Value Stream Mapping to Overcome Obstacles in Adopting Internet of Things in Government Hospital

  • Suhaili Mohd Hussin
  • Zam Zuriyati Mohamad
  • Tengku Rahimah Tengku Arifin
  • Azni Suhaily Samsuri
  • Siti Subaryani Zainol


Adoption of internet of things (IOT) is crucial in government hospital to improve the service efficiency especially in reducing the congestion, long waiting time, misplaced records and understaffed. Previous studies concluded that IOT allows faster and safer preventive care, reduce the total cost, upgraded patient unit practice and developed sustainability. However, lack of study related to IOT and health care sector, particularly in Malaysian government hospital.  Despites all the government efforts to provide the best medical treatments, little is known on the adoption of IOT in government of hospital. The fundamental issues that need to be addressed is to identify the challenges in adoption of IOT. In conjunction with that, this study intends to examine the obstacles in adoption of IOT in government hospital. Innovation Resistance Technology will be employed as theoretical model to identify the obstacles. Furthermore, the proposed study also intends to overcome the obstacles by applying value stream mapping. The selection of value stream was due to its ability in identifying the non-value, waste and inefficiency. A Value Stream Mapping is used in the Lean Management approach and helps to create the flow of products for improvements. 


Bakar, N. A., Ramli, W. M. W., & Hassan, N. H. (2019). The internet of things in healthcare: an overview, challenges and model plan for security risks management process. Indonesian Journal of Electrical Engineering and Computer Science (IJEECS), 15(1), 414-420.
Balaji, M. S., & Roy, S. K. (2017). Value co-creation with Internet of things technology in the retail industry. Journal of Marketing Management, 33(1-2), 7-31.
Bi, Z., Da Xu, L., & Wang, C. (2014). Internet of things for enterprise systems of modern manufacturing. IEEE Transactions on industrial informatics, 10(2), 1537-1546.
Bonaccorsi, A., Carmignani, G., & Zammori, F. (2011). Service Value Stream Management (SVSM): Developing Lean Thinking in the Service Industry. Journal of Service Science and Management, 04(04), 428–439.
Borraz-Mora, J., Bordonaba-Juste, V., & Polo-Redondo, Y. (2017). Functional barriers to the adoption of electronic banking: The moderating effect of gender. Revista de Economia Aplicada, 25(75), 87–107.
Brucher, L. & Moujahid, S. (2017, June). A revolutionary digital tool for the healthcare industry: The Internet-of-Things. Inside Deloitte (Issue 15). Retrieve from
Cant, M. C., Wiid, J. A., & Hung, Y. T. (2016). Internet-based ICT usage by South African SMEs: The barriers faced by SMEs. Journal of Applied Business Research, 32(6), 1877–1887.
Chen, H. S., Tsai, B. K., & Hsieh, C. M. (2018). The effects of perceived barriers on innovation resistance of hydrogen-electric motorcycles. Sustainability (Switzerland), 10(6), 1–15.
Hartman, M., Martin, A. B., Espinosa, N., Catlin, A., 7 The National Health Expenditure Accounts Team. (2018). National Health Care Spending In 2016: Spending And Enrollment Growth Slow After Initial Coverage Expansions. Health Affairs. Vol. 37 (1).
Hossein, M., Aljunid, S.M., Rahmah, M, A., Mazna, D., & Wan Norlida, I. (2011). Measuring Efficiency of Teaching Hospitals in Malaysia. International Journal of Business and Management. 6. 10.5539/ijbm.v6n4p207.
Islam, S.M., Kwak, D., Kabir, M.H., Hossain, M., & Kwak, K. (2015). The Internet of Things for Health Care: A Comprehensive Survey. IEEE Access, 3, 678-708.
Ismail, N. I., Abdullah, N. H., Shamsudin, A., & Ariffin, N. A. N. (2013). Implementation Differences of Hospital Information System (HIS) in Malaysian Public Hospitals. International Journal of Social Science and Humanity, 3(2), 115–120.
Jongbum, K., & Jeonghun, S. (2017). User Resistence to Digital Goods: A case of E-Books. In 14th International Telecommunications Society (ITS) Asia-Pasific Regional Conference.
Kevin Ashton Describes “the Internet of Things”. Retrieved February 7, 2020 from
