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Structuring information systems for more effective disease control programs

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Abstract

The design of effective health programs involves a complex set of information flows needed to support the planning, implementation, and evaluation of alternative intervention strategies. While several information system models are available, few have actually been applied to specific disease cycles. The objective of this paper is to consider the design of information systems in terms of organizational contextual factors and user/decision-maker preferences relevant to the structure and operation of such information systems. A heuristic procedure is developed and applied to the design of information systems responsible for supporting effective parasitic disease control efforts. Recent research based on this application indicates substantial technical advantages to an intersectoral, multidimensional approach to parasitic disease control. In particular, analysis reveals that information system designs can significantly enhance the effectiveness of disease intervention through a higher level of sensitivity to such factors as disease etiology, socioeconomic conditions, and population health beliefs and perceptions.

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References

  1. Hall, A.D., and Fagan, R.E., Definition of system.Modern Systems Research for the Behavioral Scientist (W. Buckley, ed.), Aldine, Chicago, 1968, pp. 81–92.

    Google Scholar 

  2. Hage, J.,Communication and Organizational Control: Cybernetics in Health and Welfare Settings Wiley, New York, 1974.

    Google Scholar 

  3. Forrester, J.W.,Industrial Dynamics M.I.T. Press, Cambridge, 1961.

    Google Scholar 

  4. Simon, H., Guetzkow, H., Kozmetsky, G., and Tyndall, G.,Centralization vs. Decentralization in Organizing the Controller's Department American Book-Stratford Press, New York, 1954.

    Google Scholar 

  5. Wilensky, H.D.,Organizational Intelligence Basic Books, New York, 1967.

    Google Scholar 

  6. Ein-Dor, P., and Segev, E., Organizational context and the success of management information systems.Mgmt. Sci. 24:1064–1077, 1978.

    Google Scholar 

  7. Mason, R.O., and Mitroff, I.I., A program for research on management information systems.Mgmt. Sci. 19:475–487, 1973.

    Google Scholar 

  8. Lucas, H.C., Performance and the use of an information system.Mgmt. Sci. 21:908–919, 1975.

    Google Scholar 

  9. Le Moigne, J.L., The FOUR-FLOWS MODEL as a tool for designing the information system of an organization.Information Systems and Organizational Structure (E. Grochla and N. Szyperski, eds.), Walter de Gruyter, Berlin, 1975, pp. 324–340.

    Google Scholar 

  10. Katz, D., and Kahn, R.,The Social Psychology of Organizations 2nd ed., Wiley, New York, 1978.

    Google Scholar 

  11. Kaluzny, A., Warner, M., Warren, D., and Zelman, W.,The Management of Health Services Prentice-Hall, Englewood Cliffs, New Jersey, 1981.

    Google Scholar 

  12. Davis, G.B.,Management Information Systems: Conceptual Foundations, Structure, and Development McGraw-Hill, New York, 1974.

    Google Scholar 

  13. Senn, J.A.,Information Systems in Management Wadsworth, Belmont, California, 1978.

    Google Scholar 

  14. Keen, P., and Morton, M.,Decision Support Systems: An Organizational Perspective Addison-Wesley, Reading, Massachusetts, 1978.

    Google Scholar 

  15. Montgomery, D.B., and Urban, G.L.,Management Science in Marketing Prentice-Hall, Englewood Cliffs, New Jersey, 1969.

    Google Scholar 

  16. Dickson, G.W., Senn, J.A., and Chervany, N.L., Research in management information systems: The Minnesota experiments.Mgmt. Sci. 23:913–923, 1977.

    Google Scholar 

  17. King, W.R., and Cleland, D.I., The design of management information systems: An information analysis approach.Mgmt. Sci. 22:286–297, 1975.

    Google Scholar 

  18. Parker, B., A user-based, multiple goal framework for evaluation and redesign of an existing health management information system. Paper presented at the ORSA Conference, Toronto, 1981.

  19. Swanson, E.B., Management information systems: Appreciation and involvement.Mgmt. Sci. 21:178–188, 1974.

    Google Scholar 

  20. Srinivasan, V., and Shocker, A.D., Estimating the weights for multiple attributes in a composite criterion using pairwise judgments.Psychometrika 38:473–493, 1973.

    Google Scholar 

  21. Scriven, M., The methodology of evaluation.Perspectives of Curriculum Evaluation, American Educational Research Association Monograph Series in Curriculum Evaluation, Rand McNally, Chicago, 1967.

    Google Scholar 

  22. Härö, A.S., Information systems for health services at the national health level.Information Systems for Health Services (G. McLachlan, ed.), Regional Office for Europe, World Health Organization, Copenhagen, 1980, pp. 7–16.

