2017 | Volume 13 | Issue 5 | 706-721
Article title

Malaysia Health Information Exchange: A systematic review

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Malaysia Health Information Exchange (MyHiX) is part of Health Transformation System, which is a national agenda to improve the healthcare service using ICT as an enabler. Its main focus is to share patients’ discharge summary or clinical summary among healthcare facilities. This initiative was launched in November 2008. However, nine years after its launch, MyHiX has been successfully implemented only in eight healthcare institutions in Malaysia. Therefore, this paper presents a systematic review of the existing literatures related to Health Information Exchange or MyHiX, with the aim of exploring the empirical gaps and issues associated with its implementation. Six databases were used to locate relevant studies, namely IEEE, Proquest, Emerald, Science Direct, Google Scholar and Scopus. In total, 70 studies met the inclusion criteria. Further thematic analysis of these studies revealed that issues of MyHIX implementation could be categorized into technological, organizational, environmental and human contexts.
Physical description
  • Faculty of Technology Management and Business, University Tun Hussein Onn, Malaysia
  • Faculty of Technology Management and Business, University Tun Hussein Onn, Malaysia
  • Abdullah, Z. (2012). Hospital information systems implementation: testing a structural model. In 8th International Conference of Information Science and Digital Content Technology (ICIDT), (74-81).
  • Abdulnabi, M., Al-Haiqi, A., Kiah, M. L. M., Zaidan, A. A., Zaidan, B. B., & Hussain, M. A distributed framework for health information exchange using smartphone technologies. Journal of Biomedical Informatics, 69, 230-250.
  • Acker, B., Birnbaum, C. L., Braden, J. H., Carlisle, V., Claybrook, D., Demster, B., ... & Grebner, L. (2017). HIM principles in health information exchange. Journal of AHIMA/American Health Information Management Association, 78(8), 69, 2007.
  • Adler-Milstein, J., Bates, D. W., & Jha, A. K. (2011). A survey of health information exchange organizations in the United States: implications for meaningful use. Annals of Internal Medicine, 154(10), 666-671.
  • Adler-Milstein, J., Lin, S. C., & Jha, A. K. (2016). The number of health information exchange efforts is declining, leaving the viability of broad clinical data exchange uncertain. Health Affairs, 35(7), 1278-1285.
  • Ahmadi, H., Ibrahim, O., Thrusamy, R., Mun, W., Mojtaba, A., Jafakarimi, H., & Almaee, A. (2015). Exploring potential factors in total hospital information system adoption. Journal of Soft Computing and Desicion Support Systems, 2(1), 52-59.
  • Bailey, J. E., Pope, R. A., Elliott, E. C., Wan, J. Y., Waters, T. M., & Frisse, M. E. (2013). Health information exchange reduces repeated diagnostic imaging for back pain. Annals of Emergency Medicine, 62(1), 16-24.
  • Blaya, J. A., Fraser, H. S., & Holt, B. (2010). E-health technologies show promise in developing countries. Health Affairs, 29(2), 244-251.
  • Borges, J. B. C., Carvalho, S. M. R. D., & Silva, M. A. D. M. (2010). Quality of service provided to heart surgery patients of the Unified Health System-SUS. Brazilian Journal of Cardiovascular Surgery, 25(2), 172-182.
  • Bos, L. (2006). Monitoring the integration of hospital information systems: how it may ensure and improve the quality of data. Medical and Care Compunetics, 3, 121, 176.
  • Byrne, C. M., Mercincavage, L. M., Bouhaddou, O., Bennett, J. R., Pan, E. C., Botts, N. E., ... & Cromwell, T. (2017). The Department of Veterans Affairs’(VA) implementation of the Virtual Lifetime Electronic Record (VLER): findings and lessons learned from health information exchange at 12 sites. International Journal of Medical Informatics, 83(8), 537-547, 2014.
  • Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and end user acceptance of in-formation technology, MIS Quarterly, 13, 318-339.
  • DeLone, W., & McLean, E. (1992). Information systems success: the quest for the dependent variable. Information Systems Research, 3(1), 60-95.
  • Friedberg, M. W., Chen, P. G., Van Busum, K. R., Aunon, F., Pham, C., Caloyeras, J., ... & Crosson, F. J. (2014). Factors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy. Rand Health Quarterly, 3(4).
  • Frisse, M. E., Johnson, K. B., Nian, H., Davison, C. L., Gadd, C. S., Unertl, K. M. & Chen, Q. (2012). The financial impact of health information exchange on emergency department care. Journal of the American Medical Informatics Association, 19(3), 328-333.
