Abstract
Background:Health policies in Indonesia facilitate public access to healthcare information in efforts to improve public health. These policies rely on the support of electronic healthcare information systems to provide health data and information. However, the usage of these systems faces various challenges that affect their sustainability.
Objective:To determine the effect of healthcare information technology assets on the sustainability of healthcare management information systems and the role of healthcare information technology strategies as a moderating variable.
Methods:This is a quantitative and explanatory research study. The sample consisted of 350 respondents, with a significance level of 0.05. Latent variables included the sustainability of healthcare management information system usage, healthcare information technology assets, and information system strategies, which also served as an intervening variable.
Results:The direct effect test yielded a p-value of 0.000 (<0.05), leading to the rejection of the null hypothesis. Thus, healthcare information technology assets and healthcare information technology strategies have a positive and significant effect on the sustainability of healthcare management information system usage. The indirect effect test yielded a p-value of 0.003 (<0.05), also leading to the rejection of the null hypothesis. These results indicate that the healthcare information technology strategies variable moderates the effect of healthcare information technology assets on the sustainability of healthcare management information system usage.
Conclusion:Healthcare information technology strategies strengthen the effect of healthcare information technology assets on the sustainability of healthcare management information system usage.
Keywords:Health Policy; Health Information Systems; Information Technology; Indonesia
References
Agarwal, R., Gao, G., & Jha, A. K. (2010). The digital transformation of healthcare: Current status and the road ahead. Information Systems Research, 21(4), 796–809. http://www.jstor.org/stable/23015646
Ahmad, L., & Munawir. (2018). Sistem Informasi Manajemen : Buku Referensi (Syarifuddin (ed.)). KITA Publisher.
Berger, R. G., & Kichak, J. P. (2004). Computerized physician order entry: Helpful or harmful? Journal of the American Medical Informatics Association, 11(2), 100–103. https://doi.org/10.1197/jamia.M1411
Bishop, R. O., Patrick, J., & Besiso, A. (2015). Efficiency achievements from a user-developed real-time modifiable clinical information system. Annals of Emergency Medicine, 65(2), 133-142.e5. https://doi.org/10.1016/j.annemergmed.2014.05.032
Chin, W. W. (1998). The partial least squares approach to structural equation modeling.
Collis, D., & Rukstad, M. (2008). Can You Say What Your Strategy Is? Harvard Business Review, 86(4), 82–90.
Davidson, E., Baird, A., & Prince, K. (2018). Opening the envelope of healthcare information systems research. Information and Organization, 28(3), 140–151. https://doi.org/10.1016/j.infoandorg.2018.07.001
DeVylder, E. K., Breda, K. L., & Pietrzak, R. H. (2023). Implementation of a self-help mobile mental health app in COVID-19 frontline health care workers: A quality improvement project. Archives of Psychiatric Nursing, 47(December), 35–37. https://doi.org/10.1016/j.apnu.2023.05.002
Dixon, B. E., Broyles, D., Crichton, R., Biondich, P. G., & Grannis, S. J. (2023). Health Information Exchange. In Health Information Exchange (Second Edition) Navigating and Managing a Network of Health Information Systems (pp. 199–215). Elsevier Ltd. https://doi.org/10.1016/B978-0-323-90802-3.00001-0
Ghozali, I. (2018). Aplikasi Analisis Multivariate dengan Program IBM SPSS 25. (Edisi 9). Badan Penerbit Universitas Diponegoro.
Ghozali, I., & Latan, H. (2014). Partial least square concepts, methods and applications using the WarpPLS 5.0 program. Universitas Diponegoro.
Glaser, J. P., & Salzberg, C. (2011). The Strategic Application of Information Technology in Health Care Organizations. Jossey-Bass A Wiley Imprint.
Hakim, A. (2016). Model Struktural Hubungan Teknologi Informasi, Kualitas Informasi Dan Kinerja Manajerial Industri Kreatif Percetakan Digital. MIX: Jurnal Ilmiah Manajemen, 6(1), 83–102.
