Department of Information Systems, Faculty of Computer Science and Information Technology, Universiti Malaya, Kuala Lumpur, Malaysia.
Department of Software Engineering, Faculty of Computer Science and Information Technology, Universiti Malaya, Kuala Lumpur, Malaysia.
Health Informatics J. 2024 Oct-Dec;30(4):14604582241294218. doi: 10.1177/14604582241294218.
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. This cross-sectional study aimed to investigate the direct effect of institutional factors on OIoP for HIS in public sector hospitals in Malaysia. 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. Structured equation modelling revealed Security and Privacy Compliance, and Stakeholder Engagement and Awareness to significantly and positively affect OIoP (R = 0.380). Healthcare organisations should prioritise clear and effective policies and regulations and enough budget and resources for the suggested framework.
医疗信息系统（HIS）的组织互操作性（OIoP）对于 HIS 的成功至关重要，但人们对制度因素的影响知之甚少。本横断面研究旨在调查制度因素对马来西亚公立医院 HIS 的 OIoP 的直接影响。使用个人健康系统互操作性和精炼电子健康欧洲互操作性框架开发了概念性的 OIoP 框架。使用自填式问卷从 300 名医疗保健专业人员中收集数据。通过探索性因素分析和验证性因素分析评估数据。结构方程模型显示，安全和隐私合规以及利益相关者的参与和意识显著且积极地影响 OIoP（R = 0.380）。医疗保健组织应优先考虑明确有效的政策和法规，以及足够的预算和资源来支持该框架。
