scholarly journals Can ICTs Contribute to the Efficiency and Provide Equitable Access to the Health Care System in Sub-Saharan Africa? The Mali Experience

2011 ◽  
Vol 20 (01) ◽  
pp. 33-38 ◽  
Author(s):  
A. Anneb ◽  
M. Fieschi ◽  
A. Geissbuhlera ◽  
C. O. Bagayokoa
Keyword(s):  
Health Care ◽  
Information System ◽  
Medical Education ◽  
Information Systems ◽  
Open Source ◽  
Health Professionals ◽  
Hospital Information System ◽  
Hospital Information Systems ◽  
Equitable Access ◽  
Sub Saharan

SummaryThe aim of this study is to demonstrate from actual projects that ICT can contribute to the balance of health systems in developing countries and to equitable access to human resources and quality health care service. Our study is focused on two essential elements which are: i) Capacity building and support of health professionals, especially those in isolated areas using telemedicine tools; ii) Strengthening of hospital information systems by taking advantage of full potential offered by open-source software.Our research was performed on the activities carried out in Mali and in part through the RAFT (Réseau en Afrique Francophone pour la Télémédecine) Network. We focused mainly on the activities of e-learning, telemedicine, and hospital information systems. These include the use of platforms that work with low Internet connection bandwidth. With regard to information systems, our strategy is mainly focused on the improvement and implementation of opensource tools.Several telemedicine application projects were reviewed including continuing online medical education and the support of isolated health professionals through the usage of innovative tools. This review covers the RAFT project for continuing medical education in French-speaking Africa, the tele-radiology project in Mali, the “EQUI-ResHuS” project for equal access to health over ICT in Mali, The “Pact-e.Santé” project for community health workers in Mali.We also detailed a large-scale experience of an open-source hospital information system implemented in Mali: “Cinz@n”.We report on successful experiences in the field of telemedicine and on the evaluation by the end-users of the Cinz@n project, a pilot hospital information system in Mali. These reflect the potential of healthcare-ICT for Sub-Saharan African countries.

A Three-Level Graph-Based Model for the Management of Hospital Information Systems

1995 ◽  
Vol 34 (04) ◽  
pp. 378-396 ◽  
Author(s):  
A. Winter ◽  
R. Haux
Keyword(s):  
Information System ◽  
Information Processing ◽  
Information Systems ◽  
Hospital Information System ◽  
Low Cost ◽  
Hospital Information Systems ◽  
University Hospital ◽  
University Hospitals ◽  
Application Systems ◽  
Graph Based Model

Abstract:Information processing in hospitals, especially in university hospitals, is currently faced with two major issues: low-cost hardware and progress in networking technology leads to a further decentralization of computing capacity, due to the increasing need for information processing in hospitals and due to economic restrictions, it is necessary to use, commercial software products. This leads to heterogeneous hospital information systems using a variety of software and hardware products, and to a stronger demand for integrating these products and, in general, for a dedicated methodology for the management of hospital information systems to support patient care and medical research. We present a three-level graph-based model (3LGM) to support the systematic management of hospital information systems. 3LGM can serve as a basis for assessing the quality of information processing in hospitals. 3LGM distinguishes between a procedural level for describing the information procedures (and their information interchange) of a hospital information system and thus its functionality, a logical tool level, focusing on application systems and communication links, and a physical tool level with physical subsystems (e.g., computer systems) and data transmission. The examples that are presented have been taken from the Heidelberg University Hospital Information System.

