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Implementation Differences of Hospital Information System (His) in Malaysian Public Hospitals

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Summary
Implementation Differences of Hospital Information System (HIS) in Malaysian Public Hospitals.
Information technology (IT) has become vital in healthcare sector including public hospitals. As a comparison of public and private health care center, public health care have more patients, and as a result this may also lead to inefficient system implementation. Hence, Hospital Information System (HIS) is hoped to improve the quality of healthcare services.
HIS refers to a computer system designed to manage all the hospital’s medical and administrative information. And the function is to enable health professionals to perform their jobs more effectively and efficiently. According Budkin, HIS implementation process is categorized into planning, design, implementation, and operation but his process is different than Houser et al which is divided into three phases, which are preparatory activities for system implementation, certification and acceptance testing, and system implementation. All these researchers have similar opinions on division of HIS implementation.
HIS is implemented in 1993, which started under 6th Malaysian Plan (MP) , in Hospital Selayang. Today, only 21 out of 138 public hospitals are implementing the system [2, 53, 54]. Thus, the level of HIS implementation is still low. There are three categories of HIS, which are THIS, IHIS, and BHIS. As mentioned earlier, out of 138 public hospitals, 21 public hospitals are implementing any of these categories of the system [2, 5, 53, 54]. Each category of HIS has different set of information system. Hospital that are using THIS is also know as the “paperless hospitals”
With limited financial sources, it has influenced overall HIS implementation in Malaysia. Factors such as Maintenance by Different Departments, HIS Implementation Order by the Malaysian Ministry of Health, Addition of New Systems,

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