The Effect of Organizational, Individual, and Informational Factors on the Use of Health Information System (Case Study: The Health Information System of Amir al-Mominin Hospital in Ahvaz)

Dobahrizadeh, Mahsa; Farhadpour, Mohammad Reza

doi:10.22054/jks.2024.74242.1585

The Effect of Organizational, Individual, and Informational Factors on the Use of Health Information System (Case Study: The Health Information System of Amir al-Mominin Hospital in Ahvaz)

Document Type : Research Paper

Authors

Mahsa Dobahrizadeh ¹

Mohammad Reza Farhadpour ²

¹ Master's Degree Graduate, Department of Information Technology Management- Information Resource Management, Ahv. C. Islamic Azad University, Ahvaz, Iran

² Associate Professor, Department of Information Management, Ahv. C. Islamic Azad University, Ahvaz, Iran

https://doi.org/10.22054/jks.2024.74242.1585

Abstract

1. Introduction

Information technology, which was considered a competitive advantage and a strategic weapon by organizations until a few years ago, is now regarded as a competitive necessity. The increasing wave of utilizing information technology has encompassed the country in recent years, and many organizations show a strong desire to adopt these new technologies. In this context, hospitals, as one of the essential components of the progress and development of any country, are not exempt from this trend (Khandouzi & Latifi, 2011).
The widespread use of information technology systems in hospitals and public healthcare centers (Aggelidis & Chatzoglou, 2012) is rooted in the belief that their implementation can have a profound impact on the quality of processes and health care outcomes (Ammenwerth, Rauchegger, Ehlers, Hirsch & Schaubmayr, 2011). Shiferaw et al. (2017) believe that the use of reliable information from health information systems over time significantly contributes to improving health outcomes, addressing inequalities, increasing efficiency, and encouraging innovative behaviors. Perhaps it is because of these advantages that many hospital nurses around the world strive to move from recording health information on paper to creating electronic health records (Rezaian et al., 2018).
There is substantial evidence indicating that hospital information systems have created hazardous conditions for patient health due to poor design, inadequate implementation, or the inability to adapt and accept. Research has shown that many factors influence the effective use of information systems, and it seems that examining the effects of these factors and striving to strengthen the positive ones while providing solutions to address the hindering factors will play a significant role in overcoming the barriers to using information systems (Baratpour et al., 2017).
The results of our studies show that the issue of using information, information systems and electronic media is a complex issue involving various factors such as organizational factors, including information culture as a factor in the formation of culture, organizational ownership of information, and job autonomy. Individual factors include the tendency to share information, organizational systems or departments, and in a free environment, comfort with computers and information factors. Also, in other studies, factors such as system quality, task technology suitability and information quality, internal factors and external factors, management support, training, user participation, information quality, system quality, support quality, system use, perceived usefulness, user characteristics, organizational structure, and management style have been investigated. Considering the breadth of factors studied in previous studies, it is clear that organizational, individual, and information variables are more relevant to the conditions of information flow in the hospital information system and have received less attention in previous studies. Therefore, the main purpose of the study is to determine what effect information culture, organizational ownership of information, tendency to share information, job independence, comfort with computers, and computer-based information characteristics have on the use of the information system of Amir al-Momenin Hospital in Ahvaz.
Research Question(s)
H₁: Information culture has a significant positive effect on the use of the information system of Amir al-Momenin Hospital in Ahvaz.
H₂: Organizational ownership of information has a significant positive effect on the use of the information system of Amir al-Momenin Hospital in Ahvaz.
H₃: Tendency to share information has a significant positive effect on the use of the information system of Amir al-Momenin Hospital in Ahvaz.
H₄: Job independence has a significant positive effect on the use of the information system of Amir al-Momenin Hospital in Ahvaz.
H₅: Comfort with computers has a significant positive effect on the use of the information system of Amir al-Momenin Hospital in Ahvaz.
H₆: Characteristics of computer-based information have a significant positive effect on the use of the information system of Amir al-Momenin Hospital in Ahvaz.

