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Evolution of an integrated HIS in The Netherlands
1HISCOM, Leiden, The Netherlands.
International Journal of Medical Informatics
|July 16, 1999
Summary
This article details the 26-year evolution of an integrated hospital information system (HIS) from a Dutch government project to a leading national system. Its journey highlights organizational, financial, and technological advancements in healthcare IT.
Area of Science:
- Health Informatics
- Information Systems Evolution
- Healthcare Technology Management
Background:
- The study examines the 26-year development of an integrated hospital information system (HIS).
- Originating from a government-sponsored project at Leiden University Hospital, it became the leading HIS in The Netherlands.
- The article focuses on the system's evolution, encompassing organizational, financial, functional, technological, and evaluative aspects.
Observation:
- The HIS underwent significant evolution over 26 years.
- Key development factors included organizational setting, financing, functionality, and technological architecture.
- Evaluation aspects were also crucial throughout its lifecycle.
Findings:
- The integrated hospital information system (HIS) demonstrated sustained growth and adaptation over 26 years.
- Its success was influenced by strategic considerations in organization and finance, alongside technical and functional improvements.
- The system's journey culminated in its acquisition by the BAAN-group, facilitating international market entry.
Implications:
- The historical trajectory of this HIS offers valuable insights into long-term healthcare IT system development.
- Understanding the interplay of organizational, financial, and technological factors is critical for successful HIS implementation and scaling.
- The successful transition to the international market underscores the potential for robust healthcare information systems.
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