ArticleOxford open digital health2025
'A tough nut to crack': inconsistent standards as roadblocks to data interoperability of health information systems in public hospitals in the Gauteng Province of South Africa.
Article in Oxford open digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
2 citing papers in PubMed.
- Beyond a single system: Lessons from Ghana's discontinued national EHR and the imperative for an interoperable digital health ecosystem.Ghana medical journal · 2025Article
- Bridging digital health gaps in South Africa: A qualitative study of the digital divide, interoperability and health equity.Digital healthArticle
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Authors and funding
1 author.
Funding
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Abstract
Standards are pivotal in achieving significant levels of data interoperability in the healthcare industry. However, inconsistent data standards and ambiguous guidelines stifle data interoperability in healthcare. Public sector hospitals in South Africa, particularly in Gauteng Province, face challenges in attaining data interoperability due to discrepancies in standards. This study investigates inconsistent standards as roadblocks to data interoperability of health information systems in public hospitals in the Gauteng Province of South Africa. A convergent parallel mixed methods research design was adopted, using an online questionnaire with 144 clinical and administrative personnel and semi-structured interviews with 16 managers. A multi-level sampling was used to select participants possessing the necessary expertise and experience in data interoperability and health information systems. Quantitative data were analyzed using SPSS for descriptive statistics, while qualitative data were thematically analyzed using the ATLAS.ti. The results indicated that hospitals in Gauteng adhere to multiple, conflicting standards, complicating data interoperability. Key factors contributing to this issue included legacy health systems, disparate systems, insufficient knowledge and awareness, weak regulations, and limited stakeholder collaboration. Furthermore, there was a notable lack of compliance with interoperability standards among hospitals. The study underscores the pressing need for coordinated efforts from policymakers, regulatory bodies, and health stakeholders to establish and enforce policies and standardized frameworks mandating uniform standards for interoperability. In conclusion, the cohesive implementation of uniform standards for data interoperability requires a holistic approach, incorporating clear policies, ongoing compliance monitoring, stakeholder collaboration, and continuous training to ensure the efficient exchange of healthcare data.
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Registered trials
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