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Conceptualizing a Model for Cloud-Based Hospital Management Systems for the South African Public Health Sector
Magudulela T. S.1, Kalema B. M.2, Segooa M. A.1
1 Tshwane University of Technology, South Africa
2 University of Mpumalanga, South Africa


Background and Aim of Study: Real-time access of information in the healthcare environment is essential, as it not only helps medical personnel to have adequate and timely information, but it also assists patients to be served more easily. Hospitals in rural areas are operating at a low bandwidth and have poor IT infrastructure that causes intermittent networks leading to disruptions and slow service delivery. This necessitates the Hospital Management System (HMS) to be deployed in the cloud environment to reduce the challenges leading to poor service delivery.
The aim of the study: to develop a model for cloud-based HMS for the South African public health sector.
Material and Methods: This study identified three public district municipality hospitals in Gauteng Province, South Africa, that were already using HMS and used them for data collection. Each hospital had up to 50 healthcare workers, and this formed the population of 150 from the three hospitals, from which a sample size of 108 respondents was selected. Data were collected using a closed-ended questionnaire and analyzed quantitatively using SPSS v25.
Results: The results demonstrated that the suggested model has a good prediction power of 60.9% (R2=0.609) and that with the exception of environmental aspects, the rest of the constructs has a significant contribution to the successful implementation of the cloud-based HMS. Social aspects had the highest prediction power of 60.0% (β=0.600) at p=0.001; followed by risk analysis and control with 41.3% (β=0.413) at p=0.009. On the other hand, environmental aspects had the least and non-significant prediction of 12.3%.
Conclusions: This study contributes to the ongoing call to have seamless healthcare provision systems. The model developed in this study extends the research of modernizing healthcare provision by leveraging technological innovations.



cloud computing, hospital management systems, healthcare, public, South Africa.



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Information about the authors:

Magudulela Thembokuhle Sheshile; Master of Computing, Junior Lecturer, Department of End-User Computing, Tshwane University of Technology, Pretoria, South Africa.

Kalema Mathius Billy (Corresponding Author) –; This email address is being protected from spambots. You need JavaScript enabled to view it.; Doctor of Philosophy in Computer Science, Professor, School of Computing and Mathematical Sciences, University of Mpumalanga, Mbombela, South Africa.

Segooa Mmatshuene Anna; Doctor of Computing, Lecturer, Department of Informatics, Tshwane University of Technology, Pretoria, South Africa.

Cite this article as:


Magudulela, T. S., Kalema, B. M., & Segooa, M. A. (2023). Conceptualizing a model for cloud-based hospital management systems for the South African public health sector. International Journal of Science Annals, 6(2), 40-48.


Magudulela, T. S., Kalema, B. M., & Segooa, M. A. 2023. "Conceptualizing a model for cloud-based hospital management systems for the South African public health sector". International Journal of Science Annals, [online] 6(2), pp. 40-48. viewed 25 December 2023,


Magudulela T. S., Kalema B. M., & Segooa M. A. Conceptualizing a model for cloud-based hospital management systems for the South African public health sector. International Journal of Science Annals [Internet]. 2023 [cited 25 December 2023]; 6(2): 40-48. Available from:

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