The cooperation becomes an important requirement in distributed Healthcare Information Systems (HISs). It is used to provide patients with a good and fast treatment. To achieve the cooperation feature, a fractal approach has been proposed by many researchers in different areas. Also, many approaches have been proposed in cooperative HISs to share patients’ information between different healthcare centres in order to provide a good treatment. However, most of these researches did not address the required improvement on physician skills and the possible enhancement on the healthcare services. This empirical study proposes a way to adjust fractal approach in HISs in order to improve the cooperation feature among physicians which may enhance both physician skills and healthcare services. The analysis of the collected data shows there are problems that associated with current system and therefore a set of requirements have been initiated. It has been found that there is a need to adapt the fractal features in current HIS environment.