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Design and Implementation of Health Information Systems (Paperback)
Loot Price: R1,949
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Design and Implementation of Health Information Systems (Paperback)
Series: Euro Nonserial Publication
Expected to ship within 10 - 15 working days
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This book provides a practical guide to the design and
implementation of health information systems in developing
countries. Noting that most existing systems fail to deliver
timely, reliable, and relevant information, the book responds to
the urgent need to restructure systems and make them work as both a
resource for routine decisions and a powerful tool for improving
health services. With this need in mind, the authors draw on their
extensive personal experiences to map out strategies, pinpoint
common pitfalls, and guide readers through a host of conceptual and
technical options. Information needs at all levels - from patient
care to management of the national health system - are considered
in this comprehensive guide. Recommended lines of action are
specific to conditions seen in government-managed health systems in
the developing world. In view of common constraints on time and
resources, the book concentrates on strategies that do not require
large resources, highly trained staff, or complex equipment.
Throughout the book, case studies and numerous practical examples
are used to explore problems and illustrate solutions. Details
range from a list of weaknesses that plague most existing systems,
through advice on when to introduce computers and how to choose
appropriate software and hardware, to the hotly debated question of
whether patient records should be kept by the patient or filed at
the health unit. The book has fourteen chapters presented in four
parts. Chapters in the first part, on information for
decision-making, explain the potential role of health information
as a managerial tool, consider the reasons why this potential is
rarely realized, and propose general approaches for reform which
have proved successful in several developing countries.
Presentation of a six-step procedure for restructuring information
systems, closely linked to an organizational model of health
services, is followed by a practical discussion of the
decision-making process. Reasons for the failure of most health
information to influence decisions are also critically assessed.
Against this background, the second and most extensive part
provides a step-by-step guide to the restructuring of information
systems aimed at improving the quality and relevance of data and
ensuring their better use in planning and management. Steps covered
include the identification of information needs and indicators,
assessment of the existing system, and the collection of both
routine and non-routine data using recommended procedures and
instruments. Chapters also offer advice on procedures for data
transmission and processing, and discuss the requirements of
systems designed to collect population-based community information.
Resource needs and technical tools are addressed in part three. A
comprehensive overview of the resource base - from staff and
training to the purchase and maintenance of equipment - is followed
by chapters offering advice on the introduction of computerized
systems in developing countries, and explaining the many
applications of geographic information systems. Practical advice on
how to restructure a health information system is provided in the
final part, which considers how different interest groups can
influence the design and implementation of a new system, and
proposes various design options for overcoming specific problems.
Experiences from several developing countries are used to
illustrate strategies and designs in terms of those almost certain
to fail and those that have the greatest chances of success
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