2. Literature Review

A review of research literature shows that the use of information systems has increasingly become a major concern for information systems policymakers and organizational managers. This can be seen in the diversity of variables and components studied. The reason for this attention is, on the one hand, the expectations of managers to make better use of information systems in return for the costs incurred, and on the other hand, to help the organization's decision-making process centered on information. The results of the studies reviewed indicate that the variable of information system use has received less attention from researchers. Despite the fact that various variables have been the focus of research, it seems that on the one hand, it is necessary to separate these variables into different categories, and on the other hand, less attention has been paid to important variables such as information culture, ownership of organizational information, and information characteristics of systems. In simple terms, the totality of the variables studied in the present study has not been considered together in previous studies. In addition, they have not been specifically studied in relation to organizational information systems. Another noteworthy point is that these variables have not been studied in the field of hospital information systems. Given the importance of information and its correct, accurate, up-to-date and appropriate flow in the field of health and treatment, where on the one hand the slightest error may harm a patient's health and on the other hand disrupt the decision-making process, it is necessary to pay more attention to components such as organizational ownership of information, information culture, and computer-centric information characteristics. As a result, the present study, on the one hand, has considered several predictor variables that have been studied sporadically in previous studies and, on the other hand, has addressed their impact on the use of health information systems.

3. Methodology

The research is applied in terms of purpose and analytical survey in terms of nature. The research population was 250 users of hospital information systems, of which 151 were selected randomly. Data were collected through a researcher-made questionnaire based on previous research tools. The instrument's content validity was approved. The confirmatory factor analysis and its reliability were confirmed using Cronbach's alpha (α=0.85). Data were analyzed by SPSS and Amos software.

4. Results

The findings showed that information culture (β = 0.20 and t-value = 2.440), organizational ownership of information (β = 0.18 and t-value = 2.165), tendency to share information (β = 0.22 and t-value = 2.708), job independence (β = 0.17 and t-value = 2.119), comfort with computer (β = 0.24 and t-value = 2.929) and the characteristics of computer-based information (β = 0.17 and t-value = 2.055) have an effect on the use of the health information system of Amir al-Mominin Hospital of Ahvaz.

5. Discussion

The result is that the use of hospital information systems is a complex multidimensional issue and various individual, cultural, organizational and technological characteristics have an effect on it.

6. Conclusion

Therefore, it is suggested that the managers of the organization should show the importance of encouraging organizational behaviors and activities related to information, the correct definition of ownership of organizational information and its institutionalization, the use of reward mechanisms, encouragement, training and trust building. Sharing information for the organization, providing conditions for employees to use their individual and innovative capabilities freely in applying methods, making decisions and determining criteria, providing suitable training courses to improve the level of literacy and computer skills of employees, and improving the ability of the information system to provide appropriate outputs and reports related to the organization's needs.

Keywords

information culture

organizational ownership of information

information sharing

job independence

comfort with computers

hospital information system

Subjects

Evaluation of Information and Knowledge Retrieval Systems

امیراسماعیلی، محمدرضا، زارعی، لیلا، شیبانی، الهه و عرب‏پور، عظیمه. (1392). تعیین شاخص‏های ارزیابی سیستم‏های اطلاعات بیمارستانی (HIS)، مدیریت اطلاعات سلامت، 10 (1)، 1-13. https://www.magiran.com/paper/1145329

خاندوزی، هانیه‌سادات و لطیفی، فریبا. (1390). بررسی عوامل مؤثر و ارائه مدل برای پذیرش سیستم‌های اطلاعات بیمارستانی (HIS) توسط کاربران بیمارستان‌های دولتی شهر تهران ]پایان‌نامه کارشناسی ارشد، دانشگاه الزهرا[. https://ganj.irandoc.ac.ir//#/articles/cdc49e18a6d9b6bc1ce0918a314d09f8

بالاغفاری، آزیتا، پنق، عافیه و صادق‏نژاد، حسین. (1397). ارزیابی نرم‏افزارهای سیستم اطلاعات بیمارستانی (HIS): مطالعه موردی بیمارستان بوعلی سینا ساری. مجله دانشگاه علوم پزشکی مازندران (نامه دانشگاه)، 28 (160)، 166-172. https://www.magiran.com/paper/1821631

