scholarly journals Effects of Hospital Information System on the Performance of Management Units in Public Hospitals Analysis in Southwestern Iran

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mahya Moradipour ◽  
Masood Javidi ◽  
Tooraj Sadeghi

: The current study examines the effects of a hospital information system (HIS) on the performance of management units in Ahvaz public hospitals, Iran. The HIS supports hospital activities at practical, tactical, and strategic levels. In other words, this system establishes a connection between patient care and administrative information in all hospital activities. This descriptive-analytic research was an applied study with a correlational method. The hypotheses were tested by correlation model, structural equation modeling, one-sample t-test, one-way analysis of variance, and one-sample Kolmogorov-Smirnov test using the SPSS software version 20 and LISREL. The findings of this study indicated that an automated HIS can be a powerful tool helping managers with the process of hospital management and decision-making, leading to significantly improved hospital performance. Therefore, continuous training courses are beneficial in enhancing information quality and modern technology usage, which in turn improve the quality of services offered to patients and clients and make them less time-consuming. As a result, an effective step is taken in improving health services. The present study showed that the characteristics of HIS, including user-friendliness, speed, quality, being up-to-date, conformity with working conditions, and proficiency, have positive and significant impacts on the performance of management units.

Kybernetes ◽  
2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Yung-Ming Cheng

Purpose The purpose of this study is to propose an integrated model based on expectation-confirmation model (ECM) and technology acceptance model (TAM) to examine whether environmental, human, organizational and technology factors as the antecedents to physicians’ beliefs can affect their satisfaction and continuance intention of the cloud-based hospital information system (HIS). Design/methodology/approach Sample data for this study were collected from physicians at six hospitals in Taiwan. A total of 600 questionnaires were distributed, and 471 (78.5 per cent) usable questionnaires were analyzed using structural equation modeling in this study. Findings This study proposes a solid research model that is based on ECM and TAM, four types of factors, environmental factor, human factor, organizational factors and technology factors, as antecedents to physicians’ continuance intention of the cloud-based HIS have been examined. This study’s results strongly support the research model with all hypothesized links being significant, and control variables have no confounding effects on physicians’ continuance intention of the cloud-based HIS. Originality/value This study contributes to physicians’ continuance intention toward the cloud-based HIS based on ECM, TAM, technology-organization-environment framework and human-organization-technology fit framework, and reveals deep insights into the evaluation of determinants in the field of physicians’ continuance intention of the cloud-based HIS. Accordingly, it is particularly worth mentioning that IS and non-IS determinants are simultaneously evaluated and taken into consideration in this study’s theoretical development of physicians’ continuance intention of the cloud-based HIS to acquire a more comprehensive and robust analysis.


Author(s):  
Xiao Chen ◽  
Min Liu ◽  
Chaojie Liu ◽  
Fang Ruan ◽  
Yan Yuan ◽  
...  

This study tested the effect of person–organization fit (P-O fit) in mediating the link between job satisfaction and hospital performance with income as a moderator. A questionnaire survey was conducted on 301 physicians from two public hospitals in Zhejiang province of China. Respondents were asked to rate their job satisfaction, value congruence (P-O fit) with the hospital, and the hospital’s performance. The mediating effect of P-O fit on the link between job satisfaction and hospital performance was tested through partial least squares-structural equation modeling (PLS-SEM). Income was introduced to the model as a moderator on the “P-O fit → hospital performance” and “job satisfaction → hospital performance” path, respectively. Higher job satisfaction and P-O fit were associated with higher ratings on hospital performance (p < 0.01). P-O fit had a partial mediating effect on the association between job satisfaction and hospital performance, accounting for 73% of the total effect. The effects of P-O fit and job satisfaction on hospital performance were stronger in the respondents with higher income. Overall, high job satisfaction is associated with high ratings on hospital performance, which is partially mediated through P-O fit. Value congruence is particularly important when financial tools are used to incentivize hospital physicians.


