An Evidence-Based Health Information System Theory

2011 ◽  
pp. 1994-2011
Author(s):  
Daniel Carbone
Keyword(s):  
Information Systems ◽  
Systems Theory ◽  
Health Information ◽  
Health Sector ◽  
Health Information System ◽  
Building Blocks ◽  
Evidence Based ◽  
Supporting Evidence ◽  
The Common ◽  
Is Theory

The aim of this chapter is to bridge the gap between what is known about IS theory and the specifics characteristics of health to develop an evidence based health information systems theory. An initial background first sets the significance for the need to have a solid information systems theory in health and then argues that neither the information systems literature nor the health sector have been able to provide any satisfactory pathway to facilitate the adoption of information systems in health settings. The chapter further continues by reviewing the common pathway to develop information systems theory and the knowledge foundations used in the process, and then proceeds to highlight how this theory was developed. Subsequently, the building blocks (constructs, premises, supporting evidence and conclusions) that underpins the constructs and a brief explanation of the relationships between them is included. A discussion and limitation section is then followed by a conclusion.

An Evidence-Based Health Information System Theory

2010 ◽  
pp. 95-111
Author(s):  
Daniel Carbone
Keyword(s):  
Information Systems ◽  
Systems Theory ◽  
Health Information ◽  
Health Sector ◽  
Health Information System ◽  
Building Blocks ◽  
Evidence Based ◽  
Supporting Evidence ◽  
The Common ◽  
Is Theory

The aim of this chapter is to bridge the gap between what is known about IS theory and the specifics characteristics of health to develop an evidence based health information systems theory. An initial background first sets the significance for the need to have a solid information systems theory in health and then argues that neither the information systems literature nor the health sector have been able to provide any satisfactory pathway to facilitate the adoption of information systems in health settings. The chapter further continues by reviewing the common pathway to develop information systems theory and the knowledge foundations used in the process, and then proceeds to highlight how this theory was developed. Subsequently, the building blocks (constructs, premises, supporting evidence and conclusions) that underpins the constructs and a brief explanation of the relationships between them is included. A discussion and limitation section is then followed by a conclusion.

scholarly journals The significance of information standards for development of integrated health information system

2006 ◽  
Vol 14 (1-2) ◽  
pp. 64-66 ◽  
Author(s):  
Ljerka Luic ◽  
Dubravka Striber-Devaja
Keyword(s):  
Information System ◽  
Information Systems ◽  
Health Information ◽  
Information And Communication Technologies ◽  
New Technologies ◽  
Health Sector ◽  
Health Information System ◽  
Healthcare Sector ◽  
Successful Implementation ◽  
Local Conditions

Information systems play a significant role in helping to improve health outcomes and decision-making at the point of care, as well as in the planning and funding of care. There is no doubt that new technologies, especially information and communication technologies, could dramatically contribute to achieve better results in our activities in general. The healthcare sector, one of the largest sectors of society accounting, is very complex with many different application requirements. There are also a number of different types of actors that need to communicate for various healthcare purposes (patients/citizens, healthcare professionals and organizations providing health care cervices, payment bodies, pharmaceutical industry, the national governments). Standardization is the first and the most important step in building an Integral Healthcare Information System. However, standardization has been recognized in most of the countries as an important tool to achieve some of the general goals in healthcare systems. The relationship between the participants locally, regionally and nationally requires that information is shared for planning, funding and treatment purposes. Health information standards are instrumental for the operation of healthcare organizations, the planning and management of the health sector, for electronic business transactions and the development of a national system of electronic health records as well. It is necessary to make relevant decisions on adoption of specific health information standards, to adjust them to local conditions as necessary, define in sufficient details methods the manner of their introduction and implementation. The successful implementation of each National Health Information Systems Strategy is heavily dependent upon the implementation of information standards.

“Developed in the South”

2012 ◽  
pp. 583-607
Author(s):  
Vincent Shaw ◽  
Jorn Braa
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Health Sector ◽  
Health Information System ◽  
Health Information Systems ◽  
Pilot Project ◽  
Systems Development ◽  
Information Systems Development ◽  
Smooth Transition ◽  
Economic Interests

The expansion of ICT across Africa is influenced by many factors including political imperatives, donor priorities, private sector and NGO needs, and economic interests and as a result takes place in a haphazard and largely uncontrolled fashion. The health sector is no exception. The challenge, as in many developing countries, is to provide a robust and reliable health information system while effecting a transition between paper-based systems and computerized systems. The transition involves not only the introduction of new ICT, and the accompanying social and educational transformations of people and processes that accompany the introduction of ICT, but also the development of scalable health information systems that can facilitate a smooth transition as ICT expansion and development takes place. This chapter draws on 10 years of experience of the Health Information Systems Programme (HISP), an action research orientated network of public health practitioners and academics who initiated a pilot project in health information systems development in the post-apartheid transformation of South Africa, and which has subsequently had a profound effect on the development of health information systems in Africa and Asia. Through an exploration of health information systems development in numerous countries in Africa, we highlight insights into approaches and methodologies that contribute to successful and sustainable health information systems in resource constrained settings.

