PREPARATION AND BARRIERS IN IMPLEMENTATION INTEROPERABILITY SYSTEMS AMONG HOSPITALS: A SYSTEMATIC REVIEW
Keywords:Health Information Interoperability, Hospital, Implementation, Systematic Review
Hospital Information System must provide innovative services in digitals era. The
interoperability systems made data interconnected between hospitals, health services and the ministry
of health. This system is urgently needed to improve National health services. The aim of the study to
assess the preparation, barriers and benefit of interoperability system implementation. The study was
a systematic review of journal articles by assessing several databases, from Pubmed, Proquest,
EBSCO, and Springer Link to identify relevant studies with PRISMA. The keyword is “Health
Information Interoperability, Hospital and Implementation”. Ten articles were obtained which
matched the inclusion and exclusion criteria. These articles explained how the system can be applied,
from the preparation of the infrastructure, such as the standard systems that have been adopted, Fast
Healthcare Interoperability Resources (FHIR) from Health Level 7 (HL7). The barriers were the
standardized data between hospitals with same vendors, so the hospitals were reluctant to implement
it. The benefit was the hospital services improve quality in accuracy, legibility, completeness and
consistency of documents. Hoped that interoperability can make health information systems more
effective by preventing repeated examinations and so that can reduce health costs. This system is a big
challenge throughout the world, the role of government and policymakers is needed in implementation.
Alarakhia, M., Barker, P., Brisson, M., Graham, T., Grimm, C., Lee, T., … Vermeer, K. (2018). Connected Health
Information in Canada: A Benefits Evaluation Study. Canada Health Infoway, (April), 27. Retrieved from
Bae, Y. S., Kim, K. H., Choi, S. W., Ko, T., Jeong, C. W., Cho, B. L., … Kang, E. K. (2020). Information
Technology-Based Management of Clinically Healthy COVID-19 Patients: Lessons From a Living and Treatment
Support Center Operated by Seoul National University Hospital. Journal of Medical Internet Research, 22(6),
Bettany-Saltikov, J. (2010). Learning how to undertake a systematic review: Part 2. In Nursing standard (Royal
College of Nursing (Great Britain) : 1987) (Vol. 24, Issue 51). https://doi.org/10.7748/ns2010.08.24.51.47.c7943
Commision European. (2012). Digital Agenda : Open Standards would save public save public sector €1 billion
a year. Brussels. 25th June 2012. Downloaded : 10th December 2020.
Davoody, N., Koch, S., Krakau, I., & Hägglund, M. (2019). Accessing and sharing health information for postdischarge stroke care through a national health information exchange platform - A case study. BMC Medical
Informatics and Decision Making, 19(1), 1–16. https://doi.org/10.1186/s12911-019-0816-x
Dobrow, M. J., Bytautas, J. P., Tharmalingam, S., & Hagens, S. (2019). Interoperable Electronic Health Records
and Health Information Exchanges: Systematic Review. JMIR Medical Informatics, 7(2), e12607.
Healthcare Information and Management Systems Society (HIMSS). (2013, April 5). Definition of
interoperability. Retrieved from http://www.himss.org/sites/himssorg/files/FileDownloads/HIMSS%20
HIMSS. (2014). Strategic Interoperability in Germany, Spain & the UK. The Clinical Business Imperative,.
Retrieved from http://www.himss.eu/sites/default/files/HIMSSEU_WhitePapers_InterSystems.pdf
HIMSS. (2019). Interoperability & Health Information Exchange. https://www.himss.org/interoperability-andhealth-information-exchange
Kanakubo, T., & Kharrazi, H. (2019). Comparing the Trends of Electronic Health Record Adoption Among
Hospitals of the United States and Japan. Journal of Medical Systems, 43(7). https://doi.org/10.1007/s10916-019-
Muinga, N., Magare, S., Monda, J., English, M., Fraser, H., Powell, J., & Paton, C. (2020). Digital health Systems
in Kenyan Public Hospitals: A mixed-methods survey. BMC Medical Informatics and Decision Making, 20(1),
Oza, S., Jazayeri, D., Teich, J. M., Ball, E., Nankubuge, P. A., Rwebembera, J., … Fraser, H. S. (2017).
Development and deployment of the OpenMRS-Ebola electronic health record system for an Ebola treatment
center in Sierra Leone. Journal of Medical Internet Research, 19(8). https://doi.org/10.2196/jmir.7881
Poba-Nzaou, P., Kume, N., & Kobayashi, S. (2020). Developing and Sustaining an Open Source Electronic Health
Record: Evidence from a Field Study in Japan. Journal of Medical Systems, 44(9). https://doi.org/10.1007/s10916-
Rac-albu, M. E. (2015). IINTEROPERABILITY OF MEDICAL DATA FROM CONCEPT TO APPLICATION.
Rac-Albu, M. M.-E., & Rac-Albu, M. M.-E. (2019). A Model of Achieving Safe Interoperability of Medical Data
in the Private Sector of Health Care in Romania. Informatica Economica, 23(3), 84–95.
Shull, J. G. (2019). Digital health and the state of interoperable electronic health records. Journal of Medical
Internet Research, 21(11), 1–8. https://doi.org/10.2196/12712
Meutia Arini Yasrizal & Wiku Bakti Bawono Adisasmito / Preparation And Barriers…….………..
Wang, J., Ho, H., Chen, J., Chai, S., Tai, C., & Chen, Y. (2015). Attitudes toward inter-hospital electronic patient
record exchange : discrepancies among physicians , medical record staff , and patients. BMC Health Services
Research, (666), 1–15. https://doi.org/10.1186/s12913-015-0896-y
Warren, L. R., Clarke, J., Arora, S., & Darzi, A. (2019). Improving data sharing between acute hospitals in
England: an overview of health record system distribution and retrospective observational analysis of interhospital transitions of care. BMJ Open, 9(12). https://doi.org/http://dx.doi.org/10.1136/bmjopen-2019-031637
Wen, H.-C., Chang, W.-P., Hsu, M.-H., Ho, C.-H., & Chu, C.-M. (2019). An Assessment of the Interoperability
of Electronic Health Record Exchanges Among Hospitals and Clinics in Taiwan. JMIR Medical Informatics, 7(1),
WHO, Organization, W. H., & WHO. (2013). eHealth standardization and interoperability. Sixty-Sixth World
Health Assembly Wha66.24, (May), 1–3. Retrieved from citeulike-articleid:12416934%0Ahttp://apps.who.int/gb/ebwha/pdf_files/EB132/B132_R8-en.pdf?ua=1
How to Cite
The Conference Proceedings of International Conference on Public Health is entirely Open Access, which means that all published content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this Proceedings journal without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
Authors who publish with Conference Proceedings agree to the following terms:
- Authors retain copyright and grant the Proceedings of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this conference proceedings.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the proceeding's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this conference proceedings.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Published articles are licensed under a Creative Commons Attribution 4.0 International License.