Knowledge sharing is vital for any organization, and it has an essential impact on developing ‎‎skills, increasing value, and maintaining a competitive advantage in the organization. In the knowledge management (KM) literature, ‎‎perceived organizational support and organizational trust have been pointed out as ‎‎primary factors for knowledge sharing. The present study investigated the role of ‎‎perceived organizational support in promoting nurses’ knowledge sharing, considering ‎‎organizational trust as a mediator‎. The cross-sectional study design was applied to examine the ‏hypothesized relationships.‏ ‎Data were ‎‎collected using three questionnaires from three hundred thirty ‎‎nurses working in five public hospitals in Shiraz city. The Partial Least Squares Structural ‎‎Equation Modeling (PLS-SEM) approach was used to analyze data. The results revealed a significant and positive association between perceived organizational support, organizational trust, and knowledge sharing. The findings also demonstrated that organizational trust plays a mediating role between perceived organizational support and knowledge sharing.


2017 ◽  
Vol 15 (2) ◽  
pp. 288-300 ◽  
Author(s):  
Africa Makasi ◽  
Krishna Govender

This article provides a new perspective on sustainable marketing strategies in the context of a globalized clothing and textile (C&amp;amp;T) sector in Zimbabwe by linking two diverse streams of literature, namely, globalization and marketing strategy. A quantitative approach was adopted to obtain data from 127 respondents using a two-stage cluster sample. Structural Equation Modeling (SEM) confirmed three of four hypothesized relationships, namely that integrated co-alliances, modern technology and national policy impact the sustainability of clothing and textile sector in Zimbabwe. The adoption of a standardized marketing strategy characterized by uniform application of the marketing mix elements with minor modifications will have a significant impact on the capacity of the C&amp;amp;T sector to withstand the adverse effects of globalization. The research extends the body of existing knowledge on marketing strategy in the context of globalization of Zimbabwe’s C&amp;amp;T sector, and argues empirically for a new approach to developing and implementing competitive marketing strategies. The research findings will enable companies in the C&amp;amp;T sector of a developing economy to craft competitive marketing strategies, which incorporate internal company capabilities and technology, and also recognize the role of national policy in the globalization discourse.


2020 ◽  
Vol 17 (04) ◽  
pp. 2050028
Author(s):  
Ashraf Ahmed Fadelelmoula

The aim of this study is to empirically explore the influences of a set of key technological, organizational, and environmental (TOE) factors on the achievement of a strategic promised benefit of private portals, which is competitive advantage. Such exploration has not received attention in the web-based information systems’ area. To explore these influences, a theoretical model was developed on the basis of the information system adoption’s literature. The model postulates the TOE factors as crucial antecedents to the realization of competitive advantage. To validate the theoretical model, a questionnaire was constructed by focusing on the most precise measurements items for the TOE factors. A total of 241 responses were collected from the private portal’s users in a higher education institution in Saudi Arabia. The structural equation modeling approach was applied for conducting the required assessment. The results demonstrate that among the tested TOE factors, the relative advantage of private portals and the competitive pressure to adopt them have positive impacts on the achievement of competitive advantage. The empirical evidences produced by this study provide more clarifications about the factors that should be managed carefully to gain competitive advantage from the adopted information system innovations.


2019 ◽  
Vol 41 (3) ◽  
pp. 592-613 ◽  
Author(s):  
Andrés Salas Vallina ◽  
Maria D. Moreno-Luzon ◽  
Anna Ferrer-Franco

