Complexity Effects in Information Systems on the Public Health Assistance Flows Integration
Resumo
The proliferation of information and communication technology and the advent of the Internet have resulted in a change in the level of complexity inherent in society and, consequently, in organizations, resulting in increasingly complex and integrated information systems. Complex information systems are understood as a special class of systems formed by a large number of heterogeneous subsystems, characterized by collective and emerging properties, which interact and influence each other through a diversity of connections and feedback loops. In this perspective, public health information systems, composed of several subsystems that need to interact, are characterized as complex. The research aimed to analyze, from the perspective of complexity theory, the effects of the integration of information systems in the assistance flows provided for SUS. 72 different health information systems were mapped, which formed a dense and interrelated network. The survey results revealed the following effects: self-organization tends to decrease the completeness and detail of the information circulating; coadaptation maximizes system coupling; fractality overloads information at the upper levels of the system; Emergency, on the other hand, helps to create innovative structures that integrate the complex system.
Palavras-chave:
Health Information Systems, Complexity Theory, Unified Health System
Referências
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Mark Lycett and Ray J. Paul. 1999. Information Systems Development: A Perspective on the Challenge of Evolutionary Complexity. European Journal of Information Systems, v. 8, p. 127–135.
Yasmin Merali. 2006. Complexity and Information Systems: The Emergent Domain. Journal of Information Technology, v. 21, p. 216-228.
Ralph D. Stacey. 2000. Strategic Management and Organizational Dynamics: The Challenge of Complexity. 3 ed. Harlow, Essex, Inglaterra: Pearson Education.
Eve Mitleton-Kelly and Frank Land. 2004. Complexity and Information Systems. In: Cooper, C.; Argyris, C.; Starbuck, W. H. (eds.) Blackwell Encyclopedia of Management. Oxford: Blackwell Publishing Ltd.
Gurpreet Dhillon and Frances Fabian. 2005. A fractal perspective on competencies necessary for managing information systems. Internation Journal of Technology Management, v. 31, n. 1, p. 129-139.
Edoardo Jacucci, Ole Hanseth and Kalle Lyytinen. 2006. Taking Complexity Seriously in IS Research. Information Technology and People, v. 19, n. 1, p. 5-11.
Yasmin Merali and Bill Mckelvey. 2006. Using Complexity Science to Effect a Paradigm Shift in Information Systems for the 21st Century. Journal of Information Technology, v. 21. DOI: https://doi.org/10.1057/palgrave.jit.2000082
Indranil Mukherjee. 2008. The Complexity Paradigm: Implications for Information Systems and their Strategic Planning. Journal of Computer Science, v. 4, n. 5, p. 382-392.
Valdemar V. Graciano Neto, Flavio Horita, Everton Cavalcante, Adair Rohling, Jamal El-Hachem, Daniel Santos, Elisa Y. Nakagawa. 2018. Um estudo sobre especificação de metas para sistemas de sistemas de informação: princípios de design e um modelo conceitual. In: XIV Simpósio Brasileiro de Sistemas de Informação (SBSI). Caxias do Sul. Anais [...]. Porto Alegre: Sociedade Brasileira de Computação. p. 167 - 160.
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Paulo G. Teixeira, Victor Hugo L. Lopes, Rodrigo P. Santos, Mohamad Kassab and Valdemar V. Graciano Neto. 2019. The Status Quo of Systems-of-Information Systems. In: IEEE/ACM 7th International Workshop on Software Engineering for Systems-of-Systems (SESoS) and 13th Workshop on Distributed Software Development, Software Ecosystems and Systems-of-Systems (WDES), Montreal, QC, Canada, pp. 34-41, doi: 10.1109/SESoS/WDES.2019.00013.
Alexander Backlund. 2002. The Concept of Complexity in Organisations and Information Systems. Kybernetes, v. 31.
Ton Spil, C. Lerouge, K. Trimmer and C. Wiggins. 2009. IT Adoption and Evaluation in Healthcare: Evolutions and Insights in Theory, Methodology, and Practice. International Journal of Healthcare Information Systems and Informatics, v. 4, Issue 3.
Frederico B. Guimarães. 2005. Os fluxos de informação no Sistema Único de Saúde do Brasil: uma proposta de readequação. 206 f. Tese (Doutorado em Saúde Coletiva) – Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro.
Márcio J. M. Alves. 2006. Sistema Único de Saúde: de que sistema se trata? 2006. 222 f. Tese (Doutorado em Saúde Coletiva) - Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro.
William B. Rouse. 2008. Health care as a complex adaptive system: Implications for design and management. The Bridge, vol. 38, n. 1.