“Developed in the South”

2010 ◽  
pp. 351-375
Author(s):  
Vincent Shaw ◽  
Jorn Braa
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Health Sector ◽  
Health Information System ◽  
Health Information Systems ◽  
Pilot Project ◽  
Systems Development ◽  
Information Systems Development ◽  
Smooth Transition ◽  
Economic Interests

The expansion of ICT across Africa is influenced by many factors including political imperatives, donor priorities, private sector and NGO needs, and economic interests and as a result takes place in a haphazard and largely uncontrolled fashion. The health sector is no exception. The challenge, as in many developing countries, is to provide a robust and reliable health information system while effecting a transition between paper-based systems and computerized systems. The transition involves not only the introduction of new ICT, and the accompanying social and educational transformations of people and processes that accompany the introduction of ICT, but also the development of scalable health information systems that can facilitate a smooth transition as ICT expansion and development takes place. This chapter draws on 10 years of experience of the Health Information Systems Programme (HISP), an action research orientated network of public health practitioners and academics who initiated a pilot project in health information systems development in the post-apartheid transformation of South Africa, and which has subsequently had a profound effect on the development of health information systems in Africa and Asia. Through an exploration of health information systems development in numerous countries in Africa, we highlight insights into approaches and methodologies that contribute to successful and sustainable health information systems in resource constrained settings.

Effectivness of Health Information System Applications: Clinical Information and Diagnosis-Treatment Systems in Turkey

2017 ◽  
Vol 5 (1) ◽  
pp. 122
Author(s):  
Assist. Prof. Dr. Demokaan DEMİREL
Keyword(s):  
Decision Making ◽  
Information System ◽  
Information Systems ◽  
Management Information System ◽  
Health Sector ◽  
Health Information System ◽  
Clinical Information ◽  
Clinical Decision ◽  
Clinical Information Systems ◽  
Management Information

The distinctive quality of the new social structure is that information becomes the only factor of production. In today's organizations, public administrators are directly responsible for applying information to administrative processes. In addition to his managerial responsibilities, a knowledge based organization requires every employee to take responsibility for achieving efficiency. This has increased the importance of information systems in the decision-making process. Information systems consist of computer and communication technology, data base management and model management and include activity processing system, management information system, decision support systems, senior management information system, expert systems and office automation systems. Information systems in the health sector aim at the management and provision of preventive and curative health services. The use of information systems in healthcare has the benefits of increasing service quality, shortening treatment processes, maximizing efficiency of the time, labour and medical devices. The use of information systems for clinical decision making and reducing medical errors in the healthcare industry dates back to the 1960s. Clinical information systems involve processing, storing and re-accessing information that supports patient care in a hospital. Clinical information systems are systems that are directly or indirectly related to patient care. These systems include electronic health/patient records, clinical decision support systems, nurse information systems, patient tracking systems, tele-medicine, case mix and smart card applications. Diagnosis-treatment systems are information-based systems used in the diagnosis and treatment of diseases. It consists of laboratory information systems, picture archiving and communication system, pharmacy information system, radiology information system, nuclear medicine information system. This study aims to evaluate the effectiveness of health information system applications in Turkey. The first part of the study focuses on the concept of information systems and the types of information systems in organization structures. In the second part, clinical information systems and applications for diagnosis-treatment systems in Turkey are examined. Finally, the study evaluates applications in the health sector qualitatively from the new organizational structure, which is formed by information systems.

scholarly journals Routine Health Information System Utilization for Evidence-Based Decision Making in Amhara National Regional State, Northwest Ethiopia: a multi-level analysis.

2020 ◽  
Author(s):  
Moges Asressie Chanyalew ◽  
Mezgebu Yitayal ◽  
Asmamaw Atnafu ◽  
Binyam Tilahun
Keyword(s):  
Decision Making ◽  
Information System ◽  
Health Information ◽  
Performance Monitoring ◽  
Health Information System ◽  
Evidence Based ◽  
Department Heads ◽  
Target Setting ◽  
Work Location ◽  
And Performance