PurposeThe purpose of this paper is twofold: first, to examine whether inspirational leadership of heads of specialized medical units is related to individual ambidexterity of their dependent physicians; and second, to study the possible mediating role of organizational learning capability (OLC) in the relationship between inspirational leadership and individual ambidexterity.Design/methodology/approachStructural equation modeling was used on a sample of 194 medical specialists from Spanish public hospitals.FindingsResults show that inspirational leadership is positively related to individual ambidexterity among healthcare physicians. In addition, the results of the study revealed that the relationship between inspirational leadership and individual ambidexterity is mediated by conditions that facilitate learning, namely, OLC.Research limitations/implicationsThis study uses cross-sectional data, which do not guarantee causality relationships among the examined variables.Practical implicationsThe results of this paper suggest first that heads of healthcare units should inspire followers to achieve both exploration and exploitation. Second, it is also necessary to consider that inspirational leaders promote those conditions that facilitate learning, which should be particularly taken into account to enhance both physician’s exploration and exploitation.Originality/valueIn stressing an evident gap in the relationship between leadership and ambidexterity at the individual level, this paper attempts to advance in the leadership literature by revealing how the action or power of moving the intellect or emotions, and enhancing enthusiasm and confidence, empowers physicians to both explore and exploit knowledge. The results also indicate that the inspiration transmitted by the heads of medical services, facilitate physician’s perceived learning conditions which, in turn, fosters their individual ambidexterity.


2018 ◽  
Vol 7 (3.30) ◽  
pp. 393
Author(s):  
Marcellia Susan ◽  
. .

Research on service quality has been performed by researchers on various research objects. In many previous studies, service quality provided by service providers became the factor that affects customer satisfaction and other various research variables. The study was conducted at public hospitals that offer healthcare services with a focus on service quality. The purpose of this study was to analyze the service quality provided by public hospitals, and to test their effect on the satisfaction and trust of patients or attendants. The objects of this research are the public hospitals in Bandung with the patients or attendants as the unit of analysis. Primary data were obtained through the dissemination of questionnaires on patients or attendants to obtain data on their evaluation of service quality of public hospitals, and their satisfaction and trust towards public hospitals. Obtained data was processed using structural equation modeling to confirm causality of related research variable. The results depict the service quality provided by public hospitals in Bandung covering infrastructure, personnel quality, clinical care process, administrative procedures, safety indicators, and social responsibility. Moreover, the results of hypothesis testing show that service quality has an influence on patient satisfaction, and ultimately affects their trust in the hospital.  


2021 ◽  
Vol 5 ◽  
pp. 239920262110647
Author(s):  
Oluka Pross Nagitta ◽  
Marcia Mkansi ◽  
Sylvia Desire Nyesiga ◽  
George William Kajjumba

Introduction: Malaria is a killer disease in the tropical environment; artemisinin-based combination therapies (ACTs) play a central role in treating malaria. Thus, the supply and presence of ACT drugs in hospitals are a key feature in the fight against malaria. Supply chain management literature has focused on the private sector, and less attention has been paid to the public sector, especially hospitals. Aim: This study uses an interdisciplinary lens in investigating how to boost the supply and distribution of ACTs to save lives in low-income countries, specifically in Uganda. Methodology: The study adopted a quantitative research design using a questionnaire as the data collection instrument. Of the 440-population size, 304 of the sample population participated in the study. The model was estimated using structural equation modeling (SEM) to establish the causal relationship among the variables. Results: From the SEM analysis, all the hypotheses were significant at p < 0.05. The availability of ACTs is strongly affected by strategic dimensions (0.612), followed by operation dimensions (0.257); strategic determinants significantly affect operational determinants by a magnitude of 0.599. The indirect influence of the strategic determinants via operational determinants on the availability of ACTs is not significant. Overall, the factors explained 63.9% of the observed variance in the availability of ACTs, and the ACT availability can be predicted as follows: ACT availability = 0.612 × strategic determinants + 0.256 × operation determinants. Top management commitment and organizational responsiveness are among the items that positively affect the availability of ACTs. Conclusion: Strategically, hospital management should invest in cheap technology and software to minimize the unavailability of medicines. Our research suggests that strategic and operational determinants should be integrated into the hospitals’ core business and implemented by the top management. The article contributes to theoretical and policy direction in the public sector medicine supply chain, specifically in public hospitals.


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