Kulkarni, A., & Sathe, S. (2014). Healthcare applications of the Internet of Things: A Review. International Journal of Computer Science and Information Technologies, 5(5), 6229-6232.
List of Government Hospital. Retrieved from
Madakam, S., Lake, V., Lake, V., & Lake, V. (2015). Internet of Things (IOT): A literature review. Journal of Computer and Communications, 3(05), 164.
Majid, U. (2018). Research fundamentals: Study design, population and sample size. Undergraduate Research In Natural And Clinical Science And Technology Journal 2(1), 1-7.
Mohammed Dauwed and Ahmed Meri (2019). IOT Service Utilisation in Healthcare, Internet of Things (IOT) for Automated and Smart Applications, Yasser Ismail, Intech Open,
Morlock, F., & Meier, H. (2015). Service Value Stream Mapping in industrial product-service system Performance Management. In Procedia CIRP (Vol. 30, pp. 457–461).
Morlock, F., & Meier, H. (2015). Service Value Stream Mapping in industrial product-service system
National Internet of Things (IOT) Strategic Roadmap: A Summary. (2015). Retrieve from
Nazir, S., Ali, Y., Ullah, N., & García-Magariño, I. (2019). Internet of Things for Healthcare Using Effects of Mobile Computing: A Systematic Literature Review. Wireless Communications and Mobile Computing, 2019, 1–20.
Palmer, S. & Torgerson, D. (1999). Economic Notes: Definitions of Efficiency. BMJ (Clinical research ed.). 318. 1136. 10.1136/bmj.318.7191.1136.
Qi, J., Yang, P., Min, G., Amft, O., Dong, F., & Xu, L. (2017). Advanced internet of things for personalised healthcare systems: A survey. Pervasive and Mobile Computing, 41, 132-149.
Quigley, M., & Burke, M. (2013). Low-cost Internet of Things digital technology adoption in SMEs. International Journal of Management Practice, 6(2), 153-164.
Ram, S.; Sheth, J.N. (1989). Consumer resistance to innovations: The marketing problem and its solutions. Journal Consumer Marketing 6, 5–14.
Reagans, R., Argote, L., & Brooks, D. (2005). Individual experience and experience working together: Predicting learning rates from knowing who knows what and knowing how to work together. Management science, 51(6), 869-881.
Resnick, B. (2015). The definition, purpose and value of pilot research. Geriatic Nursing 36, 1-2.
Romero, L. F., & Arce, A. (2017). Applying Value Stream Mapping in Manufacturing: A Systematic Literature Review. IFAC-PapersOnLine, 50(1), 1075–1086.
Salih, F. I., Bakar, N. A. A., Hassan, N. H., Yahya, F., Kama, N., & Shah, J. (2019). IOT Security Risk Management Model for Healthcare Industry. Malaysian Journal of Computer Science, 131-144.
Sekaran, U. and Bougie, R. (2013) Research Methods for Business: A Skill-Building Approach. 6th Edition, Wiley, New York.
Shamzaeffa, S., Ahmad Sobri, J., Shri Dewi, A., Jamal, A., & Rahimah, M. (2018). Are Public Hospitals in Malaysia Efficient? An Application of DEA and Tobit Analysis. 4.
Sivakumar, D., Jusman, M. F. B., & Mastan, A. N. B. M. A Case Study Review: Future of Internet of Things (IOT) in Malaysia.
Sivathanu, B. (2018). Adoption of internet of things (IOT) based wearables for health care of older adults – a behavioural reasoning theory (BRT) approach. Journal of Enabling Technologies, 12(4), 169–185.
Tudor, T. L., Barr, S. W., & Gilg, A. W. (2007). Linking intended behaviour and actions: A case study of healthcare waste management in the Cornwall NHS. Resources, Conservation and Recycling, 51(1), 1–23
Turcu, C. E., & Turcu, C. O. (2013). Internet of things as key enabler for sustainable healthcare delivery. Procedia-Social and Behavioral Sciences, 73, 251-256.
Tyagi, S., Choudhary, A., Cai, X., & Yang, K. (2015). Value stream mapping to reduce the lead-time of a product development process.International Journal of Production Economics,160, 202–212.
Yuehong, Y. I. N., Zeng, Y., Chen, X., & Fan, Y. (2016). The internet of things in healthcare: An overview. Journal of Industrial Information Integration, 1, 3-13.
How to Cite
MOHD HUSSIN, Suhaili et al. Value Stream Mapping to Overcome Obstacles in Adopting Internet of Things in Government Hospital. International Journal of Advanced Research in Technology and Innovation, [S.l.], v. 2, n. 2, p. 19-27, june 2020. ISSN 2682-8324. Available at: <>. Date accessed: 11 aug. 2020.