Healthcare information systems assimilation: the Malaysian experience

Sulaiman, H 2011, Healthcare information systems assimilation: the Malaysian experience, Doctor of Philosophy (PhD), Business Information Technology and Logistics, RMIT University.


Document type: Thesis
Collection: Theses

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Title Healthcare information systems assimilation: the Malaysian experience
Author(s) Sulaiman, H
Year 2011
Abstract The importance of information systems/information technology (IS/IT) to healthcare organisations today is being recognised as paramount and significant. Due to the exponentially increasing healthcare costs and the trend globally of having IS/IT as a solution to assist clinicians’ work processes, it is critical to ensure that the introduction and deployment of IS/IT innovations to any healthcare organisation is done efficiently and in a systematic manner. Hence, successful assimilation of IS/IT which is the central focus of this research becomes a key consideration. The assimilation of healthcare information systems (HIS) in hospitals refers to the extent to which the HIS are being used within and/or to enable key processes and activities in the healthcare organisation. Special attention in this study is given to the different stages of assimilation including initiation, adoption and routinization. This research is qualitative, adopting an exemplar single case study approach with more than one unit of analysis embedded within the case. This research also takes an interpretivist view with the aim of developing concepts, confirming or refuting theory, drawing from specific implications and the contribution of rich insights. A public hospital in Malaysia currently operating with an end-to-end hospital IS/IT was selected as the case to explore the key elements that contribute to the success of assimilating HIS. The conceptual model of this research was built from the concepts of innovation assimilation theories, technology-organisation-environment framework and resource based view of the firm. Thematic analysis and coding strategies were adopted to analyse transcriptions of interview data to identify expected findings, emerging themes and significant findings. The key findings from this research indicate that there are people, process, technology and environment elements that should be considered as facilitators to HIS assimilation success, as well barriers that the healthcare organisation should overcome throughout the entire assimilation stages or at specific stages. This research is therefore not only topical but especially beneficial to all players in the web of healthcare as they grapple with trying to overcome barriers in successfully assimilating HIS. This research also provides a contribution to the innovation assimilation body of knowledge and elaborates upon the important elements to consider by healthcare organisations when they try to assimilate HIS.
Degree Doctor of Philosophy (PhD)
Institution RMIT University
School, Department or Centre Business Information Technology and Logistics
Keyword(s) Assimilation
Healthcare Information Systems (HIS)
Technology Innovation
Technology-Organization-Environment
Information Systems/Information Technology (IS/IT)
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Created: Mon, 17 Sep 2012, 09:34:52 EST by Brett Fenton
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