Abstract Background: Health Information System (HIS) is the key to making evidence-based decisions. Ethiopia has been implementing the Health Management Information System (HMIS) since 2008 to collect routine health data and revised it in 2017. However, the evidence is meager on the use of routine health information for decision making among department heads in the health facilities. The study aimed to assess the proportion of routine health information systems utilization for evidence-based decisions and factors associated with it. Method: A cross-sectional study was carried out among 386 department heads from 83 health facilities in ten selected districts in the Amhara region Northwest of Ethiopia from April to May 2019. The study participants were selected using a simple random sampling technique. Descriptive statistics mean and percentage were calculated. The study employed a generalized linear mixed-effect model. Adjusted Odds Ratio (AOR) and the 95% CI were calculated. Variables with p-value <0.05 were considered as predictors of routine health information system use. Result: Proportion of information use among department heads for decision making was estimated at 46%. Displaying demographic (AOR= 12.42, 95% CI: [5.52, 27.98]) and performance (AOR= 1.68; 95% CI: [1.33, 2.11]) data for monitoring, and providing feedback to HMIS unit (AOR= 2.29; 95% CI: [1.05, 5.00]) were individual (level-1) predictors. Maintaining performance monitoring team minute (AOR= 3.53; 95% CI: [1.61, 7.75]), receiving senior management directives (AOR= 3.56; 95% CI: [1.76, 7.19]), supervision (AOR= 2.84; 95% CI: [1.33, 6.07]), using HMIS data for target setting (AOR= 3.43; 95% CI: [1.66, 7.09]), and work location (AOR= 0.16; 95% CI: [0.07, 0.39]) were organizational (level-2) explanatory variables. Conclusion: The proportion of routine health information utilization for decision making was low. Displaying demographic and performance data, providing feedback to HMIS unit, maintaining performance monitoring team minute, conducting supervision, using HMIS data for target setting, and work location were factors associated with the use of routine health information for decision making. Therefore, strengthening the capacity of department heads on data displaying, supervision, feedback mechanisms, and engagement of senior management are highly recommended.

Health information systems in Namibia

2018 ◽  
Vol 119 (7/8) ◽  
pp. 358-376
Author(s):  
Cathrine Tambudzai Nengomasha ◽  
Ruth Abankwah ◽  
Wilhelm Uutoni ◽  
Lilian Pazvakawambwa
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Mixed Methods Research ◽  
Health Sector ◽  
Health Information Systems ◽  
Quality Of Healthcare ◽  
Research Approach ◽  
Content Type ◽  
Patient Health ◽  
Data Survey

Purpose This paper aims to report some findings of a study that investigated health information systems (HISs) in Namibia with a view of establishing the nature of these systems and coming up with recommendations on how these could be enhanced. Design/methodology/approach This study applied a mixed methods research approach, using interviews and survey questionnaire to collect data. Survey data were analysed for descriptive statistics using SPSS and data from interviews were analysed applying content analysis for data analysis. Findings The findings of this study indicate fragmented HISs resulting in duplication of diagnosis, tests and treatment. The findings show that there were errors in capturing data into the systems, which could compromise the reliability of the data and compromise service delivery. Research limitations/implications This study was limited to two (Khomas and Oshana) of the fourteen regions in Namibia; therefore, further studies could look at other regions, as the study findings cannot be generalised to the entire country. Practical implications The findings and recommendations, particularly those relating to the public health sector, could inform policies and procedures, especially those relating to the patient health passport (card), and the way health information is shared within and across health sectors. Originality/value This study focused on health information sharing, whereas a previous study on HISs concentrated on quality of healthcare.

Towards Multi-Agent Health Information Systems

2015 ◽  
Vol 6 (4) ◽  
pp. 20-38 ◽  
Author(s):  
Andrea Claudi ◽  
Paolo Sernani ◽  
Aldo Franco Dragoni
Keyword(s):  
Information Systems ◽  
Health Information ◽  
New Technologies ◽  
Health Information System ◽  
Emergency Situation ◽  
Health Information Systems ◽  
International Standards ◽  
Radiology Workflow ◽  
Healthcare Sector ◽  
Multi Agent

One of the key challenges in the healthcare sector is to adapt Health Information Systems to requirements coming from changing societies. In recent years, governments and international healthcare organizations defined a series of requirements for new generation Health Information Systems: they have to preserve past investments on legacy systems, but must also integrate new technologies, include the patient among their users, and ensure that clinical information are available at all times, even in places far from where information are physically stored. This paper proposes a multi agent-oriented architecture for Health Information Systems, which uses international standards for communication and management of clinical documents. The architecture tries to effectively model a generic healthcare organization, and aims at being easily extensible and adaptable to the particularities of specific healthcare systems. The authors present two experimental scenarios to test the proposed multi-agent health information system. In the first, they show how to model a specific use case, a radiology workflow, using agents and well-known standards; in the second one the authors demonstrate how a mobile application can use the services provided by the agents to support the medical staff in an emergency situation.

Sign in / Sign up

Export Citation Format

Share Document