    Google Scholar 

  23. Shocker, A.D., and Srinivasan, V., A consumer-based methodology for the identification of new product ideas.Mgmt. Sci. 20:921–937, 1974.

    Google Scholar 

  24. Eppen, G.D., and Gould, F.J.,Quantitative Concepts for Management Prentice-Hall, Englewood Cliffs, New Jersey, 1979.

    Google Scholar 

  25. Parker, B., On the relevance of consumer behavior theory to health care delivery planning: Development of a patient health benefit function. Paper presented at the TIMS/ORSA Conference, San Francisco, 1977.

  26. Parker, B., and Srinivasan, V., A consumer preference approach to the planning of rural primary health-care facilities.Oper. Res. 24:991–1025, 1976.

    Google Scholar 

  27. Wilkie, W.L., and Pessemier, E.A., Issues in marketing's use of multiattribute attitude models.J. Mktg. Res. 10:428–441, 1973.

    Google Scholar 

  28. Miller, G.A., The magical number seven; plus of minus two: Some limits on our capacity for processing information.Psych. Rev. 63:81–91, 1956.

    Google Scholar 

  29. Parker, B., A manager-based assessment module for health information systems in developing countries.Proceedings, Congreso Internacional de Sistemas, Caracas, 1981.

  30. Mintzberg, H.,The Structuring of Organizations Prentice-Hall, Englewood Cliffs, New Jersey, 1979.

    Google Scholar 

  31. Wold Health Organization,Manual on Preparation of Malaria Eradication Programmes WHO/MEM/E, Geneva, 1961.

    Google Scholar 

  32. World Health Organization,Manual of Planning for Malaria Eradication and Malaria Control Programmes, ME/72.16, Geneva, 1972.

  33. Nájera-Morrondo, J.A. A suggested approach to malaria control and to the methodology applicable in different epidemiologic situations, based on experience in the Americas.PAHO Bull. 13:223–234, 1979.

    Google Scholar 

  34. Abel-Smith, B., and Leisersen, A.,Poverty, Development, and Health Policy Public Health Papers No. 69, World Health Organization, Geneva, 1978.

    Google Scholar 

  35. Hughes, C., and Hunter, J.M., Disease and development in Africa.Soc. Sci. Med. 3:443–493, 1970.

    Google Scholar 

  36. McEvers, N.C., Health and the assault on poverty in low income countries.Soc. Sci. Med. 14C:41–57, 1980.

    Google Scholar 

  37. Walsh, J.A., and Warren, D.S., Selective primary health care: An interim strategy for disease control in developing countries.N. Engl. J. Med. 301:967–974, 1979.

    Google Scholar 

  38. Parker, B., and Kweder, S., A systems-based approach to malaria control within the framework of health and socioeconomic development.Proceedings, 2nd Annual Conference, Systems Science in Health Care, Montreal, 1980, pp. 129–143.

  39. Emery, J.C., Integrated information systems and their effects on organizational structure.Information Systems and Organizational Structure, (E. Grochla and N. Szyperski, eds.), Walter de Gruyter, Berlin, 1975, pp. 95–103.

    Google Scholar 

  40. Galbraith, J.R., Organization design: An information processing view.Interfaces 4:28–36, 1974.

    Google Scholar 

  41. Morris, W.T., On the art of modeling.Mgmt. Sci. 13:B-707–B-717, 1967.

    Google Scholar 

  42. Delbecq, A.L., Van de Ven, A.H., and Gustafson, D.H.,Group Techniques for Program Planning: A Guide to Nominal Group and Delphi Processes Scott, Foresman, Glenview, Illinois, 1975.

    Google Scholar 

  43. Swaroop, S.,Statistical Methods in Malaria Eradication World Health Organization, Geneva, 1966.

    Google Scholar 

  44. Draper, N., and Smith, H.,Applied Regression Analysis 2nd ed., Wiley, New York, 1981.

    Google Scholar 

  45. World Health Organization,WHO Expert Committee on Malaria: Sixteenth Report, Technical Report Series No. 549, Geneva, 1974.

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Authors and Affiliations

  1. From the Department of Health Policy and Administration, School of Public Health, University of North Carolina, Chapel Hill, North Carolina

    Barnett R. Parker & Arnold D. Kaluzny

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  1. Barnett R. Parker
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  2. Arnold D. Kaluzny
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Parker, B.R., Kaluzny, A.D. Structuring information systems for more effective disease control programs. J Med Syst 6, 613–631 (1982). https://doi.org/10.1007/BF00995511

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