برات‏پور، مهلا، مهرآیین، اسماعیل، باقری، سمیه، آذرپویه، مهسا و پروین، ساناز. (1396). بررسی عوامل مؤثر بر پذیرش سیستم اطلاعات بیمارستانی توسط پرستاران بر اساس مدل پذیرش فناوری. مجله پرستاری و مامایی ارومیه، ۱۵ (۱)، ۲۷-۳۶. https://www.magiran.com/paper/1679780

صادقی، رقیه و یغمایی، فریده. (1391). کاربرد انفورماتیک در پرستاری: آموزش، پژوهش و مراقبت. دوماهنامه علمی- پژوهشی راهبردهای آموزش در علوم پزشکی، ۵ (۳)، ۱۹۹-۲۰۶. https://www.magiran.com/paper/1046756

طهماسب‌زاده شیخلار، داود، عظیم‏پور، احسان و شیخی، موریس. (1397). مدل تأثیر علی خود ارزشیابی محوری، استقلال شغلی و سرسختی شغلی بر عملکرد شغلی معلمان. فصلنامه مطالعات اندازه‏گیری و ارزشیابی آموزشی، 9(25)، 199- 228. https://www.magiran.com/paper/1969899

مرادی، غلامرضا، سرباز زین‌آباد، معصومه، کیمیافر، خلیل، شفیعی، ناصر و ستایش، یوسف. (1390). نقش سیستم اطلاعات بیمارستانی (HIS) در بهبود عملکرد بیمارستان دکتر شیخ مشهد. مدیریت اطلاعات سلامت، 5 (2)، 159-166. https://www.magiran.com/paper/611319

مهرآیین، اسماعیل، آیت‌اللهی، ‌هاله و احمدی، مریم. (1392). وضعیت امنیت اطلاعات در سیستم‌های اطلاعات بیمارستانی. مدیریت اطلاعات سلامت، 10 (6)، 779-787. https://www.magiran.com/paper/1245022

Reference

Abugabah, A., & Sanzogni, L. (2014). Exploring factors affecting end-user performance of information systems. The International Journal for Infonomics, 7(3/4), 956-973. https://doi.org/10.20533/iji.1742.4712.2014.0113

Aggelidis, V.P., & Chatzoglou, P.D. (2012). Hospital Information Systems: Measuring End User Computing Satisfaction (EUCS). Journal of Biomedical Informatics, 45 (3), 566-579. https://doi.org/10.1016/j.jbi.2012.02.009

Akinyemi, A., Erdogan, B., Bosché, F., & O’Neil, D. (2021). Information culture as a valuable element of strategic information management. Journal of Information Technology in Construction (ITcon), 26(38), 700-719. https://doi.org/10.36680/j.itcon.2021.038

Amiresmaili, M., Zarei, L., Sheibani, E. & Arabpur, A. (2013). Evaluation of the Indicators of Hospital Information System. Journal of Health Information Management, 10(1), 1- 13. https://sid.ir/paper/121991/en [In Persian]

Ammenwerth, E., Rauchegger, F., Ehlers, F., Hirsch, B., & Schaubmayr, Ch. (2011), Effect of a nursing information system on the quality of information processing in nursing: An evaluation study using the HIS-monitor instrument. International Journal of Medical Informatics, 80 (1), 25-38. https://doi.org/10.1016/j.ijmedinf.2010.10.010

Asswad, J., & Marx Gómez, J. (2021). Data Ownership: A Survey. Information, 12(11), 465. Retrieved from https://doi.org/10.3390/info12110465

Balaghafari, A., Pangh, A., & Sedeghnejad, H. (2018). Evaluating the Software Programs in Hospital Information System: A Case Study of Sari Bou-Ali Sina Hospital. Journal of Mazandaran University of Medical Science, 28 (160), 166-172. Retrieved from: http://jmums.mazums.ac.ir/article-1-11076-fa.html [In Persian]

