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Developing A General Framework for National Health Information Network for Developing Countries.

Hamid Moghaddasi1, Reza Rabiei2, Farkhondeh Asadi3

  • 1Health Information Management and Medical Informatics, Health Information Technology and Management Department, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

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Summary

This study developed a framework for Iran's National Health Information Network (NHIN), addressing gaps in current health information systems. The proposed framework, validated by experts, aims to guide the creation of a functional NHIN in Iran.

Keywords:
Health Information ExchangeHealth Information SystemsNational Health Information Network

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Area of Science:

  • Health Informatics
  • Information Systems Engineering
  • Public Health Policy

Background:

  • National Health Information Networks (NHIN) are crucial for modern health systems.
  • Existing health information system projects in Iran's Ministry of Health do not fully align with NHIN principles.
  • A tailored framework is needed for developing NHIN in Iran.

Purpose of the Study:

  • To propose a general framework for establishing a National Health Information Network (NHIN) in Iran.
  • To ensure compliance with international NHIN standards while considering Iran's specific health system structure.

Main Methods:

  • A comprehensive literature review of NHIN frameworks and documents from the USA and UK was conducted.
  • A general framework for Iranian NHIN was developed based on literature review findings and the Iranian health system's structure.
  • The Delphi technique was employed to validate the proposed framework among experts.

Main Results:

  • The proposed framework for Iranian NHIN is structured across three key dimensions: components, principles, and architecture.
  • Expert evaluation indicated that over 80% found all aspects of the framework acceptable.
  • The overall framework received an acceptable rating from 83.8% of the participating experts.

Conclusions:

  • The developed framework is intended to be a foundational step for designing and implementing Iran's National Health Information Network.
  • The framework's applicability may be best suited for countries with health systems structurally similar to Iran's.
  • Further refinement and adaptation of the framework are anticipated as the Iranian NHIN evolves.