A conceptual IT governance framework to guide the development of interoperable health information systems

Abstract

In light of changing health needs, health information systems are presented with a plethora of challenges. For instance, the rise of COVID-19 in the past year has led to the discourse on the strength of current health systems to support health needs and the readiness for the National Health Insurance in South Africa. In addition to operating in resource-constrained environments, the lack of synchrony between health information systems across health facilities led to the fragmentation of health information and diminished access to quality healthcare. This research, following the Design Science Research Methodology (DSRM) process, developed an IT governance conceptual framework (HISIG-CF), to inform the interoperability of health information systems. The HISIG-CF is developed from literature and qualitative data collected using an expert reviews method from practitioners in the healthcare sector who evaluated the constructs of the HISIG-CF. Thematic analysis and hermeneutics were used to analyse and interpret the data. The results revealed a need for more guidance to inform interoperability interventions and strengthen current health information systems. The contribution of this study is the HISIG-CF which is deemed relevant and potentially fit-for-purpose to improve health information systems interoperability within the healthcare sector in South Africa.