Towards a Simplification of Health Information Systems at Grassroot Level of Basic Health Services in the Third World

Author(s):  
D. Schwefel
Respati ◽  
2017 ◽  
Vol 9 (27) ◽  
Author(s):  
Mostafa Abobaker ◽  
Selo Sulistyo ◽  
Adhistya Erna Permanasari

The health care system in Libya in recent years does not change significantly, less developed and modernized. This problem is further exacerbated by the revolution that occurred in Libya. The revolution that occurred in 2011 has caused the health care system into collapse. In this study conducted a review for the development of health information systems in Libya by using OpenMRS Framework.At the stage of gathering information using questionnaires concluded that the majority of respondents (about 95.35%) wanted the development of a new system that can resolve the main problems that occurred in Libya, the health information system ineffective and inefficient in which this system has led to wastage of time and increased operating costs. Based on analysis of system vulnerabilities using PIECES method could also be concluded that the current system is not used effectively and efficiently. In this study is also presented on how to implement OpenMRS.Based on the results of the discussion it can be concluded that OpenMRS is a solution that can be taken for the development of a health information system that is fast, low cost, and is an open source application that only requires a little setting in the system of patient management and care. OpenMRS can be implemented to support the health services of a small clinic to the health services with enterprise scale. Therefore, OpenMRS could be the answer to the development of health information systems in various countries around the world, including Libya.


2017 ◽  
Vol 56 (S 01) ◽  
pp. e13-e19 ◽  
Author(s):  
Fernan Gonzalez Bernaldo de Quiros ◽  
Adriana Dawidowski ◽  
Silvana Figar

SummaryObjectives: In this study, we aimed: 1) to conceptualize the theoretical challenges facing health information systems (HIS) to represent patients’ decisions about health and medical treatments in everyday life; 2) to suggest approaches for modeling these processes.Methods: The conceptualization of the theoretical and methodological challenges was discussed in 2015 during a series of interdisciplinary meetings attended by health informatics staff, epidemiologists and health professionals working in quality management and primary and secondary prevention of chronic diseases of the Hospital Italiano de Buenos Aires, together with sociologists, anthropologists and e-health stakeholders.Results: HIS are facing the need and challenge to represent social human processes based on constructive and complexity theories, which are the current frameworks of human sciences for understanding human learning and socio-cultural changes. Computer systems based on these theories can model processes of social construction of concrete and subjective entities and the interrelationships between them. These theories could be implemented, among other ways, through the mapping of health assets, analysis of social impact through community trials and modeling of complexity with system simulation tools.Conclusions: This analysis suggested the need to complement the traditional linear causal explanations of disease onset (and treatments) that are the bases for models of analysis of HIS with constructive and complexity frameworks. Both may enlighten the complex interrelationships among patients, health services and the health system. The aim of this strategy is to clarify people’s decision making processes to improve the efficiency, quality and equity of the health services and the health system.


Information systems have been standing out and constantly evolving due to changes and the economic impact they produce on organizations and society, and also due to the evolution of information technology itself. These systems are made up of a structure capable of guaranteeing the collection and transformation of data into information, and the involvement of professionals in processes of selection, collection, classification, storage, analysis, dissemination and data retrieval is essential. Mobile technologies offer support so that information systems can be implemented and used more efficiently and quickly, but there are many obstacles, such as the unavailability of technological resources by a large part of the population, difficulties in accessing and connecting, among others. The methodology used to carry out this study was the bibliographical research through literature analysis of scientific articles and other texts. It was concluded that health information systems and mobile technologies tend to conquer more space each day, as they provide more agility and quality in health services, but it is still necessary to improve the population's access to these technological resources.


1986 ◽  
Vol 17 (3) ◽  
pp. 163 ◽  
Author(s):  
John S. Akin ◽  
David K. Guilkey ◽  
Charles C. Griffin ◽  
Barry M. Popkin

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