Why Health Care Information Systems Succeed or Fail

Scaling of health information systems in India: Challenges and approaches

“…The issues of scale and scaling have particular implications in the context of health care and health information systems (HIS) in developing countries, which is the empirical focus of this article. For example, various reform efforts related to the introduction of computerbased HIS have died premature deaths as "pilot projects" (Heeks, Mundy, & Salazar, 1999) because they could not be expanded to a level where they were useful for health managers (Braa, Monteiro, & Sahay, 2004). For example, to make effective decisions on resource allocation for a district, the manager needs health data from all the clinics in the district and not just from an isolated and limited set of clinics from a preselected pilot area (Braa et al, 2004).…”

Synching or sinking: global software outsourcing relationships

“…We developed a dimensional framework on the basis of our initial research and other studies of GSO and of user-developer relationships. 8,9 Using this, synching was more precisely defined as the minimization of gaps between client and subcontractor along the six Cocpit dimensions: coordination/control systems, objectives and values, capabilities, processes, information, and technology.…”

Trying to Fill the Gap between Persons and Health Records - The MedIcona InterPersonal Health Record

“…Of all the eHealth applications that in the last 25 years have collected greater hope (and sometimes even hype), the one that has so far fallen shorter of its promises (Pagliari et al, 2007;Westin et al, 2008) is probably the Personal Health Record (Majeed et al, 2009;Singleton et al, 2009;Greenhalgh et al, 2008;Karsh et al, 2010), that is the "Web-based applications through which individuals can access, manage and share their health information" (Tang et al, 2006). This is probably due to many socio-technical factors that would be out to scope to review here extensively (see, e.g., (Heeks et al, 1999;Tang et al, 2006;Greenhalgh et al, 2010)). Yet, if the success of a technology is to be evaluated also in terms of the adoption rate it has reached where it received sufficient budget and country-wide endorsement, the failure of the PHR is blatant so far.…”