Information Technology Integration and Performance of Selected Public Hospitals in Kenya
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Date
2019-12
Authors
Iloka, Kenneth Malongo
Journal Title
Journal ISSN
Volume Title
Publisher
Kenyatta University
Abstract
Kenya’s health sector is faced by inefficiencies and ineffectiveness that deters the
achievement of its citizens goals of universal health, faireness, cost effectiveness, acceptance
and sustainable development. Kenya’s Vision 2030 outlines provision of healthcare as key
to improving the quality of life for all Kenyans while public hospitals guarantee improved
citizens’ wellbeing. Universal health coverage is one of the pillars in the Big Four Agenda
to be achieved by the Government of Kenya by the year 2022. The Ministry of Health has
underlined Information Technology Integration as one of its reform strategies to ensure
public health institutions perform better. Despite the increasing demand and need for
healthcare, performance of public hospitals has been crippling. Therefore, this study
investigated the effect of information technology integration on performance of selected
public hospitals in Kenya. The specific objectives were to: establish the effect of humaninformation
technology integration on performance of selected public hospitals; determine
the effect of organizational information technology integration on performance of selected
public hospitals; analyze the effect of information technology infrastructure integration on
performance of public hospitals; analyze the moderating effect of organizational
characteristics on the relationship between information technological integration and
performance of selected public hospitals; analyze the mediating effect of user perception on
the relationship between information technological integration and performance of selected
public hospitals in Kenya. This study was anchored on Technology-Organization-
Environment Model, Technology Acceptance Model, Diffusion of Innovations Theory as
well as Dynamic Capabilities Theory. The study was guided by positivism research. An
explanatory and cross-sectional survey research design were utilized. The target population
of the study included ninety-eight, public hospitals in Kenya which have integrated managed
equipment services, comprising ninety-four from the forty-seven counties and four national
referral hospitals. A sample size of 294 respondents was drawn using proportionate stratified
random sampling. The study used primary data collected using self-administered
structured questionnaire. To analyze the features of the surveyed public hospitals and the
respondents, descriptive statistics were used.
Multiple regression analysis was carried out to determine the effect of information
technology integration, organizational characteristics and user perception on performance.
Results from the study showed that integration of human-information technology,
organizational information technology integration and infrastructure flexibility had a
significant positive impact on the performance of public hospitals in Kenya. The study
further found that the characteristics of the organization and the perception of the users
respectively moderated and mediated the relationship between the integration of information
technology and the performance of public hospitals in Kenya. The study concluded that the
integration of information technology in public hospitals plays an important role in
increasing hospital efficiency, relevance, effectiveness and financial viability. The study
recommends enhanced use of integrated information technology by public hospitals in
Kenya for improved performance hence better service delivery.
Description
A Thesis Submitted to the School of Business in Partial Fulfilment of the Requirement for the Award of Degree of Doctor of Philosophy in Business Administration (Management Information Systems) of Kenyatta University December 2019
Keywords
Information Technology, Integration, Performance, Public Hospitals, Kenya