Scaffolding Health Information Infrastructure's Generativity by Scaffolded Gateways: The Case of Vietnam

Nguyen, Thanh Ngoc; Βraa, Jørn

doi:10.1002/j.1681-4835.2016.tb00546.x

Cited by 3 publications

(4 citation statements)

References 33 publications

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“…Braa et al (2004) define this problem as “all or nothing” and argue its significance due to the need of health equity and “health for all” endorsed by top politicians. Scaling of HISs in developing countries is uneasy to attain (Nguyen et al, 2017; Nguyen & Braa, 2016; Sahay & Walsham, 2006). Sahay and Walsham (2006) argue that scaling is not simply a replication or parachuting of a technology from point A to point B but often requires different strategies to deal with the escalation of technical complexities as well as human resources with adequate skills and experiences. Systems not leading to effective use of information for supporting health action local work practices …”

Section: Related Researchmentioning

confidence: 99%

Developing health information systems in developing countries: Lessons learnt from a longitudinal action research study in Vietnam

Nguyen

2023

E J Info Sys Dev Countries

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Designing and implementing health information systems (HISs) in developing‐country settings is challenging. Many HISs do not go beyond the pilot stage and tend to vanish when external funding is over. In other cases, multiple fragmented HISs remain, but these are unable to talk to each other. And more often than not, data collected by HISs are not used in decision making. To better understand and address these problems, this article employs an information infrastructure (II) perspective and views HISs as parts of larger and complex social‐technical networks. This article contributes to the current knowledge with a set of rich empirical descriptions of the design and implementation of HISs in Vietnam. Theoretically, it contributes to II discussions in the information systems domain by presenting four design problems and suggesting five design principles and 15 design rules to meet them. These design principles and rules also offer practical guidance for managers and designers involved in the design and implementation of HISs in developing countries.

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Section: Related Researchmentioning

confidence: 99%

Developing health information systems in developing countries: Lessons learnt from a longitudinal action research study in Vietnam

Nguyen

2023

E J Info Sys Dev Countries

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“…Integrity ensures that such changes to the records are done by authorized parties and that their actions do not lead to data loss. Therefore, data integrity in an interoperable healthcare ecosystem entails the accuracy and completeness of data without any malicious alterations or modifications (Olaronke & Rhoda, 2013; Shave, 2018). However, in a distributed healthcare information system, any malicious changes to historical transactions are identified by honest peers in the distributed ledger databases (Elayaraja, 2020).…”

Section: Theoretical Insightsmentioning

confidence: 99%

“…On the other hand, “Privacy” refers to the right of patients to prevent their information from being revealed to unintended stakeholders or fostering individual ownership of data thereby explicitly protecting it from unauthorized access and disclosure (Olaronke & Rhoda, 2013; Shave, 2018). Therefore, the integration of e‐healthcare systems should be implemented in such a way that does not compromise on data privacy and confidentiality of patient data thereby making it mandatory to preserve and prohibit access to data without the patient's consent (Bhartiya & Mehrotra, 2014).…”

Section: Theoretical Insightsmentioning

confidence: 99%

A TOGAF based interoperable health information system needs assessment for practitioner–patient interaction

Denhere¹,

Ruhode

Zhou

2023

E J Info Sys Dev Countries

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AbstracteHealth systems have been created in most developing countries to facilitate the functioning of healthcare operations and as such various healthcare applications are existing as fragmented silo systems. Such autonomous standalone systems do not communicate through a network thereby making it a challenge to share healthcare data. Therefore, to re‐engineer health information systems (HISs) to develop interoperable adaptive enterprise architecture (EA) systems for healthcare, the study aimed to discover and capture healthcare interoperability functional imperatives through understanding the expectations of healthcare practitioners and patients on post‐development of an interoperable HIS. Therefore, the study's aim was to determine the HISs interoperability perceived functional expectations by both patients and practitioners in fulfilling their healthcare receipt and provision needs in an integrated healthcare environment, respectively. The Open Group Architecture Framework (TOGAF) was used as the main study framework to guide the classification of the expectations from the HIS by patients and practitioners deriving the needs from the four domains which are, business architecture (BA), application architecture (AA), data architecture (DA), and technical architecture. The study used interviews and questionnaire surveys to collect qualitative and quantitative data respectively. The study used purposive sampling to select interview participants. A total of 19 interviews were conducted with healthcare practitioners. Questionnaires were collected from 71 healthcare practitioners and 143 patients and analyzed quantitatively respectively to understand the most significant needs anticipated in an interoperable HIS. The research targeted age groups of at least 20 years and above. The study discovered that patients and practitioners expect the interoperable healthcare environment to support the acquisition of disease knowledge through healthcare surveillance synergies; create healthcare awareness through coordinated digital interactions; augmentation of healthcare intelligence for patient‐care through the healthcare knowledgebase; allow treatment collaboration by various healthcare practitioners in the healthcare ecosystem and mostly achieving a guaranteed healthcare system security and assurance environment.

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“…First is the emphasis on one tool, system, or need over a broader view of ICT in society. We illustrate this limitation with an example drawn from participatory action research on developing health information systems in ICT4D (Mosse and Byrne 2010;Sahay and Lewis 2010;Nguyen and Braa 2016).…”

Section: Parochial Functionalismmentioning

confidence: 99%

“When words become unclear”: unmasking ICT through visual methodologies in participatory ICT4D

2017

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Across the globe, our work and social lives are increasingly integrated with Information and Communication Technologies (ICT), yet massive disparities in the values, uses and benefits of ICT exist. New methods are needed to shed light on unique and integrative concepts of ICT across cultures. This paper explores the use of visual methods to facilitate critical engagement with ICT-defined as situational awareness, reflexive ICT practice and power and control over ICT. This definition of critical ICT engagement is informed by a cultural identity lens, and intends to improve participatory methods in ICT for Development (ICT4D) and community technology design and application. Our notion of critical ICT engagement is developed through an analysis of three case studies, each employing visual methods to shed light on concepts and practices of ICT cross-culturally. This paper makes three contributions to the ICT4D literature. First, it establishes a cultural identity lens to chart out cultural differences between researchers and participants, and to develop situational awareness of ICT in context. Second, it defines the conceptual domain of reflexive ICT practice and establishes the key role of researchers in facilitating it. Third, it argues for the need to support participants to develop capacity to engage critically with ICT as a means to influence social and organizational structures. This paper offers a way for researchers and practitioners to engage with cultural issues in community-based research and design using visual methodologies.

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Scaffolding Health Information Infrastructure's Generativity by Scaffolded Gateways: The Case of Vietnam

Cited by 3 publications

References 33 publications

Developing health information systems in developing countries: Lessons learnt from a longitudinal action research study in Vietnam

Developing health information systems in developing countries: Lessons learnt from a longitudinal action research study in Vietnam

A TOGAF based interoperable health information system needs assessment for practitioner–patient interaction

“When words become unclear”: unmasking ICT through visual methodologies in participatory ICT4D

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