Surviving the disconnections: The use of information systems in Indonesian public health facilities

International Conference on Information Technology and Digital Applications 2018

计算机科学;无线电电子学

Wahid, Fathul^1 ; Dirgahayu, R. Teduh^1 ; Hamzah, Almed^1 ; Setiaji, Hari^1

Department of Informatics, Universitas Islam, Indonesia^1

关键词: Coordination mechanisms;    Government agencies;    Health facilities;    Health management;    Health services;    Holistic approach;    Incentive mechanism;    Integrated informations;   

Others  :  https://iopscience.iop.org/article/10.1088/1757-899X/482/1/012014/pdf
DOI  :  10.1088/1757-899X/482/1/012014

学科分类：计算机科学（综合）

来源: IOP

【 摘 要 】

The adoption of information systems in public health management in Indonesia aims to manage the data properly in order to improve the effectiveness of the provision of health services. However, based on previous works, it does not live up to expectation. This paper reports an insight coming from the field about the use of various and disconnected information systems in one place without sufficient coordination mechanism among those systems. The systems were developed by the superordinate body and it is compulsory for the public health facilities to adopt and implement the systems. This raises several problems related to the quality of the system itself, human resources capability, ambiguous procedures, various reports with the relatively same data, and unclear incentive mechanism for staffs. We conceptualize the problems of disconnections among three elements: actors, context, and information systems. These lead to different types of disconnections: between government agencies at national level, between information systems, between information systems and the context, between government agencies at national and local level, and between information systems and available staff capacity. This study also points out practical implications, which includes the use of more holistic approach to design and develop information systems, to develop an integrated information infrastructure for public health facilities.