A Study on the Challenges and Barriers in Implementing Hospital Information System at OneHealth Hospital

The adoption of Hospital Information Systems (HIS) plays a vital role in enhancing healthcare efficiency, accuracy, and service quality. This study aims to analyze the challenges and barriers associated with the implementation of HIS at OneHealth Hospital. The research focuses on examining structural, technical, administrative, and organisational factors, along with user perceptions, managerial support, and data security concerns influencing system adoption. A qualitative research design was employed, with primary data collected through structured questionnaires from 104 respondents over a period of three months. Statistical tools such as percentage analysis, correlation, regression, and ANOVA were used for data analysis. The findings indicate a strong level of agreement among respondents regarding the presence of multiple barriers, with technical issues reducing user confidence (mean = 4.43) and lack of technical expertise (mean = 4.41) identified as the most critical challenges. Insufficient training, data security concerns, infrastructural limitations, and workflow disruptions also significantly impact HIS implementation. Correlation analysis reveals a strong positive relationship (r = 0.856, p < 0.01) between inadequate training and lack of technical expertise, which is further supported by ANOVA results indicating statistical significance. Although factors such as high implementation cost and employee resistance exist, they are comparatively less influential. The study concludes that improving training programs, enhancing technical infrastructure, and ensuring effective managerial support are essential for successful HIS adoption and sustainability in healthcare organisations.