The implementation of data interoperability in healthcare relies heavily on policy frameworks. However, many hospitals across South Africa are struggling to integrate data interoperability between systems, due to insufficient policy frameworks. There is a notable awareness that existing policies do not provide clear actionable direction for interoperability implementation in hospitals. This study aims to develop a policy framework for integrating data interoperability in public hospitals in Gauteng Province, South Africa. The study employed a conceptual framework grounded in institutional theory, which provided a lens to understand policies for interoperability. This study employed a convergence mixed method research design. Data were collected through an online questionnaire and semi-structured interviews. The study comprised 144 clinical and administrative personnel and 16 managers. Data were analyzed through descriptive and thematic analysis. The results show evidence of coercive isomorphism that public hospitals lack cohesive policies that facilitate data interoperability. Key barriers to establishing policy framework include inadequate funding, ambiguous guidelines, weak governance, and conflicting interests among stakeholders. The study developed a policy to facilitate the integration of data interoperability in hospitals. This study underscores the critical need for the South African government, legislators, practitioners, and policymakers to consult and involve external stakeholders in the policy-making processes.

The sustainable development of Madeira Island necessitates the implementation of more precise and targeted planning strategies to address its regional challenges. Given the urgency of this issue within the context of sustainability, planning approaches must be grounded in and reinforced by a comprehensive array of thematic studies to fully grasp the complexities involved. This research leverages Geographic Information Systems (GIS) to analyze land use and occupancy patterns and their evolution within the municipality of Machico on Madeira Island. The study provides a nuanced perspective on the urban structure’s stagnation in the region, while concurrently highlighting the dynamic shifts in agricultural practices. Furthermore, it elucidates the transformation of predominant native vegetation within the municipality from 1990 to 2018. Notably, the research underscores the alarming decline in native vegetation due to anthropogenic activities, emphasizing the need for more rigorous monitoring by regional authorities to safeguard and preserve these valuable landscapes, habitats, and ecosystems.