Analysis of Hospital Information System Implementation Using the Human-Organization-Technology (HOT) Fit Method: A Case Study Hospital in Indonesia

Abstract

Background and purpose: The implementation of Hospital Information System (HIS) is important to achieve strategic objectives based on quality services. For this reason, an evaluation is needed to find out how the benefits of HIS in the hospital work unit. This study uses the evaluation framework of Human, Organization, Technology (HOT) Fit which was introduced by Yusof in 2008.
 Methods: This research method was carried out using a mixed method approach where the quantitative approach was processed by using Partial Least Square. The sample was obtained through proportionate stratified random sampling, namely 201 respondents who were employees of HIS users in MHJS hospital. The research instrument used a questionnaire and was measured using a Likert scale
 Results: Based on the results of the t-statistic test, there is a misfit which appears in the insignificant direct effect between service quality on user satisfaction (p-value 0.062), service quality on system use (p-value 0.063), organizational structure for system use (p-value 0.492) and user satisfaction with system usefulness (p-value 0.188).
 Conclusions: It is necessary to improve the service quality because does not significantly influence user satisfaction and system use. System quality provides a dominant influence on user satisfaction, the use of systems and organizational structures so that management plays a very important role in the implementation of HIS in MHJS hospital.

Analisis Evaluasi Sistem Informasi P-Care dengan Metode Hot-Fit Model pada Puskesmas di Indonesia : Literature Review

“…Penelitian ini bertujuan untuk mengetahui bagaimana evaluasi system informasi yang digunakan di rumah sakit. Penelitian ini memiliki hasil bahwa terdapat ketidaksesuaian yang tampak pada pengaruh langsung yang tidak signifikan antara kualitas layanan terhadap kepuasan pengguna, kualitas layanan terhadap penggunaan sistem, struktur organisasi untuk penggunaan sistem serta kepuasan pengguna dengan kegunaan system (6).…”

“…Kondisi ini menggambarkan pentingnya peran manajemen dalam penerapan Hospital Information System mulai dari tahap perencanaan, pelaksanaan, evaluasi dan pengembangan sebagai strategi dalam meningkatkan kinerja rumah sakit. Fenomena ini dapat disimpulkan melalui perhitungan koefisien total yang paling dominan pada kegunaan sistem yang berasal dari struktur organisasi dan pengaruh yang tidak signifikan dari struktur organisasi terhadap penggunaan system (6).…”

“…Situasi ini diharapkan membawa manfaat yang optimal tidak hanya bagi kinerja rumah sakit tetapi juga bagi pengguna sistem informasi manajemen itu sendiri. Jika peningkatan Hospital Information System dari aspek teknologi tidak dapat dilakukan secara optimal, maka rekomendasi untuk mengganti Hospital Information System dengan pengguna dan manajemen RS MHJS yang sesuai (6).…”

Adoption for the implementation of smart card technology in public healthcare

“…The difference between customer expectations and the achieved reality is referred to as service quality. 37 The ease of designing systems that can be adapted to external conditions is referred to as system quality and relevance. The difference between customer expectations and the reality encountered is believed to contribute to quality.…”

“…The difference between customer expectations and the reality encountered is believed to contribute to quality. 37 Therefore, the study hypothesises that:…”