Desafios de iniciativas governamentais de implementação em ampla escala de sistemas de informação em saúde

Clarissa Carneiro Mussi; Ricardo Luz; Dioni da Rosa Damázio; Ernani Marques dos Santos; Violeta Sun

doi:10.5433/1981-8920.2022v27n4p456

Authors

Clarissa Carneiro Mussi Universidade do Sul de Santa Catarina - UNISUL https://orcid.org/0000-0003-0367-4345
Ricardo Luz Universidade do Sul de Santa Catarina - UNISUL https://orcid.org/0000-0002-6966-7327
Dioni da Rosa Damázio Universidade do Sul de Santa Catarina - UNISUL https://orcid.org/0000-0001-6209-6798
Ernani Marques dos Santos Universidade Federal da Bahia - UFBA https://orcid.org/0000-0001-8618-9489
Violeta Sun Universidade de São Paulo - USP https://orcid.org/0000-0003-1739-5312

DOI:

https://doi.org/10.5433/1981-8920.2022v27n4p456

Keywords:

Health information system, Health information technology, National implementation, Public administration, Government

Abstract

Objective: The national implementation of health information systems has been taking place internationally and is considered a complex process permeated by challenges. This study aims to analyze the factors that have affected the outcomes of government initiatives of this nature.
Methodology: Methodologically, a literature review was conducted using the Knowledge Development Process - Constructivist (Proknow-C). The articles identified through this process underwent content analysis using coding and categorization procedures.
Results: The results reveal a set of 19 categories that encompass sociotechnical aspects that affected the implementation of health information systems internationally. These aspects are related to the broader national context in which the system was introduced (macro level), the institutions where the systems were implemented and their local peculiarities (meso level), and the attributes of individuals, technology, and health processes involved (micro level).
Conclusions: Various intra and inter-level aspects (macro, meso, and micro) are interconnected, shaping the processes of system implementation and their outcomes. Despite covering studies related to the implementation of health information systems in different countries, each with varying levels of technological development, the recorded challenges, critical success factors, and reported best practices exhibit similarities.

Author Biographies

Clarissa Carneiro Mussi, Universidade do Sul de Santa Catarina - UNISUL

PhD in Administration from the Universidade de São Paulo (USP). Professor in the Postgraduate Program in Administration at the Universidade do Sul de Santa Catarina (UNISUL), Florianópolis, Brasil.

Ricardo Luz, Universidade do Sul de Santa Catarina - UNISUL

Master in Business Administration from the Universidade do Sul de Santa Catarina (UNISUL). Professor at Faculdade São Luiz (FSL), Brusque, Brasil.

Dioni da Rosa Damázio, Universidade do Sul de Santa Catarina - UNISUL

Master in Administration from the Universidade do Sul de Santa Catarina (UNISUL). Teacher of technical courses offered by the Serviço Nacional de Aprendizagem Comercial (SENAC), Florianópolis, Brasil.

Ernani Marques dos Santos, Universidade Federal da Bahia - UFBA

PhD in Administration from the Universidade de São Paulo (USP). Professor of the Postgraduate Center in Administration at the Universidade Federal da Bahia (UFBA), Salvador, Brasil.

Violeta Sun, Universidade de São Paulo - USP

PhD in Administration from the Universidade de São Paulo (USP). Professor of the Information Systems course at the Universidade de São Paulo (USP), São Paulo, Brasil.

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