# Toward a Comprehensive Understanding and Evaluation of the Sustainability of E-Health Solutions
## 7 Case Study
### Case Study: Evaluating the Hospital Information System
#### 7.2.1 Technology  
The weight assigned to this dimension was 0.3, and the selected aspects were the system quality and data quality. The hardware quality aspect was inapplicable to the context of HIS as there was no specially designed hardware required to use this system. The system is operated and used through regular computer devices.  
Regarding the system quality aspect, the system did not meet the users' needs. Although the initial goal was to serve and facilitate the pharmacy work, after the system was adopted, it was found that it had limited features and the essential ones were not provided. This was because the adopted version of the system was the basic license that did not include customization or extension of the basic features. Furthermore, maintainability of the system was not fulfilled because after each update, some the systems' permissions changed without the user's request. To illustrate, in the medicines dispensing features, the input fields of the patient information was changed from mandatory to optional after each update. The users needed to ask for IT support to reset the input fields to mandatory. Therefore, some of the elements in this aspect were not fulfilled, which resulted in this aspect receiving an assessment score of 67%.  
Regarding the data quality, the accessibility, confidentiality, consistency, relevance, and timeliness of the information produced by and stored in the system passed the evaluation. However, because the system had limited features, the produced information was not complete, nor sufficiently accurate to cover the needs of users' tasks.  
Table 15 presents the evaluation score of each aspect that was achieved by filling out the assessment checklist for each of them.  
\begin{table}
\begin{tabular}{l l l l l l} \hline \hline
**Dimension** & \begin{tabular}{l} **Dimension’s** \\ **Weight** \\ \end{tabular} & **Aspects** & **Evaluation Score** & \
\begin{tabular}{l} **Dimension’s** \\ **Score** \\ \end{tabular} &
\begin{tabular}{l} **Dimension’s** \\ **Weighted Score** \\ \end{tabular} \\ \hline \multirow{4}{*}{Technology} & \multirow{4}{*}{0.3} & System quality & 67\% & \multirow{4}{*}{71\%} & \multirow{4}{*}{21\%} \\ \cline{3-3} \cline{5-6}  & & Data quality & 75\% & & \\ \cline{3-3} \cline{5-6}  & & Hardware quality & NA & & \\ \hline \multirow{4}{*}{Organization} & \multirow{4}{*}{0.25} & Support and commitment & 20\% & \multirow{4}{*}{31\%} & \multirow{4}{*}{42\%} \\ \cline{3-3} \cline{5-6}  & & Organizational structures and & & & \\ \cline{3-3} \cline{5-6}  & & Planning and policies & 69\% & & \\ \cline{3-3} \cline{5-6}  & & Stakeholders & 40\% & & \\ \cline{3-3} \cline{5-6}  & & Culture of electronic & & & \\ \cline{3-3} \cline{5-6}  & & information use & 80\% & & \\ \cline{3-3} \cline{5-6}  & & Outcome identification & 30\% & & \\ \cline{3-3} \cline{5-6}  & & Demand and need & 20\% & & \\ \hline \multirow{4}{*}{Resources} & \multirow{4}{*}{0.15} & Human resources & 65\% & \multirow{4}{*}{58\%} & \multirow{4}{*}{9\%} \\ \cline{3-3} \cline{5-6}  & & Technical support and training & 45\% & & \\ \cline{3-3} \cline{5-6}  & & ICT infrastructure & 100\% & & \\ \cline{3-3} \cline{5-6}  & & Financial resources & 20\% & & \\ \hline \multirow{2}{*}{Social} & \multirow{2}{*}{0.05} & Continuance usage intention & 69\% & \multirow{2}{*}{67\%} & \multirow{2}{*}{3\%} \\ \cline{3-3} \cline{5-6}  & & User behavior & 64\% & & \\ \hline \multirow{3}{*}{Economic} & \multirow{3}{*}{0.25} & Sustainable funding & 20\% & \multirow{3}{*}{35\%} & \multirow{3}{*}{9\%} \\ \cline{3-3} \cline{5-6}  & & Affordability of e-solution & 50\% & & \\ \cline{3-3} \cline{5-6}  & & Financial benefits & NA & & \\ \hline \multicolumn{6}{c}{Total} & \multicolumn{4}{c}{52\%} \\ \hline \hline \end{tabular}
\end{table}
Table 15: Assessment results of case study.