Sociotechnical factors influencing unsafe use of hospital information systems: A qualitative study in Malaysian government hospitals

2018 ◽  
Vol 25 (4) ◽  
pp. 1358-1372 ◽  
Author(s):  
Lizawati Salahuddin ◽  
Zuraini Ismail ◽  
Ummi Rabaah Hashim ◽  
Raja Rina Raja Ikram ◽  
Nor Haslinda Ismail ◽  
...  
Keyword(s):  
Information System ◽  
Information Systems ◽  
Hospital Information System ◽  
Hospital Information Systems ◽  
System Quality ◽  
Structured Interviews ◽  
Factors Influencing ◽  
Resultant Data ◽  
Government Hospitals ◽  
Malaysian Government

The objective of this study is to identify factors influencing unsafe use of hospital information systems in Malaysian government hospitals. Semi-structured interviews with 31 medical doctors in three Malaysian government hospitals implementing total hospital information systems were conducted between March and May 2015. A thematic qualitative analysis was performed on the resultant data to deduce the relevant themes. A total of five themes emerged as the factors influencing unsafe use of a hospital information system: (1) knowledge, (2) system quality, (3) task stressor, (4) organization resources, and (5) teamwork. These qualitative findings highlight that factors influencing unsafe use of a hospital information system originate from multidimensional sociotechnical aspects. Unsafe use of a hospital information system could possibly lead to the incidence of errors and thus raises safety risks to the patients. Hence, multiple interventions (e.g. technology systems and teamwork) are required in shaping high-quality hospital information system use.

scholarly journals Applied Criteria of Hospital Information Systems in Organizational Evaluation: A Systematic Review Protocol

2018 ◽  
Vol 3 (2) ◽  
pp. 52
Author(s):  
Saeed Eslami ◽  
Hamidreza Dehghan ◽  
Mahdieh Namayandeh ◽  
Arezo Dehghani ◽  
Saeed Hajian Dashtaki ◽  
...  
Keyword(s):  
Information System ◽  
Information Systems ◽  
Hospital Information System ◽  
Data Extraction ◽  
Grey Literature ◽  
Organizational Factors ◽  
Hospital Information Systems ◽  
Cochrane Library ◽  
Successful Implementation ◽  
The Impact

Introduction: Through new and expanding technologies, the development of health information technology in today’s society is indisputable, and the use of this technology has led to the production of various products with a variety of capabilities. One of these products is the Hospital Information System. Regarding the impact of organizational factors on the successful implementation of hospital information systems and the lack of comprehensive criteria for assessing them, the purpose of this study was to determine the criteria of hospital information systems involved in organizational evaluation.Methods: Data sources included the following databases: pubmed, scopus and cochrane library. In addition, other sources were searched for ongoing studies and grey literature. Studies were independently screened for eligibility by 2 reviewers and data extraction was done by 2 people. The language limitations for article wasn’t considered, the reference of the articles that selected, review and related articles were selected. After completing the search, all the articles were entered in to EndNote, and duplicates were deleted. The Prisma protocol was used to report.Results and Dissemination: A specific and precise checklist was being prepared and developed, which is an appropriate guide to assess hospital information system from an organizational dimension in health technology assessment. The results of the study were published in a peer-reviewed journal and presented at relevant conferences. Policy makers and healthcare decision-makers can use these results.

Teaching Hospital Information Systems by Simulating What Really Happens

1989 ◽  
Vol 28 (04) ◽  
pp. 281-284 ◽  
Author(s):  
D. Protti
Keyword(s):  
Information System ◽  
Information Systems ◽  
Teaching Hospital ◽  
Hospital Information System ◽  
Role Playing ◽  
Hospital Information Systems ◽  
Request For Proposal ◽  
Pros And Cons ◽  
The University ◽  
Goals And Objectives

Abstract:This paper discusses the teaching of a course which simulates what a hospital goes through when it conceptualizes the need for a Hospital Information System, identifies its goals and objectives for the system, prepares a Request for Proposal (RFP), and selects a particular system. The course is. taught entirely in simulation and role playing modes. Students are taken on site visits, vendors come to the University to demonstrate their systems, and consultants are brought in to give advice. The pros and cons of this particular style of teaching are discussed.

