Adoption of enterprise architecture for healthcare in AeHIN member countries

Autor: Guan N Guo, Alvin Marcelo, Jitendra Jonnagaddala, Sean Batongbacal, Siaw-Teng Liaw
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Information management
Knowledge management
Asia
Capacity Building
Enterprise architecture
Health Informatics
02 engineering and technology
lcsh:Computer applications to medicine. Medical informatics
information systems
03 medical and health sciences
0302 clinical medicine
Health Information Management
020204 information systems
Surveys and Questionnaires
0202 electrical engineering
electronic engineering
information engineering

Information system
eHealth
Humans
Developing Countries
Original Research
Information Services
business.industry
Health Information Interoperability
Information technology
Capacity building
information management
information science
Digital health
Computer Science Applications
030221 ophthalmology & optometry
lcsh:R858-859.7
Health Resources
business
Senior management
Delivery of Health Care
Zdroj: BMJ Health & Care Informatics
BMJ Health & Care Informatics, Vol 27, Iss 1 (2020)
ISSN: 2632-1009
Popis: BackgroundHealthcare organisations are undergoing a major transformational shift in the use of information and digital health technologies. Enterprise architecture (EA) has been incrementally adopted in many healthcare organisations globally to facilitate this change. EA can increase the effectiveness of an organisation’s digital health capabilities and resources. However, little is known about the status of EA adoption in low-income and middle-income countries. This study aimed to evaluate the challenges, goals and benefits associated with adoption of EA for healthcare in the Asia eHealth Information Network (AeHIN) member countries .MethodsWe developed an EA Adoption Evaluation framework with four principal layers: governance, strategy, EA and performance. The framework guided the development of a questionnaire to investigate the goals, challenges and benefits faced before and during EA adoption by healthcare organisations.Sample26 participants from 18 healthcare organisations in the Asia-Pacific region representing 11 countries. Organisations included Ministries of Health, Universities, Non-Governmental Organisations and Technical Advisory Groups.FindingsOnly 5 of the 18 organisations had begun adopting EA. The goals expressed for EA adoption were to address issues such as interoperability, lack of technical infrastructure and poor alignment of business and information technology strategies. Cost reduction was less emphasised. The main challenges to adopting EA was the lack of EA knowledge, leadership and involvement of senior management.ConclusionThe adoption of EA is incipient in AeHIN member healthcare organisations. To encourage EA adoption, these organisations need to invest in internal capacity building, senior management training and seek independent EA expert advice to systematically identify and address the barriers to adopting EA.
Databáze: OpenAIRE