Bamel, U., Sahay, V., & Thite, M. (2014). Usage, benefits and barriers of human resource information system in universities. VINE: The journal of information and knowledge management systems, 44 (4), 519-536. https://doi.org/10.1108/vine-04-2013-0024

Baratpour, M., Mehraeen, E., Bagheri, S., Azarpouyeh, M. & Parvin, S. (2017). Factors Affecting Hospital Information System Acceptance by Nurses Based on the Technology Acceptance Model (ATM). Nursing and Midwifery Journal, 15 (1), 27-36. Retrieved from: http://unmf.umsu.ac.ir/article-1-2700-fa.html [In Persian]

Broad, J. (2013). Risk Management Framework: A lab-based approach to securing Information Systems. Newnes.

Choo, C.W., Bergeron, P., Detlor, B., & Heaton, L. (2008). Information culture and information use: An exploratory study of three organizations. Journal of the American society for information science and technology, 59(5), 792-804. https://doi.org/10.1002/asi.20797

Constant, D., Keisler, S., & Sproull, L., (1994). What's mine is ours, or is it? A study of attitudes about information sharing. Information Systems Research, 5 (4), 400-421. https://doi.org/10.1287/isre.5.4.400

Gholampour, A., Jamshidi, M. H. M., Habibi, A., Motamedi Dehkordi, N., & Ebrahimi, P. (2020). The Impact of Hospital Information System on Nurses' Satisfaction in Iranian Public Hospitals: The Moderating Role of Computer Literacy. Journal of Information Technology Management, 12(4), 141-159. https://doi.org/10.22059/jitm.2020.299802.2491

Hart, D. (2002). Ownership as an Issue in Data and Information Sharing: A philosophically based review. Australasian Journal of Information Systems, 10(1)23-29. https://doi.org/10.3127/ajis.v10i1.440

Hsiao, S.J., & Tseng, H.T. (2020). The impact of the moderating effect of psychological health status on nurse healthcare management information system usage intention. In Healthcare, 8(1),28 (1-14). DOI: 10.3390/healthcare8010028

Jarvenpaa, S.L., & Staples, D.S. (2000). The use of collaborative electronic media for information sharing: an exploratory study of determinants. The Journal of Strategic Information Systems, 9(2-3), 129-154. https://doi.org/10.1016/s0963-8687(00)00042-1

Ke, C.H., Sun, H. M., Yang, Y.C., & Sun, H.M. (2012). Effects of User and System Characteristics on Perceived Usefulness and Perceived Ease of Use of the Web-Based Classroom Response System. Turkish Online Journal of Educational Technology-TOJET, 11(3), 128-143. https://eric.ed.gov/?id=EJ989206

Khandouzi, H., & Latifi, F. (2011). Examining the effective factors and providing a model for the acceptance of hospital information systems (HIS) by users of public hospitals in Tehran [Master’s thesis, Alzahra University]. [In Persian]

Kline, R. B. (2005). Principles and practice of structural equation modeling 2nd ed. New York: Guilford, 3.‏

Koumamba, A.P., Bisvigou, U.J., Ngoungou, E. B., & Diallo, G. (2021). Health information systems in developing countries: Case of African countries. BMC Medical Informatics and Decision Making, 21(1), 1-10. https://link.springer.com/article/10.1186/s12911-021-01597-5

Lanlan, Z., Ahmi, A., & Popoola, O. M. J. (2019). Perceived ease of use, perceived usefulness and the usage of computerized accounting systems: A performance of micro and small enterprises (MSEs) in China. International Journal of Recent Technology and Engineering (IJRTE), 8(2), 324-331. DOI: 10.35940/ijrte.B1056.0782S219

Mehraeen, E., Ayatollahi, H., & Ahmadi, M. (2014). A Study of Information Security in Hospital Information Systems. Health Information Management, 10(6), 779-788. [In Persian]

Mendes Calo, K., Cenci, K.M., Fillottrani, P.R., & Estévez, E. C. (2012). Information sharing- Benefits. Journal of Computer Science & Technology, 12(2), 49-55. https://sedici.unlp.edu.ar/handle/10915/19692