Comparing a Japanese and a German Hospital Information System

2009 ◽  
Vol 48 (06) ◽  
pp. 531-539 ◽  
Author(s):  
L. Ißler ◽  
A. Winter ◽  
K. Takabayashi ◽  
F. Jahn
Keyword(s):  
Information System ◽  
Information Systems ◽  
Hospital Information System ◽  
Reference Model ◽  
Quality Criteria ◽  
Hospital Information Systems ◽  
University Hospital ◽  
Structural Quality ◽  
German Hospital ◽  
Cross Cultural Comparison

Summary Objectives: To examine the architectural differences and similarities of a Japanese and German hospital information system (HIS) in a case study. This cross-cultural comparison, which focuses on structural quality characteristics, offers the chance to get new insights into different HIS architectures, which possibly cannot be obtained by inner-country comparisons. Methods: A reference model for the domain layer of hospital information systems containing the typical enterprise functions of a hospital provides the basis of comparison for the two different hospital information systems. 3LGM2 models, which describe the two HISs and which are based on that reference model, are used to assess several structural quality criteria. Four of these criteria are introduced in detail. Results: The two examined HISs are different in terms of the four structural quality criteria examined. Whereas the centralized architecture of the hospital information system at Chiba University Hospital causes only few functional redundancies and leads to a low implementation of communication standards, the hospital information system at the University Hospital of Leipzig, having a decentralized architecture, exhibits more functional redundancies and a higher use of communication standards. Conclusions: Using a model-based comparison, it was possible to detect remarkable differences between the observed hospital information systems of completely different cultural areas. However, the usability of 3LGM2 models for comparisons has to be improved in order to apply key figures and to assess or benchmark the structural quality of health information systems architectures more thoroughly.

Design on the Hospital Information System Growth Model Based on Ecology Theory

2011 ◽  
Vol 230-232 ◽  
pp. 491-495
Author(s):  
Lu Shi
Keyword(s):  
Information System ◽  
Information Systems ◽  
Growth Model ◽  
Hospital Information System ◽  
Ecological Theory ◽  
Development Stage ◽  
Hospital Information Systems ◽  
Living Environment ◽  
Living Body ◽  
External Forces

The ecological theory is introduced into the construction of hospital information systems, focusing on the analysis of various factors in growth of hospital information system, on the basis of ecological theory ideas, the hospital information system studied as a living body, and the growth process is divided into budding of hospital information system construction, building the living environment of hospital information system, the growth stage of hospital information systems and development stage of hospital information system, the ecological chain of hospital information formed under the internal and external forces in the hospital, in order to build a complete growth model of hospital information system.

scholarly journals Reflections on the Role of Open Source in Health Information System Interoperability

2007 ◽  
Vol 16 (01) ◽  
pp. 51-61
Author(s):  
S. Sfakianakis ◽  
F. Chiarugi ◽  
F. Conforti ◽  
D.G. Katehakis ◽  
C.E. Chronaki
Keyword(s):  
Health Care ◽  
Information System ◽  
Information Systems ◽  
Open Source ◽  
Health Information ◽  
Health Information System ◽  
Health Care Information ◽  
Care Information ◽  
System Interoperability

SummaryThis paper reflects on the role of open source in health information system interoperability. Open source is a driving force in computer science research and the development of information systems. It facilitates the sharing of information and ideas, enables evolutionary development and open collaborative testing of code, and broadens the adoption of interoperability standards. In health care, information systems have been developed largely ad hoc following proprietary specifications and customized design. However, the wide deployment of integrated services such as Electronic Health Records (EHRs) over regional health information networks (RHINs) relies on interoperability of the underlying information systems and medical devices.This reflection is built on the experiences of the PICNIC project that developed shared software infrastructure components in open source for RHINs and the OpenECG network that offers open source components to lower the implementation cost of interoperability standards such as SCP-ECG, in electrocardiography.Open source components implementing standards and a community providing feedback from real-world use are key enablers of health care information system interoperability.Investing in open source is investing in interoperability and a vital aspect of a long term strategy towards comprehensive health services and clinical research.

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