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Journal Article

The SIGLIC System for Improving the Access to Surgery in Portugal  pp160-166

Pedro Gomes, Luis Velez Lapao

© Jan 2011 Volume 14 Issue 1, ECIME 2010 Special Issue, Editor: Miguel de Castro Neto, pp1 - 166

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Abstract

This paper describes the design and first results of an information system (SIGLIC) that supports the new integrated management program (SIGA) to improve the access to surgery in Portugal. SIGIC, the Ministry of Health’s agency responsible for access to surgery management, started re‑thinking the system in 2005 by re‑defining key processes and workflows. The designed information system SIGLIC integrates all hospitals with surgery with every other hospital, where it picks the data to allow the search for optimal solutions for each patient. In the context of SIGIC (Waiting List for Surgery's Integrated Management System) “access” means to assure the treatment by services in terms of quality, standards, equity, process and transparency. The existence of a significant number of patients waiting for treatment that exceed the clinical acceptable times has ominous consequences not only for the individuals (increasing suffering, reduce treatment success, more complex treatments) but also for the society (more expensive use of resources, higher absenteeism, etc), which made the government to create SIGIC program. SIGIC's goals are to reduce waiting time for surgery, to apply identical standards to all patients, to profit from good use of resources and, to create a national structure of homogeneous information based in a system of data collection. The methodology followed was to: a) “survey of information systems and technology in Demand/Supply/Resources”; b) “institutionalization and monitoring of procedural standards for management of the Waiting List for Surgery (WLS)”, c) provide “evaluation by results” and, d) “Correction of deviations to the standard”. To fulfill SIGIC’s objectives it was created a management model (SIGA) and SIGLIC to support it. By now 57 public hospitals and 96 private clinics and hospitals (with convention in SIGIC) had joined the SIGIC network. The Information model include the following items: information on patients and events to allow “Process management”, “clinical information” for “Disease Management” and “financial data” to allow management between the health units, from which data is gathered to improve access management. The information is recorded by hospitals in accordance with a set of standards and integrated into the central database of SIGIC. The quality of integrated information from the hospitals is guaranteed by a set of tools to validate its consistency, rejecting non‑compliant data. The information is recorded in hospitals throughout the process of managing the patient on WLS and integrated daily in the central database. The results since 2005 show the importance of an integrated information system to overcome the bureaucracy: There was a 36% improvement in number of scheduled surgical episodes and 60% reduction in days on waiting time.

 

Keywords: waiting list for surgery, information systems, organizational processes, health information management

 

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Journal Issue

Volume 14 Issue 1, ECIME 2010 Special Issue / Jan 2011  pp1‑166

Editor: Miguel de Castro Neto

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Editorial

miguel_neto Dr Miguel de Castro Neto is presently Associate Dean at the Instituto Superior de Estatística e Gestão de Informação of the Universidade Nova de Lisboa (ISEGI‑UNL), where he is Invited Assistant Professor. He is editor of the Journal of Information Technology in Agriculture (JITAg), member of the Editorial Advisory Board of Online Information Review journal, and Scientific Advisor of the Revista Brasileira de Agroinformática.  Miguel de Castro Neto holds a PhD in Agronomic Engineering (Universidade Técnica de Lisboa) in the field of Internet‑based agricultural information systems, a Masters degree in Agricultural Economics (Universidade de Évora), a Masters degree extension in Statistics and Information Management (Universidade Nova de Lisboa) and a degree in Agricultural Engineering (Universidade de Évora).His research interests include Business Intelligence, Knowledge management and Social Computing.

Editorial

This special edition of the EJISE includes thirteen selected papers presented at the 4th European Conference on Information Management and Evaluation ‑ ECIME 2010 which were considered the most important contributions to the advances in the information systems evaluation field of study.

The conference was held at Instituto Superior de Estatística e Gestão from the Universidade Nova de Lisboa (ISEGI‑UNL), Lisbon, Portugal, and the broad topics proposed to be addressed by ECIME 2010 included: evaluation topics; management topics; e‑Government topics; new technologies, innovation and infrastructures; development topics; ethics and philosophy topics; and general topics.

These topics where covered by the presentation in the conference of 47 Papers, 4  PhD Research Papers, and 4 Work in Progress with participants coming from 25 different countries splitted in the following streams: Managing Information; Evaluation of Records and Documents; Business Intelligence; ICT issues as they specifically affect SMEs; Logistics, Supply Chain and Process Improvement; Performance assessment and measurement; Web Tools; Health Information Systems; Evaluation Issues; Health Information Systems Issues; Quality and Service Level; and IS professionals.

The 13 ECIME 2010 selected papers for publishing in this EJISE special issue cover a very wide range of interesting and up to date research areas giving us important insights and new perspectives in future developments in the field and I hope it can became an important contribution to the dynamics in the information systems evaluation research area.

 

Keywords: action research, adopter categories, adoption, adoption determinants, alliances, architectural principles, BAN, business architecture, business value, CDSS, COBIT, community, computing, consumer goods, decision-making, diffusion of innovations (DOI) theory, digital divide, disadvantaged networks, early warning scorecard, eCommerce, enterprise architecture, evidence-based protocols, factors, GDS (Global Data Synchronization), geobrowser, georeference, GIS (Geographical Information System), GLN (Global Location Numbering), global standards, GoogleEarth, GTIN (Global Trade Items Numbering), GUSI (Global Upstream Supply Initiative), health informatics and body area networks, health information management, hospital information systems, information alignment, information management, information quality, information quality, information systems, information systems architecture, information technology, institutional theory, integrated suppliers, interorganizational systems (IOSs), interpretiv

 

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