Implementation of large-scale health information systems. Issue 2 (20th May 2021)

• Record Type: Journal Article
• Authors: Luz, Ricardo; Mussi, Clarissa Carneiro; Dutra, Ademar; Chaves, Leonardo Correa
• Is Part Of: Revista de gestão. Volume 28:Issue 2(2021)
• Page Start: 106
• Page End: 132
• Publication Date: 2021-05-20
• Subjects: Health information system -- Health information technology -- Health programs -- Health management -- Implementation -- Assessment; Management -- Periodicals; Industrial management -- Periodicals; Business -- Periodicals; 658
• DOI: 10.1108/REGE-06-2019-0064
• Languages: English
• ISSNs: 1809-2276

Abstract

Abstract : Purpose: The study aims to analyze the previous literature on government initiatives to implement health information systems (HISs). Design/methodology/approach: Proknow-C (Knowledge Development Process-Constructivist) was used in the selection of the literature and in the bibliometric and systematic analysis. Findings: The research identified a portfolio composed of 33 articles aligned with the research theme and with scientific recognition, as well as periodicals, authors, papers and keywords that stood out the most. Amongst the government initiatives in the 24 identified countries, England has been the most studied nation, and there is a certain prominence of research arising from developed countries. Electronic health records (EHRs) have been the most explored technology. Efficiency and safety of health care delivery, integration of information and among health organizations, cost reduction and economicity are the most expected benefits from government programs. The difficulties found are related to the broader context in which the system is inserted, to the management of the program, to technology itself and to individuals. The most emphasized difficulties identified in most countries were previous context marked by a lack of standardization/interoperability, acceptance of providers and users and project financing. The findings of the present article provide a theoretical framework for future studies, in addition to yielding a replicable process for future use. Originality/value: This research may be considered original as it analyzes – through a constructivism-structured process (Proknow-C) – the phenomenon under investigation by gathering bibliometric and systematic review data concomitantly. The countries and technologies reported emerge from the process itself.