Montazeri, M., Khajouei, R., & Montazeri, M. (2020). Evaluating hospital information system according to ISO 9241 part 12. Digital Health, 6, 1-6. https://doi.org/10.1177/2055207620979466

Moradi, G., Sarbaz, M., Kimiafar, K., Shafiei, N., & Setayesh, Y. (2008). The Role of Hospital Information System on Dr Sheikh Hospital Performance Promotion in Mashhad. Health Information Management, 5(2), 159-166. [In Persian]

Mukred, A., Singh, D., & Safie, N. (2017). Investigating the impact of information culture on the adoption of information system in public health sector of developing countries. International Journal of Business Information Systems, 24(3), 261-284. https://doi.org/10.1504/ijbis.2017.082036

Oliver, G. (2011). Organizational Culture for Information Managers. Chandos Publishing, Oxford.

Omar, R., Ramayah, T., Lo, M.C., Sang, T.Y., & Siron, R. (2010). Information sharing, information quality and usage of information technology (IT) tools in Malaysian organizations. African Journal of Business Management, 4(12), 2486-2499. http://www.academicjournals.org/AJBM

Popovič, A., Hackney, R., Coelho, P.S., & Jaklič, J. (2014). How information-sharing values influence the use of information systems: An investigation in the business intelligence systems context. The Journal of Strategic Information Systems, 23(4), 270-283. https://doi.org/10.1016/j.jsis.2014.08.003

Potančok, M., & Voříšek, J. (2016). Specific factors influencing information system/information and communication technology sourcing strategies in healthcare facilities. Health informatics journal, 22(3), 536-547. https://doi.org/10.1177/1460458215571644

Rahim, M.A., & Magner, N.R. (1996). Confirmatory factor analysis of the bases of leader power: First-order factor model and its invariance across groups. Multivariate Behavioral Research, 31(4), 495-516.‏ https://doi.org/10.1207/s15327906mbr3104_5

Ramayah, T., & Omar, R. (2010). Information exchange and supply chain performance. International Journal of Information Technology & Decision Making, 9(01), 35-52. doi.org/10.1142/s0219622010003658

Rezaian, S., Salamat, H.B., Malekzadeh, R., Yusoff, R.C., Zare, N. (2018). Factors affecting the successful implementation of hospital information system: A preliminary pilot study of Iranian nurses. International Conference on Advanced Communications Technology (ICACT), 647-651. https://ieeexplore.ieee.org/abstract/document/8323868

Rouibah, K., Dihani, A., & Al-Qirim, N. (2020). Critical Success Factors Affecting Information System Satisfaction in Public Sector Organizations: A Perspective on the Mediating Role of Information Quality. Journal of Global Information Management (JGIM), 28(3), 77-98. http://doi.org/10.4018/JGIM.2020070105.

Sadeghi, R. & Yaghmayi, F. (2012). Informatics Applying in Nursing Education, Research and Care. Scientific Journal of Education Strategies in Medical Sciences, 5 (3), 199-206. Retrieved from: http://edcbmj.ir/article-1-137-fa.html [In Persian]

Salahuddin, L., Ismail, Z., Raja Ikram, R. R., Hashim, U. R., Idris, A., Ismail, N. H., Hassan, N.H. & Abdul Rahim, F. (2020). Safe use of hospital information systems: an evaluation model based on a sociotechnical perspective. Behaviour & Information Technology, 39(2), 188-212. https://doi.org/10.1080/0144929x.2019.1597164

Savolainen, R. (2017). Information sharing and knowledge sharing as communicative activities.
Information Research, 22(3), paper 767. Retrieved from http://InformationR.net/ir/22-3/paper767.html (Archived by WebCite® at http://www.webcitation.org/6tTRz0IcS)

Shahzad, K., Jianqiu, Z., Sardar, T., Hafeez, M., Shaheen, A., & Wang, L. (2019). Hospital information-system (HIS) acceptance: A physician’s stance. Human Systems Management, 38(2), 159-168. https://doi.org/10.3233/hsm-180415

Shiferaw, A.M., Zegeye, D.T., Assefa, S. & Yenit, M. K. (2017). Routine health information system utilization and factors associated thereof among health workers at government health institutions in East Gojjam Zone, Northwest Ethiopia. BMC Medical Informatics and Decision Making, 17 (116), 1-9. https://doi.org/10.1186/s12911-017-0509-2.

