000			01846nam a22002417a 4500
001			D0001E000162
003			DOH
005			20201113094239.0
008			201113b ||||| |||| 00| 0 eng d
245	0	0	_aTowards sustainability of health information systems : _bhow can we define, measure and achieve it? / _cSebastian Garde [and six others]
520	3		_aHealth information systems (HIS) in their current form are rarely sustainable. In order to sustain our health information systems and with it our health systems, we need to focus on defining and maintaining sustainable Health Information System building blocks or components. These components need to be easily updatable when clinical knowledge (or anything else) changes, easily adaptable when business requirements or processes change, and easily exchangeable when technology advances. One major prerequisite for this is that we need to be able to define and measure sustainability, so that it can become one of the major business drivers in HIS development. Therefore, this paper analyses general definitions and indicators for sustainability, and analyses their applicability to HIS. We find that general 'Emergy analysis' is one possibility to measure sustainability for HIS. Based on this, we investigate major enablers and inhibitors to sustainability in a highlevel framework consisting of four pillars: clinical, technical, socio-technical, and political/business.
580			_aIn: Stud Health Technol Inform, 2007 vol. 129 (Pt 2) pages 1179-83.
650		2	_aInformation Systems _xtrends
650		2	_aMedical Records Systems, Computerized
700	1		_aGarde, Sebastian
700	1		_aHullin, Carola M
700	1		_aChen, Rong
700	1		_aSchuler, Thilo
700	1		_aGränz, Jana
700	1		_aKnaup, Petra
700	1		_aHovenga, Evelyn J S
942			_cJA
999			_c1735 _d1735