Hertling, S., Hertling, D., Schleußner, E., Loos, F., & Graul, I. (2022). E-health – The importance of the internet as an informative digital health application for gynecological patients in times of SARs-CoV2: A national cross-sectional survey. Informatics in Medicine Unlocked, 30, 100942. https://doi.org/10.1016/j.imu.2022.100942
Hidayat, F. (2019). Konsep Dasar Sistem Informasi Kesehatan. Deepublish Grup Penerbitan CV. Budi Utama.
Kim, S., Kim, B., & Seo, M. (2020). Impacts of Sustainable Information Technology Capabilities on Information Security Assimilation: The Moderating Effects of Policy—Technology Balance. Sustainability, 12(15), 6139. https://doi.org/10.3390/su12156139
Kimaro, H. C. (2017). Strategies for Developing Human Resource Capacity to Support Sustainability of ICT Based Health Information Systems: A Case Study from Tanzania. The Electronic Journal of Information Systems in Developing Countries (EJISDC), 26(2), 1–23.
Kohli, R., & Tan, S. S.-L. (2016). Electronic health records: How can IS researchers contribute to transforming healthcare? MIS Quarterly, 40(3), 553–573. https://doi.org/10.25300/MISQ/2016/40.3.02
Lehoux, P., Roncarolo, F., Oliveira, R. R., & Silva, H. P. (2016). Medical innovation and the sustainability of health systems: A historical perspective on technological change in health. Health Services Management Research, 29(4), 115–123. https://doi.org/10.1177/09514848166701
Marnewick, C. (2017). Information system project’s sustainability capability levels. International Journal of Project Management, 35(6), 1151–1166. https://doi.org/10.1016/j.ijproman.2017.02.014
Moucheraud, C., Schwitters, A., Boudreaux, C., Giles, D., Kilmarx, P. H., Ntolo, N., Bangani, Z., Louis, M. E. St., & Bossert, T. J. (2017). Sustainability of health information systems: a three-country qualitative study in southern Africa. BMC Health Services Research, 23(January), 1–11. https://doi.org/10.1186/s12913-016-1971-8
Naranjo-Gil, D., & Hartmann, F. (2007). How CEOs use management information systems for strategy implementation in hospitals. Health Policy, 81(1), 29–41. https://doi.org/10.1016/j.healthpol.2006.05.009
Notoatmodjo, S. (2018). Metodologi Penelitian Kesehatan. Rineka Cipta.
Undang-undang (UU) Nomor 36 Tahun 2009 tentang Kesehatan, (2009).
Reynolds, T. L. (2021). Designing Health Interface Technologies to Support Patient Work. University of California.
Sarwono, J., & Narimawati, U. (2015). Membuat skripsi, tesis, dan disertasi dengan partial least square sem (pls-sem). (. ANDI.
Shagerdi, G., Ayatollahi, H., & Hemmat, M. (2022). Emergency care for the elderly: A review of the application of health information technology. Health Policy and Technology, 11(1), 100592. https://doi.org/10.1016/j.hlpt.2021.100592
Sugiyono. (2017). Metode Penelitian Kuantitatif, Kualitatif, dan R&D. CV. Alfabeta.
Tummers, J., Tobi, H., Catal, C., Tekinerdogan, B., Schalk, B., & Leusink, G. (2023). A health information systems architecture study in intellectual disability care: Commonalities and variabilities. Healthcare Analytics, 5(June), 100295. https://doi.org/10.1016/j.health.2023.100295
Venkatesh, V., Zhang, X., & Sykes, T. A. (2011). “Doctors Do Too Little Technology”: A Longitudinal Field Study of an Electronic Healthcare System Implementation. Information Systems Research, 22(3), 523–546. https://www.jstor.org/stable/23015593
Worthington, R. L., & Whittaker, T. A. (2006). Scale Development Research A Content Analysis and Recommendations for Best Practices. The Counseling Psychologist, 34(6), 806–838. https://doi.org/10.1177/0011000006288127
Yanamadala, S., Morrison, D., Curtin, C., McDonald, K., & Hernandez-Boussard, T. (2016). Electronic health records and quality of care: An observational study modeling impact on mortality, readmissions, and complications. Medicine, 95(19). https://doi.org/10.1097/md.0000000000003332
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