Benefits and challenges of open-source health informatics systems: A systematic search of projects and literature review
Data
2020-05-05
Autores
Minohara, Gabrielle 
Orientadores
Meirelles, Paulo
Tipo
Trabalho de conclusão de curso
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Os Sistemas de Informática em Saúde (HIS) chamam mais atenção à medida que seus benefícios são explorados e se tornam mais evidentes. A melhoria da assistência ao paciente e da qualidade dos serviços de saúde são exemplos dessas vantagens. No entanto, os sistemas proprietários nem sempre são viáveis devido aos seus altos custos. Investigamos os benefícios e desafios da adoção de Sistemas de Informática em Saúde de Código Aberto (OHIS) discutidos na literatura e também mapeamos os projetos OHIS do mundo real, com suas características técnicas e de sua comunidade. Ambos os resultados nos guiaram a abordar os aspectos que ainda precisam ser superados e também a identificar os critérios que auxiliem gestores e profissionais de TI na escolha do OHIS mais adequado ao contexto. Conduzimos um Estudo de Mapeamento Sistemático para revisar a literatura e também extraímos repositórios de código-fonte de projetos OHIS. Empregamos métodos bem consolidados da comunidade de engenharia de software, e nos diferenciamos de trabalhos semelhantes pelo uso de um método mais sistemático e por avaliar projetos OHIS usando métricas e artefatos de engenharia de software. Encontramos 500 artigos e 151 projetos, selecionando 26 artigos para analisar detalhadamente e minerando 38 repositórios OHIS ativos. Mapeamos os benefícios e desafios na adoção de projetos OHIS e identificamos as características legais e técnicas dos mesmos. Propomos um mapa conceitual para ilustrar a relação entre todos os benefícios de adoção do OHIS. Em seguida, correlacionamos como os artefatos técnicos e documentais de um projeto OHIS afetam os seus benefícios e desafios esperados. Portanto, recomendamos um conjunto de artefatos e métricas, bem estabelecidas na comunidade OSS, como os critérios necessários para avaliar uma solução OHIS de uma perspectiva de engenharia de software.
Health Informatics Systems (HIS) draw more attention as their benefits are further explored and becoming more evident. The improvement of patient care and the quality of health services are examples of such advantages. Nevertheless, proprietary systems are not always viable due to their high costs. We investigated the benefits and challenges of Open-Source Health informatics Systems (OHIS) adoption discussed in the literature, and we also mapped the real-world OHIS projects, with their technical and community characteristics. Both results guide us to address the aspects that still need to be overcome and also to identify the criteria to help managers and IT professionals in choosing the most suitable OHIS for their context. We conducted a Systematic Mapping Study to review the literature and also mined source code repositories of OHIS projects. We employ well-consolidated methods from the software engineering community, and we differentiate from similar related works by the use of a more systematic method and also to evaluate OHIS projects using objective software engineering metrics and artifacts. We found 500 papers and 151 projects, selecting 26 works to analyze thoroughly and mining 38 active OHIS repositories. We mapped the benefits and challenges to adopt OHIS projects and identified the legal and technical characteristics of them. We propose a conceptual map to illustrate the relationship among all the OHIS adoption benefits. We then correlate how technical and documental artifacts from an OHIS project affect their expected benefits and challenges. Thus, we recommend a set of artifacts and metrics well established in the OSS community as the criteria necessary to evaluate an OHIS solution from a software engineering perspective. We address several challenges with a set of recommended aspects to OHIS project adoption to assist managers and IT professionals in evaluating OHIS solutions. Finally, we highlight the necessity of more research to cover specific technical challenges on OHIS adoption.
Health Informatics Systems (HIS) draw more attention as their benefits are further explored and becoming more evident. The improvement of patient care and the quality of health services are examples of such advantages. Nevertheless, proprietary systems are not always viable due to their high costs. We investigated the benefits and challenges of Open-Source Health informatics Systems (OHIS) adoption discussed in the literature, and we also mapped the real-world OHIS projects, with their technical and community characteristics. Both results guide us to address the aspects that still need to be overcome and also to identify the criteria to help managers and IT professionals in choosing the most suitable OHIS for their context. We conducted a Systematic Mapping Study to review the literature and also mined source code repositories of OHIS projects. We employ well-consolidated methods from the software engineering community, and we differentiate from similar related works by the use of a more systematic method and also to evaluate OHIS projects using objective software engineering metrics and artifacts. We found 500 papers and 151 projects, selecting 26 works to analyze thoroughly and mining 38 active OHIS repositories. We mapped the benefits and challenges to adopt OHIS projects and identified the legal and technical characteristics of them. We propose a conceptual map to illustrate the relationship among all the OHIS adoption benefits. We then correlate how technical and documental artifacts from an OHIS project affect their expected benefits and challenges. Thus, we recommend a set of artifacts and metrics well established in the OSS community as the criteria necessary to evaluate an OHIS solution from a software engineering perspective. We address several challenges with a set of recommended aspects to OHIS project adoption to assist managers and IT professionals in evaluating OHIS solutions. Finally, we highlight the necessity of more research to cover specific technical challenges on OHIS adoption.
Descrição
Citação
MINOHAR, G. ; ROCHA, C. ; COSTA, J. ; MEIRELLES, P. Benefits and challenges of open-source health informatics systems: A systematic search of projects and literature review. JMIR Preprints. 28/02/2020:18489