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

Rajagopal, Saravanan and Balakrishnan, Vimala and Chiam, Yin Kia (2024) The direct effect of institutional factors on healthcare information systems (HIS) organisational interoperability in Malaysian public hospitals. Health Informatics Journal, 30 (4). ISSN 1460-4582, DOI https://doi.org/10.1177/14604582241294218.

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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.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: Healthcare information system; Health information interoperability; Institutional factors; Organisational interoperability; Organisational policy
Subjects: Q Science > QA Mathematics > QA76 Computer software
Divisions: Faculty of Computer Science & Information Technology > Department of Information System
Faculty of Computer Science & Information Technology > Department of Software Engineering
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 27 Oct 2025 02:34
Last Modified: 27 Oct 2025 02:34
URI: http://eprints.um.edu.my/id/eprint/46424

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