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Identification and Characterization of Inter-Organizational Information Flows in the Portuguese National Health Service.

Abstract：

OBJECTIVES:To understand and build a collective vision of all existing institutions in the Portuguese National Health Service as well as to perceive how and how far the interaction between those multiple institutions is supported by Information Systems (IS). METHODS:Upon identification of the institutions involved in the healthcare process, a set of interviews with experienced people from those institutions was conducted, which produced about five hours of tape. The research was focused exclusively on processes involving two different organizations and any internal processes were altogether excluded from it. RESULTS:The study allowed the identification of about 50 recurrent interaction processes, which were classified into four different varieties in accordance with the nature of the information flow: administrative, clinical, identificational and statistical. In addition, these processes were divided in accordance with the way how that integration is achieved, from completely automated to email or telephone-based. CONCLUSIONS:Funds/Money related processes are technologically more rigid and standardized, whereas auditing and inspection ones are less supported by automatic systems. There emerged an interesting level of sharing and integration in clinical processes, although the integration is mostly made at the interface level. The authors identified 5 particularly relevant and dominant actors (2 classes of individuals and 3 institutions) with which there is a need for coordination and cooperation. The authors consider that, in future works, an effort should be made to provide the various institutions with guidelines/interfaces and prompt such institutions to elaborate upon these.

journal_name

Appl Clin Inform

journal_title

Applied clinical informatics

authors

Pinto E,Brito AC,Cruz-Correia RJ

doi

10.4338/ACI-2016-08-RA-0135

subject

Has Abstract

pub_date

2016-12-21 00:00:00

pages

1202-1220

issue

4

issn

1869-0327

pii

2016-08-RA-0135

journal_volume

7

pub_type

杂志文章

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