Jorn Braa, Sundeep Sahay, Jon Lewis and Wilfred Senyoni. 2017. Health Information Systems in Indonesia: Understanding and Addressing Complexity. In: Choudrie J., Islam M., Wahid F., Bass J., Priyatma J. (eds) Information and Communication Technologies for Development. ICT4D. IFIP Advances in Information and Communication Technology, vol 504. Springer, Cham.
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Robert Axelrod and Michael Cohen. 1999. Harnessing Complexity: Organizational Implications of a Scientific Frontier. New York: Free Press.
Stuart Kauffman. 1993. The Origins of Order: Self-Organization and Selection in Evolution. New York, NY: Oxford University Press.
Nawzat S. Ahmed and Norizan M. Yasin, N.M. 2010. Inspiring a fractal approach in distributed healthcare information systems: A review. International Journal of the Physical Sciences. v. 5, n. 11.
Caitlin Championa, Craig Kuziemsky, Ewan Affleck and Gonzalo G. Alvarez. 2019. A systems approach for modeling health information complexity. International Journal of Information Management, Volume 49, Pages 343-354.
Egon G. Guba and Yvonna Lincoln. 1994. Competing paradigms in qualitative research. In: DENZIN, N.K., LINCOLN, Y.S.(eds.). Handbook of Qualitative Research. Thousand Oaks: Sage.
John W. Creswell and Vicki L. P. Clark. Pesquisa de Métodos Mistos: Métodos de Pesquisa. São Paulo: Penso Editora, 2013.
Robert K. Yin. 2003. Estudo de Caso: Planejamento e Métodos. 3 ed. Artmed Editora S/A: Porto Alegre.
Caroline Wagner and Loet Leydesdorff. 2005. Network Structure, Self-Organization and the Growth of International Collaboration in Science. Research Policy, v. 34, n. 10, p. 1608-1618.
Robert A. Hanneman. 2001. Introduction to Social Network Methods. Riverside: University of California.
Yasmin Merali and Peter Allen. 2011. Complexity and Systems Thinking. In: Peter Allen, Steve Maguire and Bill Mckelvey (eds) The SAGE Handbook of Complexity and Management. Sage Publications, pp. 31-52.
Mark Lycett and Ray J. Paul. 1999. Information Systems Development: A Perspective on the Challenge of Evolutionary Complexity. European Journal of Information Systems, v. 8, p. 127–135.
Yasmin Merali. 2006. Complexity and Information Systems: The Emergent Domain. Journal of Information Technology, v. 21, p. 216-228.
Ralph D. Stacey. 2000. Strategic Management and Organizational Dynamics: The Challenge of Complexity. 3 ed. Harlow, Essex, Inglaterra: Pearson Education.
Eve Mitleton-Kelly and Frank Land. 2004. Complexity and Information Systems. In: Cooper, C.; Argyris, C.; Starbuck, W. H. (eds.) Blackwell Encyclopedia of Management. Oxford: Blackwell Publishing Ltd.
Gurpreet Dhillon and Frances Fabian. 2005. A fractal perspective on competencies necessary for managing information systems. Internation Journal of Technology Management, v. 31, n. 1, p. 129-139.
Edoardo Jacucci, Ole Hanseth and Kalle Lyytinen. 2006. Taking Complexity Seriously in IS Research. Information Technology and People, v. 19, n. 1, p. 5-11.
Yasmin Merali and Bill Mckelvey. 2006. Using Complexity Science to Effect a Paradigm Shift in Information Systems for the 21st Century. Journal of Information Technology, v. 21. DOI: https://doi.org/10.1057/palgrave.jit.2000082
Indranil Mukherjee. 2008. The Complexity Paradigm: Implications for Information Systems and their Strategic Planning. Journal of Computer Science, v. 4, n. 5, p. 382-392.
Valdemar V. Graciano Neto, Flavio Horita, Everton Cavalcante, Adair Rohling, Jamal El-Hachem, Daniel Santos, Elisa Y. Nakagawa. 2018. Um estudo sobre especificação de metas para sistemas de sistemas de informação: princípios de design e um modelo conceitual. In: XIV Simpósio Brasileiro de Sistemas de Informação (SBSI). Caxias do Sul. Anais [...]. Porto Alegre: Sociedade Brasileira de Computação. p. 167 - 160.
Juliana Costa Fernandes, Francisco Henrique Ferreira, Felipe Cordeiro de Paula, Valdemar V. Graciano Neto, Rodrigo P. Santos. 2020. How can Interoperability Impact on Systems-of-Information Systems Characteristics? In: XVI Simpósio Brasileiro de Sistemas de Informação (SBSI). Evento Online. Anais [...]. Porto Alegre: Sociedade Brasileira de Computação. p. 134-141.
