The Ministry of Health of Malaysia has invested significant resources to implement an electronic health record (EHR) system to ensure the full automation of hospitals for coordinated care delivery. ...Thus, evaluating whether the system has been effectively utilized is necessary, particularly regarding how it predicts the post-implementation primary care providers' performance impact.
Convenience sampling was employed for data collection in three government hospitals for 7 months. A standardized effectiveness survey for EHR systems was administered to primary health care providers (specialists, medical officers, and nurses) as they participated in medical education programs. Empirical data were assessed by employing partial least squares-structural equation modeling for hypothesis testing.
The results demonstrated that knowledge quality had the highest score for predicting performance and had a large effect size, whereas system compatibility was the most substantial system quality component. The findings indicated that EHR systems supported the clinical tasks and workflows of care providers, which increased system quality, whereas the increased quality of knowledge improved user performance.
Given these findings, knowledge quality and effective use should be incorporated into evaluating EHR system effectiveness in health institutions. Data mining features can be integrated into current systems for efficiently and systematically generating health populations and disease trend analysis, improving clinical knowledge of care providers, and increasing their productivity. The validated survey instrument can be further tested with empirical surveys in other public and private hospitals with different interoperable EHR systems.
Summary Background The Ministry of Health Malaysia initiated the total hospital information system (THIS) as the first national electronic health record system for use in selected public hospitals ...across the country. Since its implementation 15 years ago, there has been the critical requirement for a systematic evaluation to assess its effectiveness in coping with the current system, task complexity, and rapid technological changes. The study aims to assess system quality factors to predict the performance of electronic health in a single public hospital in Malaysia. Methods Non-probability sampling was employed for data collection among selected providers in a single hospital for two months. Data cleaning and bias checking were performed before final analysis in partial least squares-structural equation modeling. Results and conclusions Convergent and discriminant validity assessments were satisfied the required criterions in the reflective measurement model. The structural model output revealed that the proposed adequate infrastructure, system interoperability, security control, and system compatibility were the significant predictors, where system compatibility became the most critical characteristic to influence an individual health care provider’s performance. The previous DeLone and McLean information system success models should be extended to incorporate these technological factors in the medical system research domain to examine the effectiveness of modern electronic health record systems. In this study, care providers’ performance was expected when the system usage fits with patients’ needs that eventually increased their productivity.
Higher education students are frequently required to assess lecturers with a convenient, fast, and anonymous learning management system. Following the coronavirus disease 2019 (COVID-19) pandemic ...outbreak, Universiti Teknologi MARA Malaysia (UiTM) adopted a remote teaching and learning approach. This study examined how lecturers' professionalism, course impression, and facilitating conditions at UiTM affected undergraduate and graduate students' remote learning pre- and mid-pandemic. The higher prediction accuracy of the model demonstrated that students' remote learning activities were highly related to lecturers' professionalism, course impression, and facilitating conditions. The structural model demonstrated that the
-statistics of all measurement variables were significant at 1%. The strongest predictor of students' enjoyment of remote learning pre- and mid-pandemic was lecturers' professionalism. In the importance-performance matrix, lecturers' professionalism was in the quadrant for 'keep up the good work'. Facilitating conditions and course impression did not require further improvement even during the pandemic. The influence of remote learning was demonstrated in the students' graduation rates and grades. The results also presented theoretical and practical implications for the UiTM hybrid learning plan post-pandemic.
SmartOrder introduces a new method in the ordering and paying processes for small and large scale businesses through consortium concept which employ integrated online information system toward ...improving business practices and efficient records management. It applies e-commerce as the business solution in processes of selling and buying product, service besides sharing business information via online to meet both company and customer needs. The common practice is customers have to order and pay from the counter staff but with this system customers will place and pay their orders in a web-based information system. The problems with the manual system are customers must queue up to place and to pay their orders during peak hours, they do not know the price of the product and the merchants do not have much information about their customers. SmartOrder will solve problems faced by customers while making their orders and payments and display the customers the real price of the product before they accept the order and to record customers' information for establishing relationships between the merchant and its customers as part of Customer Relationship Management CRM strategy.