  • Geissbuhler, A. (2013). Lessons learned implementing a regional health information exchange in Geneva as a pilot for the Swiss national eHealth strategy. International Journal of Medical Informatics, 82(5), e118-e124.
  • Goo, J., Huang, C. D., & Koo, C. (2015). Learning for healthy outcomes: Exploration and exploitation with electronic medical records. Information & Management, 52, 550–562.
  • Goodhue, D. L., Wybo, M. D., & Kirsch, L. J. (1992). The impact of data integration on the costs and benefits of information systems. MiS Quarterly, 293-311.
  • Gritzalis, D., & Lambrinoudakis, C. (2004). A security architecture for interconnecting health information systems. International Journal of Medical Informatics, 73(3), 305-309, 2004.
  • Groves, P., Kayyali, B., Knott, D., & Kuiken, S. V. (2016). The'big data'revolution in healthcare: Accelerating value and innovation.
  • Hassan, R. (2012). Implementation of Total Hospital Information System (THIS) In Malaysian public hospitals: challenges and future prospects. International Journal of Business and Social Research, 2(2), 33-41.
  • Hisan, A. (2012). Malaysian Health Information Exchange (MyHIX):Simposium Maklumat Geospatial Kebangsaan NGIS ke 5. Presentation, Putrajaya.
  • Hsieh, P. J. (2015). Physicians’ acceptance of electronic medical records exchange: An extension of the decomposed TPB model with institutional trust and perceived risk. International Journal of Medical Informatics, 84(1), 1-14.
  • Huang, C. D., Behara, R. S., & Goo, J. (2014). Optimal information security investment in a Healthcare Information Exchange: An economic analysis. Decision Support Systems, 61, 1-11.
  • Hung, S. Y., Hung, W. H., Tsai, C. A., & Jiang, S. C. (2010). Critical factors of hospital adoption on CRM system: Organisational and information system perspectives. Decision Support Systems, 48(4), 592-603.
  • Hyppönen, H., Reponen, J., Lääveri, T., & Kaipio, J. (2014). User experiences with different regional health information exchange systems in Finland. International Journal of Medical Informatics, 83(1), 1-18.
  • Ibrahim, A., & Singhal, M. (2016). A Simultaneous Key Generation Technique for Health Information Exchange (HIE) Based on Existing Patients' Credentials. In Connected health: applications, systems and engineering technologies (CHASE), 2016 IEEE First International Conference on (pp. 359-361). IEEE.
  • Iezzoni, L. I. (1997). Assessing quality using administrative data. Annals of Internal Medicine, 127(8), 666-674.
  • Injau, H. (2011). Evaluation of Multimedia Super Corridor (MSC Malaysia) Contribution in Malaysian Economy (Masters). Ritsumeikan Asia Pacific University.
  • Ismail A., Jamil, A.T., A Rahman, A.F., Abu Bakar, J.M., Mohd Saad, N. & Saadi, H. (2010). The Implementation of Hospital of Hospital System (HIS) in Tertiary Hospitals in Malaysia: A Qualitative Study, Malaysian Journal of Public Health Medicine 2010, 10(2), 16-24.
  • Ismail, N. & Abdullah, N. (2016). Hospital Information System (HIS) Implementation In Malaysian Public Hospitals., INFORMATION, International Information Institute, 7(7B), 2833-2838.
  • Ismail, N. (2016). Development of implementation models for Hospital information system (HIS) in Malaysian Public Hospitals (Ph.D). Universiti Tun Hussein Onn Malaysia (UTHM).
  • Ismail, N. I., Abdullah, N. H., & Shamsuddin, A. (2015). Adoption of hospital information system (HIS) in Malaysian public hospitals. Procedia-Social and Behavioral Sciences, 172, 336-343.
  • Ismail, N. I., Abdullah, N. H., Shamsudin, A., & Ariffin, N. A. N. (2013). Implementation differences of Hospital Information System (HIS) in Malaysian public hospitals. International Journal of Social Science and Humanity, 3(2), 115.
  • Kaelber, D. C., & Bates, D. W. (2007). Health information exchange and patient safety. Journal of Biomedical Informatics, 40(6), S40-S45.
  • Khan, K. S., Kunz, R., Kleijnen, J., & Antes, G. Five steps to conducting a systematic review. (2003). Journal of the Royal Society of Medicine, 96(3), 118-121.