Simons, R.N., & Elkins, A.J. (2023). Treating a viral culture: Using cultural competency and social
informatics to design contextualized information literacy efforts for specific social information cultures.

In S. Yang, X. Zhu, & P. Fichman (Eds.), The Usage and Impact of ICTs during the Covid-19 Pandemic (pp. 98-134). Routledge. https://doi.org/10.4324/9781003231769-7

Sonnenwald, D.H. (2006). Challenges in sharing information effectively: examples from command and control. Information Research, 11(4), paper270. Retrieved from http://www.informationr.net/ir/11-4/paper270.html (Archived by WebCite® at http://www.webcitation.org/6s1p0iRhZ).

Sundaravej, T. (2004). Empirical Validation of Unified Theory of Acceptance and Use of Technology Model. Journal of Global Information Technology Management, 13 (1), 5-27. https://doi.org/10.1080/1097198X.2010.10856507

Sundqvist, A., & Svärd, P. (2016). Information culture and records management: a suitable match? Conceptualizations of information culture and their application on records management. International Journal of Information Management, 36(1), 9-15. https://doi.org/10.1016/j.ijinfomgt.2015.08.004

Svärd, P. (2014). The impact of information culture on information/records management: A case study of a municipality in Belgium. Records Management Journal, 24(1), 5-21. https://doi.org/10.1108/rmj-04-2013-0007

Tafti, A., Mithas, S., & Krishnan, M. S. (2007). Information technology and the autonomy–control duality: toward a theory. Information Technology and Management, 8, 147-166. ‏ https://doi.org/10.1007/s10799-007-0014-x [In Persian]

Tahmasebzadeh Sheikhlar, D., Azimpoor, E., & Sheikhi, M. (2019). Examining the Impact of Causal Effect of Core Self-evaluation, Job Autonomy and Occupational Hardiness on Teachers' Job Performance. Educational Measurement and Evaluation Studies, 9(25), 199-228. DOI: 10.22034/emes.2019.35107 [In Persian]

Thompson, T.G., & Brailer, D.J. (2004). The decade of health information technology: delivering consumer-centric and information-rich health care. Washington, DC: US Department of Health and Human Services.

Wortel, L., Grant, T., & Soeters, J. (2007). C2 systems and information sharing in a cross-cultural context: willing and able? In Proceedings of the 12th International Command and Control Research and Technology Symposium. https://www.researchgate.net/publication/237629200_C2_systems_and_information_sharing_in_a_cross_cultural_context_willing_and_able?enrichId=rgreq-933e27e72b8d4ca2bcb4339010971c44-XXX&enrichSource=Y292ZXJQYWdlOzIzNzYyOTIwMDtBUzo0Mzg1NTYwNjY4ODE1MzZAMTQ4MTU3MTMyMjQ3NA%3D%3D&el=1_x_2&_esc=publicationCoverPdf

Walsh, B., Mac Domhnaill, C., & Mohan, G. (2021). Developments in healthcare information systems in Ireland and internationally. Dublin: The Economic and Social Research Institute.‏ https://doi.org/10.26504/sustat105

Wang, Z., Wang, N., & Liang, H. (2014). Knowledge sharing, intellectual capital and firm performance. Management Decision, 52 (2), 230-258. https://doi.org/10.1108/md-02-2013-0064

Yanagihara, S., & Koga, H. (2023). On the Work Autonomy Supported by Information and Communication Technology A Case Study of Work from Home in Japan before the COVID-19 Epidemic. The Review of Socionetwork Strategies, 17(1), 87-103.‏ https://doi.org/10.1007/s12626-023-00133-3