Records management has evolved over the centuries and the concept of electronic records is quickly becoming the major trends in managing electronic information compared to traditional recordkeeping ...which required tedious and complexity of works. This paper is discussed about the management of records from paper based into electronic through the implementation of Vehicle Observation System, an IT collaboration project between the Security Unit and Faculty of Information Management, UiTM Kelantan. This smart partnership is intended to solve the problems of manual records management system and to create a security mechanism for preventing unauthorized access to the campus facilities, thus safeguard the campus assets, staffs and students.
E-Merit is a web content management system that is developed to help Malaysian secondary schools manage discipline problems among their students more effectively in order to increase the academic ...performance to a greater height. Students' misconduct problems at the present level occurred due to lack of self-awareness and lack of parental control. The uniqueness of this application as compared with other E-Discipline systems are the teachers not only can record misconduct cases among their students but they will be given opportunity for improving themselves through counseling and community service programs. In addition, parents can check their children records of academic achievement, co-curricular, discipline and presence in the school for taking a preventive action before being suspended. Notification via e-mail and Short Messaging System will be automatically received when their children are involved in any activity of wrongdoings. Merit stated here not merely the measurement of student disciplinary cases but also their level of academic achievements and co-curricular activities either they are excellent, good, satisfactory or fail. This application is designed using Open Source Software that provides three categories of user access namely teacher, student and parent in which only the teacher is fully entitled to make any additions and changes to student's records. The benefits of the system are included its ability to increase the efficiency of managing students' electronic records, to reduce the burden of teachers' works as well as to be a best tool in assisting the detection and prevention of discipline problems. Therefore, E-Merit is expected to be commercialized as the best platform not only among the schools but also the public and private institutions of higher learning to excel its corporate image through the development of students' intellectual capital aligned with the national philosophy of education.
Biometrics has been increasingly utilized in the present situation by the numerous industries for strengthening the security access to any form of information system. From the benefits offered ...despite reducing the problems of security breaches those in network, theft or fraud, there is a necessity for embedding biometric authentication into traditional medical records systems. As a new approach of converting paper-based to electronic, more secure authentication and verification functions provided by biometrics may permit the medical practitioners to access, consult and update patients' medical information via their desktop, laptop or palmtop PCs from multiple locations simultaneously. With a minimum cost, the paper highlighted the analysis and design of a system prototype equipped with fingerprint and online signature biometrics to secure life cycle management of electronic patient records toward attaining trusted records management and transparency of medical services.
Despite the strategic development plan by the authorities for the Orang Asli, there are six subtribes of which their population numbers are small (less than 700). These minorities were not included ...in most of the health related studies published thus far. A comprehensive physiological and biomedical updates on these small subtribes in comparison to the larger subtribes and the urban Malay population is timely and important to help provide appropriate measures to prevent further reduction in the numbers of the Orang Asli.
A total of 191 Orang Asli from different villages in Peninsular Malaysia and 115 healthy urban Malays were recruited. Medical examinations and biochemical analyses were conducted. Framingham risk scores were determined. Data was analyzed using IBM SPSS Statistics, Version 20.0.
A higher percentage of the Orang Asli showed high insulin levels and hsCRP compared to the healthy Malays denoting possible risk of insulin resistance. High incidences of low HDL-c levels were observed in all the Orang Asli from the six subtribes but none was detected among the urban Malays. A higher percentage of inlanders (21.1% of the males and 4.2% of the females) were categorized to have high Framingham Risk Score.
Orang Asli staying both in the inlands and peripheries are predisposed to cardiovascular diseases and insulin resistance diabetes mellitus. The perception of Orang Asli being healthier than the urban people no longer holds. We believed that this information is important to the relevant parties in strategizing a healthier community of the Orang Asli to avoid the vanishing of the vulnerable group(s).
PDF