  • Kruse, C. S., Regier, V., & Rheinboldt, K. T. (2014). Barriers over time to full implementation of health information exchange in the United States. JMIR Medical Informatics, 2(2), e26.
  • Kuperman, G. J., Gardner, R. M., & Pryor, T. A. HELP: a dynamic hospital information system. Springer Science & Business Media, 2013.
  • Li, Y. C. J., Yen, J. C., Chiu, W. T., Jian, W. S., Syed-Abdul, S., & Hsu, M. H. (2015). Building a National Electronic Medical Record Exchange System–Experiences in Taiwan. Computer Methods and Programs in Biomedicine, 121(1), 14-20.
  • Lian, J. W., Yen, D. C., & Wang, Y. T. (2014). An exploratory study to understand the critical factors affecting the decision to adopt cloud computing in Taiwan hospital. International Journal of Information Management, 34(1), 28-36.
  • Liu, L., Li, Y., Li, S., Hu, N., He, Y., Pong, R. & Law, M. (2012). Comparison of next-generation sequencing systems. BioMed Research International, 2012.
  • Miller, A. R., & Tucker, C. (2014). Health information exchange, system size and information silos. Journal of Health Economics, 33, 28-42.
  • Ministry Of Health Malaysia Official Website. (2016). Malaysian Health Information Exchange. Retrieved 18 October 2016, from
  • Ministry Of Health Malaysia Official Website. (2011). Senarai hospital kerajaan. Retrieved September 21, 2017, from
  • Ministry of Health Malaysia. (2014). Country Plan. Putrajaya, Malaysia: MOH.
  • Ministry of Health. Malaysia Health Information Exchange (MyHIX) Toolkit. Putrajaya, Malaysia.
  • Mohamad Yunus, N., Ab Latiff, D., Abdul Mulud, Z., & Ma’on, S. (2013). Acceptance of Total Hospital Information System (THIS). International Journal of Future Computer and Communication, 2(3), 160-163.
  • Mohd. Yusof, M. (2015). A case study evaluation of a critical care information system adoption using the socio-technical and fit approach. International Journal of Medical Informatics, 84(7), 486-499, 2015.
  • Mohd., H., & Syed Mohamad, S. (2005). Acceptance model of electronic medical record. Journal Of Advancing Information and Management Studies, 2(1), 75-92.
  • Nissinen, S., Leino, T., Oksanen, T., & Saranto, K. (2016). Relevant patient data for health information exchange: a delphi method study.
  • Otte-Trojel, T., de Bont, A., van de Klundert, J., & Rundall, T. G. (2014). Characteristics of patient portals developed in the context of health information exchanges: early policy effects of incentives in the meaningful use program in the United States. Journal of Medical Internet Research, 16(11), e258.
  • Park, H., Lee, S. I., Kim, Y., Heo, E. Y., Lee, J., Park, J. H., & Ha, K. (2013). Patients’ perceptions of a health information exchange: a pilot program in South Korea. International Journal of Medical Informatics, 82(2), 98-107.
  • Parker, C. J., & Adler-Milstein, J. (2016). Errors related to health information exchange. In Safety of Health IT (pp. 153-165). Springer International Publishing.
  • Patel, V., Abramson, E. L., Edwards, A., Malhotra, S., & Kaushal, R. (2011). Physicians’ potential use and preferences related to health information exchange. International Journal of Medical Informatics, 80(3), 171-180.
  • Payne, T. H., Detmer, D. E., Wyatt, J. C., & Buchan, I. E. (2011). National-scale clinical information exchange in the United Kingdom: lessons for the United States. Journal of the American Medical Informatics Association, 18(1), 91-98.
  • Petter, S., DeLone, W., & McLean, E. (2008). Measuring information systems success: models, dimensions, measures, and interrelationships. European Journal of Information Systems, 17(3), 236-263.
  • Pevnick, J. M., Claver, M., Dobalian, A., Asch, S. M., Stutman, H. R., Tomines, A., & Fu, P. (2012). Provider stakeholders’ perceived benefit from a nascent health information exchange: a qualitative analysis. Journal of Medical Systems, 36(2), 601-613.
  • Rittenhouse, D. R., Ramsay, P. P., Casalino, L. P., McClellan, S., Kandel, Z. K., & Shortell, S. M. (2017). Increased health information technology adoption and use among small primary care physician practices over time: a national cohort study. The Annals of Family Medicine, 15(1), 56-62.
