TOGAF enterprise architecture and efficiency in public health networks
DOI:
https://doi.org/10.5281/zenodo.23816598Keywords:
enterprise architecture, TOGAF, organizational efficiencyAbstract
This study aimed to determine the extent to which the TOGAF-based enterprise architecture model improves the efficiency of the Chupaca Health Network. The methodology employed was applied research at an explanatory level, with a pre-experimental pretest/posttest design applied to a single group. The population and sample consisted of 460 employees of the institution (administrative, healthcare, and technical staff), selected using a census sampling method supported by bootstrap simulation. Data was collected using a survey and a structured Likert-scale questionnaire, administered before and after the implementation of the AS-IS and TO-BE models developed through the TOGAF ADM cycle. The data were processed using IBM SPSS Statistics v.27 software and the paired-samples t-test. The main findings demonstrated a highly significant improvement in the perception of overall efficiency. Similarly, significant increases were recorded in the dimensions of redundancy reduction, technological optimization, system interoperability, and decision-making. It is concluded that the implementation of the TOGAF model resolves management deficiencies in environments characterized by geographic dispersion and the digital divide, demonstrating that the standardization of processes and the organization of business, data, application, and infrastructure domains transform institutional dynamics and improve the quality of healthcare services by aligning technology with the strategic objectives of public health.
Downloads
References
Alghamdi, H. (2024). Assessing the Impact of Enterprise Architecture on Digital Transformation Success: A Global Perspective. Sustainability, 16(20), 8865. https://doi.org/10.3390/SU16208865
Alwi, M., Hindarto, D., Marina, A., & Yudhakusuma, D. (2023). Efficiency and Effectiveness: Enterprise Architecture Strategies for Healthcare Service. International Journal Software Engineering and Computer Science (IJSECS), 3(3), 386–397. https://doi.org/10.35870/IJSECS.V3I3.1813
Chávez, M. (2022). Modelo de Arquitectura Empresarial aplicando TOGAF en la gestión de abastecimiento de la Clínica Veterinaria Dr. Mauricci, Trujillo [Tesis de licenciatura, Universidad Privada del Norte]. Repositorio Institucional UPN. https://repositorio.upn.edu.pe/item/4ae93bb1-23fd-45f1-9a2f-db01c7278ab6
Contreras-Panibra, A., Cabana-Nacimiento, J., Cantorin-Curty, R., León-Velarde, C., & Reeves-Huapaya, E. (2025). La arquitectura empresarial en la transformación organizacional en instituciones de educación superior: una revisión de alcance. Revista Espacios, 46(6), 388–399. https://doi.org/10.48082/ESPACIOS-A25V46N06P33
Er-Rays, Y., & Meriem, M. (2024). Assessment of Technical Efficiency in the Moroccan Public Hospital Network: Using the DEA Method.
arXiv:2402.14940. https://doi.org/10.48550/arXiv.2402.14940
Girsang, A., & Abimanyu, A. (2021). Development of an Enterprise Architecture for Healthcare using TOGAF ADM. Emerging Science Journal, 5(3), 305–321. https://doi.org/10.28991/ESJ-2021-01278
Guerrero, J., & Tupia, F. (2020). Arquitectura Empresarial para el proceso de compra de prestaciones de salud [Tesis de maestría, Universidad Peruana de Ciencias Aplicadas]. Repositorio Académico UPC. https://renati.sunedu.gob.pe/item/01a02039-0004-78bb-a8f7-d0f6a5a481ee
Jonnagaddala, J., Guo, G., Batongbacal, S., Marcelo, A., & Liaw, S. (2020). Adoption of enterprise architecture for healthcare in AeHIN member countries. BMJ Health & Care Informatics, 27(1), 100136. https://doi.org/10.1136/BMJHCI-2020-100136
Kiberu, V., Mars, M., & Scott, R. (2017). Barriers and opportunities to implementation of sustainable e-Health programmes in Uganda: A literature review. African Journal of Primary Health Care and Family Medicine, 9(1), e1–e10. https://doi.org/10.4102/PHCFM.V9I1.1277
Kierkegaard, P. (2015). Governance structures impact on eHealth. Health Policy and Technology, 4(1), 39–46. https://doi.org/10.1016/j.hlpt.2014.10.016
Lnenicka, M., & Komarkova, J. (2019). Developing a government enterprise architecture framework to support the requirements of big and open linked data with the use of cloud computing. International Journal of Information Management, 46, 124–141. https://doi.org/10.1016/J.IJINFOMGT.2018.12.003
Mutasa, L., Mabeifam, M., Nyikana, W., Shaanika, I., & Iyamu, T. (2025). Application of Enterprise Architecture to Guide the Integration of Health Information Systems in Namibia. Information Resources Management Journal, 38(1), 1-22. https://doi.org/10.4018/IRMJ.367274
Omari, H., Alkhateeb, A., & Hammo, B. (2024). Applying togaf-based enterprise architecture in the healthcare sector: A case study of the national center for diabetes in Jordan. Jordanian Journal of Computers and Information Technology, 10(2), 1176–1182. https://www.researchgate.net/publication/380527321_APPLYING_TOGAF-BASED_ENTERPRISE_ARCHITECTURE_IN_THE_HEALTHCARE_SECTOR_A_CASE_STUDY_OF_THE_NATIONAL_CENTER_FOR_DIABETES_IN_JORDAN
Pingilili, A., Letsie, N., Nzimande, G., Thango, B., & Matshaka, L. (2025). Guiding IT Growth and Sustaining Performance in SMEs Through Enterprise Architecture and Information Management: A Systematic Review. Businesses, 5(2), 17. https://doi.org/10.3390/BUSINESSES5020017
Putra, Y., & Hadiana, A. (2020). Designing Enterprise Architecture for Public Health Center Based on TOGAF Architecture Development Method. IOP Conference Series: Materials Science and Engineering, 879(1), 012163. https://doi.org/10.1088/1757-899X/879/1/012163
Scheibner, J., Sleigh, J., Ienca, M., & Vayena, E. (2021). Benefits, challenges, and contributors to success for national eHealth systems implementation: a scoping review. Journal of the American Medical Informatics Association, 28(9), 2039–2049. https://doi.org/10.1093/JAMIA/OCAB096
Vásquez, V. (2017). Diseño de arquitectura empresarial para pymes peruanas del rubro de salud caso de estudio: Hospital Clínica Provida S.A.C. [Tesis de licenciatura, Universidad Peruana de Ciencias Aplicadas]. Repositorio Académico UPC. https://renati.sunedu.gob.pe/item/019f5c99-7b14-7e8f-b48d-6b746b290910
Wamema, J., Alunyu, A., Amiyo, M., & Nabukenya, J. (2023). Enterprise architecture requirements for standardising digital health in Uganda’s health system. Health Policy and Technology, 12(4), 100805. https://doi.org/10.1016/J.HLPT.2023.100805
Downloads
Additional Files
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
The journal is licensed under the Attribution License (CC BY), allowing the possibility of copying, distributing, displaying, and producing derivative works, as long as the author is acknowledged and cited.
