title: Survey on the status of the hospital information systems in Portugal.
abstract: OBJECTIVE
  To diagnose the hospital information systems' situation in Portugal.
  
  
  METHODS
  Developing a survey on HIS department heads.
  
  
  RESULTS
  Several weaknesses were identified in most HIS departments, such as substantial lack of people and of qualifications to deal with HIS challenges. The Nolan and McFarlan Matrix helped assess the SNS IS maturity at stage 3, characterized by the generalized lack of IS integration.
  
  
  CONCLUSIONS
  The results are very relevant to explain the many delays (and conflicts) in implementing HIS and therefore the actual status of HIS in Portugal. The most successful cases of HIS implementation were recognized as related to the existence of an active CIO. Complexity theory can further define guidelines for the development of HIS that help keep the navigation towards "smart healthcare".
authors: Instituto Nacional de Administração, Palácio dos Marqueses de Pombal, 2784-540 Oeiras, Portugal. luis.lapao@ina.pt
authors: L
authors: L
authors: Velez Lapão
mesh_terms: D000328:Adult; D003625:Data Collection; D004059:Diffusion of Innovation; D006751:Hospital Information Systems / Q000458:organization & administration* / Q000706:statistics & numerical data*; D006801:Humans; D008875:Middle Aged; D011174:Portugal