Hospital Information Systems Replacement and Healthcare Quality

Abstract

The aim of this paper is to develop a methodology for deciding when a Hospital Information System (HIS) must be replaced and in addition to discuss how the decision for system replacement affects the quality of healthcare services. In the hypothesis, the Hospital IS has been in operation for a period of time and the Hospital managers have to choose between the replacement with a new Information System (IS) and the continuation of its use. Leaving aside the economic factors concerning the return of a possible investment, the decision is still difficult and will be based on scientific and technological factors. The proposed methodology employs confidential information from the Hospital, which relates to the system operation and usability, the satisfaction of doctors and patients, etc. It also examines the entire working environment and common factors that affect the choice of Hospital managers (e.g., financial constraints).