Abstract
The Indonesian government has mandated using the Hospital Information System (HIS) since 2013. Until now, not all hospitals in Indonesia have implemented HIS, however. Some barriers have prevented them from applying HIS. This study explores the opportunities and barriers regarding implementing the Hospital Information System (HIS) in Indonesia through a public hospital case study. This study applied a qualitative approach. The approach used interviews to gather data using a pre-tested interview guideline. The guideline used several constructs to structure the questions, i.e., predisposing, enabling, reinforcing, barrier, and projected behavior. Participants were different types of HIS users in the studied hospital, i.e., physician, nurse, pharmacist, administrators, laboratory personnel, and Information Technology (IT) personnel. Data were transcribed verbatim and analyzed thematically. The interviews involved twenty-one participants. Nine themes describe HIS implementation challenges in this case study, i.e., familiarity, flexibility, empowerment, discipline, facilities, data sharing, quality assurance, pragmatism, and capacity building. Pragmatism could be a barrier, while the other values would be opportunities. These challenges are promising in guiding HIS implementation success. The values found in this study convince that HIS implementation in Indonesia is promising. Those challenges are required to be taken into account to implement HIS successfully.
Highlights
A Hospital Information System (HIS)facilitates the non-clinical and clinical data integration and real-time
This study aims to explore HIS implementations values through the user's perspectives, including the opportunities and challenges, using a qualitative case study in a public hospital
This study is a qualitative approach using a case study design involving a public hospital in Indonesia
Summary
Facilitates the non-clinical and clinical data integration and real-time. For example,patients registration, billing system, medical record, prescribing, laboratory (Lippeveld et al, 2000; Mehdipour and Zerehkafi, 2013). HIS implementation requires massive initial investment regarding information technology tools provision and human resources readiness. The main barriers are the HIS product provision and the users readiness (Asyary et al, 2019; Handayani et al, 2017; Odelia, 2018). Even when the hospital can provide the HIS facilities, the users behavior towards the system operation is still a significant problem, such as knowledge, attitude, and intention (Daerina et al, 2018; Harsono, 2015; Odelia, 2018). Health professional’s behavior problems regarding the HIS use can potentially jeopardize the health care system's strategy and investment. Such a problem requires to be well understood, and the stakeholders can structure the solution. This study aims to explore HIS implementations values through the user's perspectives, including the opportunities and challenges, using a qualitative case study in a public hospital
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