Paulo G. Teixeira, Victor Hugo L. Lopes, Rodrigo P. Santos, Mohamad Kassab and Valdemar V. Graciano Neto. 2019. The Status Quo of Systems-of-Information Systems. In: IEEE/ACM 7th International Workshop on Software Engineering for Systems-of-Systems (SESoS) and 13th Workshop on Distributed Software Development, Software Ecosystems and Systems-of-Systems (WDES), Montreal, QC, Canada, pp. 34-41, doi: 10.1109/SESoS/WDES.2019.00013.
Alexander Backlund. 2002. The Concept of Complexity in Organisations and Information Systems. Kybernetes, v. 31.
Ton Spil, C. Lerouge, K. Trimmer and C. Wiggins. 2009. IT Adoption and Evaluation in Healthcare: Evolutions and Insights in Theory, Methodology, and Practice. International Journal of Healthcare Information Systems and Informatics, v. 4, Issue 3.
Frederico B. Guimarães. 2005. Os fluxos de informação no Sistema Único de Saúde do Brasil: uma proposta de readequação. 206 f. Tese (Doutorado em Saúde Coletiva) – Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro.
Márcio J. M. Alves. 2006. Sistema Único de Saúde: de que sistema se trata? 2006. 222 f. Tese (Doutorado em Saúde Coletiva) - Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro.
William B. Rouse. 2008. Health care as a complex adaptive system: Implications for design and management. The Bridge, vol. 38, n. 1.
Jorn Braa, Sundeep Sahay, Jon Lewis and Wilfred Senyoni. 2017. Health Information Systems in Indonesia: Understanding and Addressing Complexity. In: Choudrie J., Islam M., Wahid F., Bass J., Priyatma J. (eds) Information and Communication Technologies for Development. ICT4D. IFIP Advances in Information and Communication Technology, vol 504. Springer, Cham.
Giliate Cardoso Coelho Neto. 2019. Integração entre Sistemas de Informação em Saúde: o caso do e-SUS Atenção Básica. 122 f. Dissertação (Mestrado em Saúde Coletiva) – Universidade Federal de São Paulo. Escola Paulista de Medicina, São Paulo.
Robert Axelrod and Michael Cohen. 1999. Harnessing Complexity: Organizational Implications of a Scientific Frontier. New York: Free Press.
Stuart Kauffman. 1993. The Origins of Order: Self-Organization and Selection in Evolution. New York, NY: Oxford University Press.
Nawzat S. Ahmed and Norizan M. Yasin, N.M. 2010. Inspiring a fractal approach in distributed healthcare information systems: A review. International Journal of the Physical Sciences. v. 5, n. 11.
Caitlin Championa, Craig Kuziemsky, Ewan Affleck and Gonzalo G. Alvarez. 2019. A systems approach for modeling health information complexity. International Journal of Information Management, Volume 49, Pages 343-354.
Egon G. Guba and Yvonna Lincoln. 1994. Competing paradigms in qualitative research. In: DENZIN, N.K., LINCOLN, Y.S.(eds.). Handbook of Qualitative Research. Thousand Oaks: Sage.
John W. Creswell and Vicki L. P. Clark. Pesquisa de Métodos Mistos: Métodos de Pesquisa. São Paulo: Penso Editora, 2013.
Robert K. Yin. 2003. Estudo de Caso: Planejamento e Métodos. 3 ed. Artmed Editora S/A: Porto Alegre.
Caroline Wagner and Loet Leydesdorff. 2005. Network Structure, Self-Organization and the Growth of International Collaboration in Science. Research Policy, v. 34, n. 10, p. 1608-1618.
Robert A. Hanneman. 2001. Introduction to Social Network Methods. Riverside: University of California.
Yasmin Merali and Peter Allen. 2011. Complexity and Systems Thinking. In: Peter Allen, Steve Maguire and Bill Mckelvey (eds) The SAGE Handbook of Complexity and Management. Sage Publications, pp. 31-52.
Publicado
07/06/2021
Como Citar
SOUZA, Marcílio Ferreira; DORNELAS, Jairo Simião.
Complexity Effects in Information Systems on the Public Health Assistance Flows Integration. In: SIMPÓSIO BRASILEIRO DE SISTEMAS DE INFORMAÇÃO (SBSI), 17. , 2021, Uberlândia.
Anais [...].
Porto Alegre: Sociedade Brasileira de Computação,
2021
.
