• 1 School of Computer Sciences, Universiti Sains Malaysia, Malaysia; Faculty of Information Management, Universiti Teknologi MARA, Malaysia. Electronic address:
  • 2 School of Computer Sciences, Universiti Sains Malaysia, Malaysia; Medical Informatics and e-Learning Unit, Medical Education Department, College of Medicine, King Saud University, Saudi Arabia; The Research Chair of Health Informatics and Promotion, King Saud University, Saudi Arabia
  • 3 School of Computer Sciences, Universiti Sains Malaysia, Malaysia; National Advanced IPv6 Centre of Excellence, Universiti Sains Malaysia, Malaysia
J Infect Public Health, 2016 Nov-Dec;9(6):698-707.
PMID: 27659115 DOI: 10.1016/j.jiph.2016.09.002


BACKGROUND: The Ministry of Health Malaysia initiated the total hospital information system (THIS) as the first national electronic health record system for use in selected public hospitals across the country. Since its implementation 15 years ago, there has been the critical requirement for a systematic evaluation to assess its effectiveness in coping with the current system, task complexity, and rapid technological changes. The study aims to assess system quality factors to predict the performance of electronic health in a single public hospital in Malaysia.

METHODS: Non-probability sampling was employed for data collection among selected providers in a single hospital for two months. Data cleaning and bias checking were performed before final analysis in partial least squares-structural equation modeling.

RESULTS AND CONCLUSIONS: Convergent and discriminant validity assessments were satisfied the required criterions in the reflective measurement model. The structural model output revealed that the proposed adequate infrastructure, system interoperability, security control, and system compatibility were the significant predictors, where system compatibility became the most critical characteristic to influence an individual health care provider's performance. The previous DeLone and McLean information system success models should be extended to incorporate these technological factors in the medical system research domain to examine the effectiveness of modern electronic health record systems. In this study, care providers' performance was expected when the system usage fits with patients' needs that eventually increased their productivity.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.