دورية أكاديمية
Representation of People's Decisions in Health Information Systems.* A Complementary Approach for Understanding Health Care Systems and Population Health.
| العنوان: | Representation of People's Decisions in Health Information Systems.* A Complementary Approach for Understanding Health Care Systems and Population Health. |
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| المؤلفون: | de Quiros FGB, Dawidowski AR, Figar S |
| المصدر: | Methods of information in medicine [Methods Inf Med] 2017 Feb 01; Vol. 56 (S 01), pp. e13-e19. Date of Electronic Publication: 2017 Feb 01. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Thieme Country of Publication: Germany NLM ID: 0210453 Publication Model: Electronic Cited Medium: Internet ISSN: 2511-705X (Electronic) Linking ISSN: 00261270 NLM ISO Abbreviation: Methods Inf Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : Stuttgart, Germany : Thieme Original Publication: Stuttgart : F K Schattauer Verlag |
| مواضيع طبية MeSH: | Decision Support Techniques* , Patient Acceptance of Health Care*, Clinical Decision-Making/*methods , Decision Making/*physiology , Decision Support Systems, Clinical/*organization & administration , Electronic Health Records/*organization & administration , Health Information Systems/*organization & administration, Humans ; Models, Organizational |
| مستخلص: | Objectives: In this study, we aimed: 1) to conceptualize the theoretical challenges facing health information systems (HIS) to represent patients' decisions about health and medical treatments in everyday life; 2) to suggest approaches for modeling these processes. Methods: The conceptualization of the theoretical and methodological challenges was discussed in 2015 during a series of interdisciplinary meetings attended by health informatics staff, epidemiologists and health professionals working in quality management and primary and secondary prevention of chronic diseases of the Hospital Italiano de Buenos Aires, together with sociologists, anthropologists and e-health stakeholders. Results: HIS are facing the need and challenge to represent social human processes based on constructivist and complexity theories, which are the current frameworks of human sciences for understanding human learning and socio-cultural changes. Computer systems based on these theories can model processes of social construction of concrete and subjective entities and the interrelationships between them. These theories could be implemented, among other ways, through the mapping of health assets, analysis of social impact through community trials and modeling of complexity with system simulation tools. Conclusions: This analysis suggested the need to complement the traditional linear causal explanations of disease onset (and treatments) that are the bases for models of analysis of HIS with constructivist and complexity frameworks. Both may enlighten the complex interrelationships among patients, health services and the health system. The aim of this strategy is to clarify people's decision making processes to improve the efficiency, quality and equity of the health services and the health system. |
| التعليقات: | Comment in: Methods Inf Med. 2017 Feb 01;56(Open):e11-e12. (PMID: 28144677) |
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| فهرسة مساهمة: | Keywords: Population health; complex systems thinking; health information systems; learning health systems; social theory |
| تواريخ الأحداث: | Date Created: 20170202 Date Completed: 20180301 Latest Revision: 20210109 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC5388923 |
| DOI: | 10.3414/ME16-05-0001 |
| PMID: | 28144682 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2511-705X |
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| DOI: | 10.3414/ME16-05-0001 |