An Institutional Perspective on Health Sector Reforms and the Process of Reframing Health Information Systems
| Autor: | Sundeep Sahay, Baltazar Chilundo, Bruno Piotti |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Economic growth
HRHIS Public economics business.industry 05 social sciences 050109 social psychology Cognitive reframing Health informatics Incentive Information and Communications Technology 0502 economics and business Health care Information system Economics 0501 psychology and cognitive sciences business 050203 business & management Applied Psychology Health policy |
| Zdroj: | The Journal of Applied Behavioral Science. 42:91-109 |
| ISSN: | 1552-6879 0021-8863 |
| DOI: | 10.1177/0021886305285127 |
| Popis: | Health sector reform, including structural and process changes such as the incorporation of feasible information and communication technologies, is a priority in many least developed countries. However, such changes have not been particularly effective, the reasons for which will be explored in this article. Particular attention will be paid to attempts to integrate information systems in HIV/AIDS program in Mozambique. The article draws on new institutional theory to argue that the focus of this program on formal rules (i.e., Sector Wide Approach policy and national plans), which deemphasize the informal constraints at the point of service delivery (i.e., priority given to health care over reporting), has resulted in limited change. Furthermore, the limited overlap between the formal and informal domains raises the need for enhancing incentives and enforcement as key mechanisms through which more effective change can be enabled in the future. |
| Databáze: | OpenAIRE |
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