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All Journal Makara Journal of Health Research
Abdul Manaf, Mohd Rizal
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Perception of Lean Adoption among Emergency Department Personnel in Public Hospitals in Selangor, Malaysia Mohamad Jamil, Azizul Rahman; Abdul Manaf, Mohd Rizal; Wan Puteh, Sharifa Ezat; Balakrishnan, Kiran Ganesh
Makara Journal of Health Research Vol. 28, No. 1
Publisher : UI Scholars Hub

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Background: This research aims to assess the perceptions of the staff working in emergency departments in Selangor, Malaysia, regarding the adoption of lean management and identify the factors that affect their perceptions. Methods: A cross-sectional study using the Lean in Healthcare Questionnaire was conducted with 251 respondents, which consisted of doctors, nurses and medical assistants employed in three selected hospitals. Results: One-way analysis of variance (ANOVA) showed a significant difference in every domain score in accordance with the occupation category. For the domain process, a significant negative correlation was found between age and domain score (r = –0.195, p = 0.002). In particular, nurses had better perceptions of lean adoption compared with others (odds ratio [OR] = 2.44, p < 0.004). The odds of having a better perception decreased by 6.3% as the age increased (p < 0.008). Conclusions: The findings revealed that age and occupation appeared to be determinants of lean adoption perceptions among emergency department personnel. Specifically, older employees tend to have negative perceptions, while nurses have more positive perceptions. However, further research is needed to understand perceptions of lean adoption better and develop guidelines for implementing lean principles in healthcare settings.
Evaluating the Impact of System, Information, and Service Quality on User Outcomes in Malaysian Public Hospitals: A Structural Equation Modeling Approach Abdullah, Muhd Siv Azhar Merican; Aizuddin, Azimatun Noor; Abdul Manaf, Mohd Rizal
Makara Journal of Health Research
Publisher : UI Scholars Hub

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Background: Increasing use of hospital information systems (HIS) underscores the need to evaluate their impact on User Satisfaction and Perceived Net Benefits. This study investigated the connections among outsourced System Quality, Information Quality, Service Quality, Perceived Usefulness, User Satisfaction, and Perceived Net Benefits in the context of Malaysian public hospitals. Methods: Data were collected from 1,376 healthcare personnel across six public hospitals and analyzed using structural equation modeling through analysis of moment structures grounded in the DeLone and McLean Information Systems Success Model. Results: System and Service Qualities significantly influenced User Satisfaction and Perceived Usefulness, while Information Quality impacted Satisfaction indirectly. Perceived usefulness emerged as the strongest predictor of Perceived Net Benefits, followed by User Satisfaction, emphasizing their crucial mediating roles. Service Quality substantially impacted user perceptions, highlighting the relevance of technical support and system reliability. Conversely, Information Quality had a less direct effect, reflecting its dependence on user satisfaction for driving benefits. Conclusions: These results underscore the relevance of improving System and Service Qualities to enhance HIS effectiveness. The practical implications include prioritizing system upgrades, responsive support, and user training to maximize satisfaction and perceived benefits.
Co-Authors Abdullah, Muhd Siv Azhar Merican Aizuddin, Azimatun Noor Balakrishnan, Kiran Ganesh Mohamad Jamil, Azizul Rahman Wan Puteh, Sharifa Ezat