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E. Monteiro

Integrating Health Information Systems: A Critical Appraisal

Keywords: Health information systems, integration, electronic patient records systems, business process re-engineering (BPR)

OBJECTIVES: The aim of this paper is to critically assess some of the underlying assumptions behind these initiatives and analyze the dominant expressions, forms and mechanisms of integration. METHODS: This paper employs a discourse analysis to elicit the notion of integration of information systems and its consequences for electronic patient record systems. RESULTS AND CONCLUSIONS: An alternative strategy is outlined, encouraging a more decentralized, multi-vocal approach acknowledging the productive role of related and duplicated information and preserving the existing variety of information systems.

Methods of Information in Medicine, Schattauer

Print ISSN: 0026-1270
Volume: 42, 01/2003
Pages: 428 - 432

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