  • Ross, S. E., Schilling, L. M., Fernald, D. H., Davidson, A. J., & West, D. R. (2010). Health information exchange in small-to-medium sized family medicine practices: motivators, barriers, and potential facilitators of adoption. International Journal of Medical Informatics, 79(2), 123-129.
  • Rudin, R. S., Motala, A., Goldzweig, C. L., & Shekelle, P. G. (2014). Usage and effect of Health Information Exchange. A systematic review usage and effect of Health Information Exchange. Annals of Internal Medicine, 161(11), 803-811.
  • Rudin, R., Volk, L., Simon, S., & Bates, D. (2011). What affects clinicians’ usage of health information exchange?. Appl Clin Inform, 2(3), 250-262.
  • Saad, N. M., & Alias, R. A. (2012). New types of general consent in telehealth application usage. In Biomedical engineering and sciences (IECBES), 2012 IEEE EMBS Conference (pp. 354-358). IEEE.
  • Safran, C., Bloomrosen, M., Hammond, W. E., Labkoff, S., Markel-Fox, S., Tang, P. C., & Detmer, D. E. (2007). Toward a national framework for the secondary use of health data: an American Medical Informatics Association White Paper. Journal of the American Medical Informatics Association, 14(1), 1-9.
  • Shaik Allaudin, F. (2013). AeHIN General Meeting 22-24 September 2013: eHealth Updates MALAYSIA. Presentation, Pan Pacific Hotel Manila, Philippines.
  • Shaik Allaudin, F. (2016). AeHIN Webinar 30 March 2016 National eHealth: “Malaysia Update”. Presentation, Ministry of Health, Malaysia.
  • Som, M. M., Norali, A. N., & Ali, M. M. (2010). Telehealth in Malaysia - An overview. In Industrial Electronics & Applications (ISIEA), 2010 IEEE Symposium (pp. 660-664). IEEE.
  • Sugijarto, D. P., Safie, N., Mukhtar, M., & Sulaiman, R. A case study on laboratory information system. Procedia Technology, 11, 740-747, 2013.
  • Sukums, F., Mensah, N., Mpembeni, R., Massawe, S., Duysburgh, E., Williams, A. & Blank, A. (2015). Promising adoption of an electronic clinical decision support system for antenatal and intrapartum care in rural primary healthcare facilities in sub-Saharan Africa: The QUALMAT experience. International Journal of Medical Informatics, 1-11.
  • Sulaiman, H., & Wickramasinghe, N. (2014). Assimilating Healthcare Information Systems in a Malaysian Hospital. Communications of the Association for Information Systems, 34(78), 1291-1318.
  • Tham, E., Ross, S. E., Mellis, B. K., Beaty, B. L., Schilling, L. M., & Davidson, A. J. (2010). Interest in health information exchange in ambulatory care: a statewide survey. Appl Clin Inform, 1(1), 1-10.
  • The National Alliance for Health Information Technology. (2008). Report to the Office of the National Coordinator for Health Information Technology on de- fining key health information technology terms. Washington, DC: Office of the National Coordinator for Health Information Technology.
  • Thorn, S. A., Carter, M. A., & Bailey, J. E. (2014). Emergency physicians' perspectives on their use of health information exchange. Annals of emergency medicine, 63(3), 329-337.
  • Tornatzky, Louis G. & Fleischer, M. (1990). The Processes of Technological Innovation. Lexington Books.
  • Vest, J. R., & Gamm, L. D. (2010). Health information exchange: persistent challenges and new strategies. Journal of the American Medical Informatics Association, 17(3), 288-294.
  • Washington, DC: Department of Health and Human Services. (2014). What is HIE (Health Information Exchange). Available at:
  • Williams, C., Asi, Y., Raffenaud, A., Bagwell, M., & Zeini, I. (2016). The effect of information technology on hospital performance. Health care management science, 19(4), 338-346.
  • Yaraghi, N. (2015). An empirical analysis of the financial benefits of health information exchange in emergency departments. Journal of the American Medical Informatics Association, 22(6), 1169-1172.
  • Yucel, G., Cebi, S., Hoege, B., & Ozok, A. F. (2012). A fuzzy risk assessment model for hospital information system implementation. Expert Systems with Applications, 39(1), 1211-1218.
  • Zaidan, B. B., Haiqi, A., Zaidan, A. A., Abdulnabi, M., Kiah, M. M., & Muzamel, H. (2015). A security framework for nationwide health information exchange based on telehealth strategy. Journal of medical systems, 39(5), 51
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