Architectural Frameworks for Developing National Health Information Systems in Low and Middle Income Countries

被引:0
|
作者
Mudaly, Thinasagree [1 ]
Moodley, Deshendran [1 ]
Pillay, Anban [1 ]
Seebregts, Christopher J. [1 ]
机构
[1] Univ KwaZulu Natal, UKZN CSIR Meraka Ctr Artificial Intelligence Res, Durban, South Africa
关键词
national health information systems; low and medium income countries; architectural frameworks; architectural approaches; TECHNOLOGY; PARADIGM;
D O I
暂无
中图分类号
TP31 [计算机软件];
学科分类号
081202 ; 0835 ;
摘要
Consolidating currently fragmented health information systems in low and middle-income countries (LMIC) into a coherent national information system will increase operational efficiencies, improve decision-making and will lead to better health outcomes. However, engineering an enterprise information system of the scale and complexity of a national health information system (NHIS) pose unique and complex challenges in LMICs. In this paper, we review current approaches to NHIS development and discuss challenges faced by LMICs to develop their NHIS. Based on current LMIC systems we identify three stages of system evolution and propose that LMICs should follow an evolutionary, middle-out approach to NHIS development supported by appropriate architectural frameworks.
引用
收藏
页数:9
相关论文
共 50 条
  • [41] Developing A General Framework for National Health Information Network for Developing Countries
    Moghaddasi, Hamid
    Rabiei, Reza
    Asadi, Farkhondeh
    Mohammadpour, Ali
    GALEN MEDICAL JOURNAL, 2020, 9
  • [42] Primary Health Care as a Foundation for Strengthening Health Systems in Low- and Middle-Income Countries
    Asaf Bitton
    Hannah L. Ratcliffe
    Jeremy H. Veillard
    Daniel H. Kress
    Shannon Barkley
    Meredith Kimball
    Federica Secci
    Ethan Wong
    Lopa Basu
    Chelsea Taylor
    Jaime Bayona
    Hong Wang
    Gina Lagomarsino
    Lisa R. Hirschhorn
    Journal of General Internal Medicine, 2017, 32 : 566 - 571
  • [43] Primary Health Care as a Foundation for Strengthening Health Systems in Low- and Middle-Income Countries
    Bitton, Asaf
    Ratcliffe, Hannah L.
    Veillard, Jeremy H.
    Kress, Daniel H.
    Barkley, Shannon
    Kimball, Meredith
    Secci, Federica
    Wong, Ethan
    Basu, Lopa
    Taylor, Chelsea
    Bayona, Jaime
    Wang, Hong
    Lagomarsino, Gina
    Hirschhorn, Lisa R.
    JOURNAL OF GENERAL INTERNAL MEDICINE, 2017, 32 (05) : 566 - 571
  • [44] A systematic review of frameworks for the interrelationships of mental health evidence and policy in low- and middle-income countries
    Votruba, Nicole
    Ziemann, Alexandra
    Grant, Jonathan
    Thornicroft, Graham
    HEALTH RESEARCH POLICY AND SYSTEMS, 2018, 16
  • [45] A systematic review of frameworks for the interrelationships of mental health evidence and policy in low- and middle-income countries
    Nicole Votruba
    Alexandra Ziemann
    Jonathan Grant
    Graham Thornicroft
    Health Research Policy and Systems, 16
  • [46] What Does It Take to Be an Effective National Steward of Digital Health Integration for Health Systems Strengthening in Low- and Middle-Income Countries?
    Frost, Michael J.
    Tran, Jacqueline B.
    Khatun, Fatema
    Friberg, Ingrid K.
    Rodriguez, Daniela C.
    GLOBAL HEALTH-SCIENCE AND PRACTICE, 2018, 6 : S18 - S28
  • [47] Effect of Income Inequality on Health Status in a Selection of Middle and Low Income Countries
    Hajebi, Elnaz
    Razmi, Mohammad Javad
    EQUILIBRIUM-QUARTERLY JOURNAL OF ECONOMICS AND ECONOMIC POLICY, 2014, 9 (04): : 133 - 152
  • [48] Hospital Mortality – a neglected but rich source of information supporting the transition to higher quality health systems in low and middle income countries
    Mike English
    Paul Mwaniki
    Thomas Julius
    Mercy Chepkirui
    David Gathara
    Paul O. Ouma
    Peter Cherutich
    Emelda A. Okiro
    Robert W. Snow
    BMC Medicine, 16
  • [49] Mental health services in low-income and middle-income countries
    Jacob, K. S.
    LANCET PSYCHIATRY, 2017, 4 (02): : 87 - 89
  • [50] Hospital Mortality - a neglected but rich source of information supporting the transition to higher quality health systems in low and middle income countries
    English, Mike
    Mwaniki, Paul
    Julius, Thomas
    Chepkirui, Mercy
    Gathara, David
    Ouma, Paul O.
    Cherutich, Peter
    Okiro, Emelda A.
    Snow, Robert W.
    BMC MEDICINE, 2018, 16