{"title":"健康资讯系统","authors":"Winnie Kutto","doi":"10.53819/81018102t6033","DOIUrl":null,"url":null,"abstract":"The majority of low and middle-income countries (LMICs) have frequently implemented health information systems (HIS) in response to international pressure to account for health care investments. Health information can facilitate better planning and monitoring health services, which may lead to improved health outcomes, which is the concept behind robust and effective HIS. However, the use of health information systems (HIS) as accountability tools has frequently been criticized for being counterproductive because they give health information more significance to international organizations and national governments than to those in charge of local health services. This paper aims to examine how HIS influence the development of local accountability practices and their effects on health care delivery. The technology domain of HIS is combined with a theoretical perspective derived from structuration theory. A case study of HIS in Kenya is analyzed from this point of view. The findings have implications for the application of structuration theory to comprehending accountability and the significance of IT materiality in structuration processes. It contributes to a deeper comprehension of how HIS can foster enhanced human development and health care. It also contributes to the comprehension of IS as a means of socialization through which users can negotiate multiple accountability goals as well as a means of governing people's behavior. Keywords: Health, Information systems, Healthcare","PeriodicalId":51872,"journal":{"name":"International Journal of Information and Learning Technology","volume":"74 1","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Health Information System\",\"authors\":\"Winnie Kutto\",\"doi\":\"10.53819/81018102t6033\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The majority of low and middle-income countries (LMICs) have frequently implemented health information systems (HIS) in response to international pressure to account for health care investments. Health information can facilitate better planning and monitoring health services, which may lead to improved health outcomes, which is the concept behind robust and effective HIS. However, the use of health information systems (HIS) as accountability tools has frequently been criticized for being counterproductive because they give health information more significance to international organizations and national governments than to those in charge of local health services. This paper aims to examine how HIS influence the development of local accountability practices and their effects on health care delivery. The technology domain of HIS is combined with a theoretical perspective derived from structuration theory. A case study of HIS in Kenya is analyzed from this point of view. The findings have implications for the application of structuration theory to comprehending accountability and the significance of IT materiality in structuration processes. It contributes to a deeper comprehension of how HIS can foster enhanced human development and health care. It also contributes to the comprehension of IS as a means of socialization through which users can negotiate multiple accountability goals as well as a means of governing people's behavior. Keywords: Health, Information systems, Healthcare\",\"PeriodicalId\":51872,\"journal\":{\"name\":\"International Journal of Information and Learning Technology\",\"volume\":\"74 1\",\"pages\":\"\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2022-10-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Information and Learning Technology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.53819/81018102t6033\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Information and Learning Technology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.53819/81018102t6033","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS","Score":null,"Total":0}
The majority of low and middle-income countries (LMICs) have frequently implemented health information systems (HIS) in response to international pressure to account for health care investments. Health information can facilitate better planning and monitoring health services, which may lead to improved health outcomes, which is the concept behind robust and effective HIS. However, the use of health information systems (HIS) as accountability tools has frequently been criticized for being counterproductive because they give health information more significance to international organizations and national governments than to those in charge of local health services. This paper aims to examine how HIS influence the development of local accountability practices and their effects on health care delivery. The technology domain of HIS is combined with a theoretical perspective derived from structuration theory. A case study of HIS in Kenya is analyzed from this point of view. The findings have implications for the application of structuration theory to comprehending accountability and the significance of IT materiality in structuration processes. It contributes to a deeper comprehension of how HIS can foster enhanced human development and health care. It also contributes to the comprehension of IS as a means of socialization through which users can negotiate multiple accountability goals as well as a means of governing people's behavior. Keywords: Health, Information systems, Healthcare
期刊介绍:
International Journal of Information and Learning Technology (IJILT) provides a forum for the sharing of the latest theories, applications, and services related to planning, developing, managing, using, and evaluating information technologies in administrative, academic, and library computing, as well as other educational technologies. Submissions can include research: -Illustrating and critiquing educational technologies -New uses of technology in education -Issue-or results-focused case studies detailing examples of technology applications in higher education -In-depth analyses of the latest theories, applications and services in the field The journal provides wide-ranging and independent coverage of the management, use and integration of information resources and learning technologies.