-quality healthcare services....

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Main Author:	Ahmadi, Hossein
Format:	Thesis
Language:	English
Published:	2015
Subjects:	QA75 Electronic computers Computer science
Online Access:	http://eprints.utm.my/id/eprint/54761/1/HosseinAhmadiPFC2015.pdf
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spelling	my-utm-ep.547612020-11-05T06:49:18Z Factors influencing adoption of hospital information system framework in Malaysian public hospitals 2015-11 Ahmadi, Hossein QA75 Electronic computers. Computer science Hospital Information System (HIS) is an integrated Information System (IS) designed to enhance clinical, financial and administrative functions of a hospital. HIS is vital to the healthcare sector especially in public hospitals as they need to serve the public with high-quality healthcare services. Therefore, it is important to investigate the adoption of HIS in public hospitals. However, the investigation of HIS adoption in Malaysian public hospitals has been rarely explored in previous studies. Hence, the aim of this study is to identify significant factors that importantly driving the proposed HIS adoption framework from adopters‘ and non-adopters‘ perspective within the context of Malaysian public hospitals. This study examines the role of hospital size to determine whether it has moderating effect on the relationships among the potential factors and HIS adoption. Accordingly, this study integrates the Technology Organization Environment (TOE) Framework, Institutional Theory and Human Organization Technology (HOT) Fit Model to predict the factors influencing adoption of HIS framework in Malaysian public hospitals. Fourteen hypotheses were developed to test the proposed framework. This research applied the quantitative approach and conducted survey which involved eighty-eight small, eighteen medium and thirty-one large Malaysian public hospitals. A survey method using web-based questionnaire was conducted to examine the effects of the potential factors on HIS adoption by Malaysian public hospitals. Partial Least Square (PLS) method was performed to evaluate internal consistency, indicator reliability, convergent and discriminant validity of the survey instrument. The logistic regression method was applied to test the research hypotheses. The results from hypotheses testing indicated that relative advantage, compatibility, security concern, hospital size, mimetic pressure-competitors, vendor support, perceived technical competence of IS staff and employees‘ IS knowledge were the most significant factors for adopting HIS in the Malaysian public hospitals with p-value < 0.05. The results from moderation hypothesis testing showed that hospital size has no significant effect with p-value > 0.05 on the relationships in the framework. The research findings conclude that the significant factors have the same effect on HIS adoption within the different sizes of hospitals. This study provides a useful understanding of factors in the hospital context influencing the adoption of HIS framework in both adopter and non-adopter hospitals. 2015-11 Thesis http://eprints.utm.my/id/eprint/54761/ http://eprints.utm.my/id/eprint/54761/1/HosseinAhmadiPFC2015.pdf application/pdf en public http://dms.library.utm.my:8080/vital/access/manager/Repository/vital:94635 phd doctoral Universiti Teknologi Malaysia, Faculty of Computing Faculty of Computing
institution	Universiti Teknologi Malaysia
collection	UTM Institutional Repository
language	English
topic	QA75 Electronic computers Computer science
spellingShingle	QA75 Electronic computers Computer science Ahmadi, Hossein Factors influencing adoption of hospital information system framework in Malaysian public hospitals
description	Hospital Information System (HIS) is an integrated Information System (IS) designed to enhance clinical, financial and administrative functions of a hospital. HIS is vital to the healthcare sector especially in public hospitals as they need to serve the public with high-quality healthcare services. Therefore, it is important to investigate the adoption of HIS in public hospitals. However, the investigation of HIS adoption in Malaysian public hospitals has been rarely explored in previous studies. Hence, the aim of this study is to identify significant factors that importantly driving the proposed HIS adoption framework from adopters‘ and non-adopters‘ perspective within the context of Malaysian public hospitals. This study examines the role of hospital size to determine whether it has moderating effect on the relationships among the potential factors and HIS adoption. Accordingly, this study integrates the Technology Organization Environment (TOE) Framework, Institutional Theory and Human Organization Technology (HOT) Fit Model to predict the factors influencing adoption of HIS framework in Malaysian public hospitals. Fourteen hypotheses were developed to test the proposed framework. This research applied the quantitative approach and conducted survey which involved eighty-eight small, eighteen medium and thirty-one large Malaysian public hospitals. A survey method using web-based questionnaire was conducted to examine the effects of the potential factors on HIS adoption by Malaysian public hospitals. Partial Least Square (PLS) method was performed to evaluate internal consistency, indicator reliability, convergent and discriminant validity of the survey instrument. The logistic regression method was applied to test the research hypotheses. The results from hypotheses testing indicated that relative advantage, compatibility, security concern, hospital size, mimetic pressure-competitors, vendor support, perceived technical competence of IS staff and employees‘ IS knowledge were the most significant factors for adopting HIS in the Malaysian public hospitals with p-value < 0.05. The results from moderation hypothesis testing showed that hospital size has no significant effect with p-value > 0.05 on the relationships in the framework. The research findings conclude that the significant factors have the same effect on HIS adoption within the different sizes of hospitals. This study provides a useful understanding of factors in the hospital context influencing the adoption of HIS framework in both adopter and non-adopter hospitals.
format	Thesis
qualification_name	Doctor of Philosophy (PhD.)
qualification_level	Doctorate
author	Ahmadi, Hossein
author_facet	Ahmadi, Hossein
author_sort	Ahmadi, Hossein
title	Factors influencing adoption of hospital information system framework in Malaysian public hospitals
title_short	Factors influencing adoption of hospital information system framework in Malaysian public hospitals
title_full	Factors influencing adoption of hospital information system framework in Malaysian public hospitals
title_fullStr	Factors influencing adoption of hospital information system framework in Malaysian public hospitals
title_full_unstemmed	Factors influencing adoption of hospital information system framework in Malaysian public hospitals
title_sort	factors influencing adoption of hospital information system framework in malaysian public hospitals
granting_institution	Universiti Teknologi Malaysia, Faculty of Computing
granting_department	Faculty of Computing
publishDate	2015
url	http://eprints.utm.my/id/eprint/54761/1/HosseinAhmadiPFC2015.pdf
_version_	1747817720335826944

Factors influencing adoption of hospital information system framework in Malaysian public hospitals

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