TY - JOUR
T1 - Designing interoperable health information systems using Enterprise Architecture approach in resource-limited countries
T2 - A literature review
AU - Higman, Susan
AU - Dwivedi, Vikas
AU - Nsaghurwe, Alpha
AU - Busiga, Moses
AU - Sotter Rulagirwa, Hermes
AU - Smith, Dasha
AU - Wright, Chris
AU - Nyinondi, Ssanyu
AU - Nyella, Edwin
N1 - Funding Information:
This study is made possible by the support of the American people through the United States Agency for International Development (USAID) [Cooperative Agreement AID-OAA-A-14-00028]. The contents are the responsibility of the authors and do not necessarily reflect the views of USAID or the United States Government. Neither John Snow Inc. (JSI) nor any of the authors benefit financially or in any other way from existing Enterprise Architecture software, products, programs, or corporations. JSI has developed EA-based tools to expand interoperability by applying the underlying constructs of the EA approach to HIS design in country-specific scenarios. This literature review did not require approval from an ethics committee.
Funding Information:
This study is made possible by the support of the American people through the United States Agency for International Development (USAID) [Cooperative Agreement AID‐OAA‐A‐14‐00028]. The contents are the responsibility of the authors and do not necessarily reflect the views of USAID or the United States Government.
Publisher Copyright:
© 2018 John Wiley & Sons, Ltd.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Background: Enterprise Architecture (EA) integrates business and technical processes in health information systems (HIS). Low-income and middle-income countries (LMIC) use EA to combine management components with disease tracking and health care service monitoring. Using an EA approach differs by country, addressing specific needs. Methods: Articles in this review referenced EA, were peer-reviewed or gray literature reports published in 2010 to 2016 in English, and were identified using PubMed, Scopus, Web of Science, and Google Scholar. Results: Fourteen articles described EA use in LMICs. India, Sierra Leone, South Africa, Mozambique, and Rwanda reported building the system to meet country needs and implement a cohesive HIS framework. Jordan and Taiwan focused on specific HIS aspects, ie, disease surveillance and electronic medical records. Five studies informed the context. The Millennium Villages Project employed a “uniform but contextualized” approach to guide systems in 10 countries; Malaysia, Indonesia, and Tanzania used interviews and mapping of existing components to improve HIS, and Namibia used of Activity Theory to identify technology-associated activities to better understand EA frameworks. South Africa, Burundi, Kenya, and Democratic Republic of Congo used EA to move from paper-based to electronic systems. Conclusions: Four themes emerged: the importance of multiple sectors and data sources, the need for interoperability, the ability to incorporate system flexibility, and the desirability of open group models, data standards, and software. Themes mapped to EA frameworks and operational components and to health system building blocks and goals. Most articles focused on processes rather than outcomes, as countries are engaged in implementation.
AB - Background: Enterprise Architecture (EA) integrates business and technical processes in health information systems (HIS). Low-income and middle-income countries (LMIC) use EA to combine management components with disease tracking and health care service monitoring. Using an EA approach differs by country, addressing specific needs. Methods: Articles in this review referenced EA, were peer-reviewed or gray literature reports published in 2010 to 2016 in English, and were identified using PubMed, Scopus, Web of Science, and Google Scholar. Results: Fourteen articles described EA use in LMICs. India, Sierra Leone, South Africa, Mozambique, and Rwanda reported building the system to meet country needs and implement a cohesive HIS framework. Jordan and Taiwan focused on specific HIS aspects, ie, disease surveillance and electronic medical records. Five studies informed the context. The Millennium Villages Project employed a “uniform but contextualized” approach to guide systems in 10 countries; Malaysia, Indonesia, and Tanzania used interviews and mapping of existing components to improve HIS, and Namibia used of Activity Theory to identify technology-associated activities to better understand EA frameworks. South Africa, Burundi, Kenya, and Democratic Republic of Congo used EA to move from paper-based to electronic systems. Conclusions: Four themes emerged: the importance of multiple sectors and data sources, the need for interoperability, the ability to incorporate system flexibility, and the desirability of open group models, data standards, and software. Themes mapped to EA frameworks and operational components and to health system building blocks and goals. Most articles focused on processes rather than outcomes, as countries are engaged in implementation.
KW - design of health information systems
KW - health information systems
KW - health systems building blocks
KW - information
KW - interoperability
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U2 - 10.1002/hpm.2634
DO - 10.1002/hpm.2634
M3 - Review article
C2 - 30182517
AN - SCOPUS:85052933481
SN - 0749-6753
VL - 34
SP - e85-e99
JO - International Journal of Health Planning and Management
JF - International Journal of Health Planning and Management
IS - 1
ER -