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Why Doesn’t Information Systems Vision Exist in the Healthcare Sector?
Abstract
The nature of healthcare provision has changed dramatically and irreversibly over the past two decades. The focus has shifted from inward-looking supervision of medical care with substantial protection and defensive attitude to globally oriented, patient-centric facilitation of medical care and preventive services. Information technologies are increasingly playing a key role in reforming healthcare globally. How much of this reform addresses the primary goal of healthcare institutions? This chapter questions current expectations that information technology could bring benefits to healthcare sector—for which governments around the world are mandating and increasing investment in IT initiatives. There has been a remarkable expansion of information technology capabilities resulting in many ambitious IT projects in various healthcare institutions. The most sophisticated ones seem to concentrate on relatively simple coordination, resource allocation and documentation aspects of healthcare delivery process. There is little emphasis on the management of treatment process or optimization of resource use because definitive models do not exist for patient treatment processes. The major question being presented for open discussion here is whether these IT projects coincide with the primary goals of healthcare organizations. Is there an overall vision for IT in healthcare? If so, what is it? How does such vision contribute to the primary objectives of healthcare? Finding answers to these questions increases our understanding of current IT initiatives and considers the implications of the organizing vision for further development and diffusion of healthcare IS.
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