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    ANEVALUATIONOFTHEMANAGEMENTINFORMATIONSYSTEMANDTECHNOLOGY

    INHOSPITALS(GESITI/HOSPITALS) .

    Antonio Jos Balloni

    Centro de Tecnologia da Informao Renato Archer - CTI/MCTCampinas, SP, Brasil -

    [email protected]

    Abstract.

    The Center for InformationTechnology Renato Archer (CTI), located at Campinas/SP/Br,is a unit of the Ministry of Science and Technology (MCT) and, is coordinating a research projectinvolving several universities, from Brazil and abroad. The research project Management of System andInformation Technology in Hospitals (GESITI/Hospitals) has the purpose of mapping out the managementof Information Systems (IS) and Information Technology (IT) in hospitals, in order to identify theirneeds and demands, prospecting for unfolding, perform publication and, mainly, generate a IntegratedResearch Report (IRR) with a focus on, also, a Report Research Roadmap (RRR). This IRR/RRR is for

    open for free access, and should be used as decision making support by public and/or private managers.Currently the research is being carried out by nineteen universities: sixteen Brazilian, one

    Mexican, one Argentina, one from Slovakia, one from Czech Republic, one from Bulgarian and onePortuguese. An important initial result of this research work, which makes use of the Interpretative (orIntrospective) Methodology, has been the generation in Brazil of an unprecedented database regardinghospital management and, from which several important information is extracted. From each localinformation, obtained via Local Research Reports (LRR) where the research has been carried out (eachlocal includes the average of results obtained in five (5) hospitals); it becomes possible to undertake localdecision making. However, the main purpose of the project is the preparation, based on the integration ofall LRR, of an IRR/RRR for national decision-making support.

    For a better decision-making on issues of interest to managers regarding the better efficiencyand effectiveness of hospital management, public and/or private, the IRR/RRR will also present anintegrated comparative analyzes based on all LRR (from Brazil & Abroad).

    Although it has not been directly mentioned, the final result, ultimate, from the

    research should be a significant improvement on the hospital management and on the decision-

    making process. These results must reflect on peoples more satisfied regarding a better health

    care.

    This is a win-win project, since it is good for Brazil and good for all countries

    involved. The goal is to reach about one hundred (100) universities (local coordinators) involved.

    Key Words: Management, Information Systems, Information Technology, Information Systems

    in Hospitals, Hospitals Management.

    mailto:[email protected]:[email protected]:[email protected]
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    1. INTRODUCTION.

    The IT is redefining the bases of the business. Customer service, operations, strategies forproduct and marketing and distribution and even the knowledge management depend much, orsometimes even completely, of IS [02] . In a globalised information society, understanding themanagement and the responsible and efficient use of IS are a need for managers and othersknowledge employees. As in any other organization, in a hospital both the IT, as the IS permeatethe various hierarchical and functional levels. Thus, at the reception desk of an standard hospital

    is common to find patients recording systems (administrative systems), while in specialized unitsof this hospital should have the most sophisticated diagnostic equipment of diseases (clinicalsystems). Figure 01 presents a conceptual model of a Hospital Information System (HIS) withits Administrative Systems and Clinical Systems [03].

    Figure 01: Conceptual Model of a Hospital Information System (HIS):Administrative Systems and Clinical Systems. [03].

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    As occurs in others organizations, also in hospitals, the IT utilization and management levels arevaried and depend, among other things, about the maturity of hospital management. Based onthe research results (Prospective Questionnaire - PQ, section 2), is being possible to makecomparisons among the results obtained in Brazil as well abroad: the generation of an IRR/RRR.

    The goal is achieve one hundred universities committed with this research project (one hundredLRR), and the generation of an IRR/RRR. This IRR should enable the public/private manager amore reliable and general decision-making process. So, the mapping of the management of ISand IT in hospitals has as a main purpose to get, in an exploratory way, the development,operation, maintenance, and the management of IS that contribute to the hospitals to reach theirgoals [04].

    According to the registration in the CTI Management Information System and Technology (SIGTEC)[06], the Project GESITI/Hospitals [05] has been developed since 2003 but, its effectiveimplementation (application of the PQ) was compromised in favor of other activities in research

    and management, such as the Workshops GESITIs - today at the VIII edition Globalization andthe III edition, Health [07]. So, the Project GESITI/Hospitals as well the application of the PQhave started in the year of 2010 with the involvement of nineteen universities. The research hasbeen based on an original tool known as "Prospective Questionnaire - PQ" (Section 2), whichhas more than 100 closed and inter-related issues [08].

    Since 2010 a set of about one hundred researchers are working in this GESITI/Hospital projectaiming to map out the existing technological park in hospitals and at the same time, identifyingthe way in which their leaders make the management of the System and Information

    Technology. The goal is to reach about one hundred (100) universities committed with the goalsof the research and PQ application... The details of areas and topics to be mapped are describedin section 2, "Prospective Questionnaire".

    The challenge of this research is, since 2010, being formally integrated by several universities: onefrom Portugal, one from Mexico, one from Argentina and sixteen from Brazil. More recentlyseveral universities from Brazil and abroad has started to make part of this research process.

    The Table 01, Section 3, presents the all the universities and their respective Locals Coordinatorsresponsible by the research and data collection. It is understood bylocal a region or niche where

    the research will be applied in at least five (5) hospitals. The goal is to reach about one hundred

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    (100) universities (local coordinators) committed with the questionnaire application. There is notany distinction in the kind of hospital, see Appendix 1.

    The Project GESITI/Hospital, as already mentioned, involves dozens of doctors, teachers andtechnicians, is being coordinated by Project GESITI from CTI. The complete participation ofsixteen Brazilian micro regions and three abroad, has generated an inedited mass of data, both onthe management of IS and IT regarding Brazilian, Portuguese, Argentina and Mexican hospitals.

    The Section 3 presents details about the Research. In short: the research already shows someinteresting results. As we have written, the integration of all the results and others ongoing, willbe extremely important: each university will be conducting research in at least five (5) hospitals ...

    The Institutional Repository of the CTI, shows some preliminaries results: Research Reports and,for more advanced works, indexed publications (DOI number/Springer), [09]. The goal is toreach about one hundred universities (local coordinators) involved with the questionnaireapplication, generation of 100 LRR for a best IRR/RRR. There is not any distinction in the kindof hospital, see Appendix 1.

    2. PROSPECTIVE QUESTIONNAIRE [08].The development of an integrated research called An evaluation of the management IS and ITat hospitals in Brazil and abroad has been possible by action of the GESITI/hospital of CTI.GESITI project has created a data collection instrument called PQ for researches to be carriedout in the hospitals. This PQ, original and innovative, has been in creation since 2004. It wascreated through adjustments, additions and modifications and/or exclusions made in genericdatabases obtained through the Organization for Economic Co-operation and Development(OECD), the United Nations Conference onTrade and Development (UNCTAD), IndustrialResearch of Technological Innovation (PINTEC/IBGE) as well as ad hoc Google survey. It isnot known, up to this date, the existence of a similar PQ which had had the focus or

    object proposed: the exploration of the management of IS and IT in hospitals and thelook for unfolding. Figure 02 shows the contents of the research projectGESITI/Hospital, "Prospective Questionnaire ", which has more than one hundred(100) closed questions [08].

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    Figure 02:Summary of the Project GESITI/Hospitals, "Prospective QuestionnairePQ": 52 pages and one hundred (100) inter-related issues [08]. To haveaccess to the PQ, a term of cooperation must be signed between the ProjectGESITI/CTI/ and interested university/research institute.

    The questionnaire contains a definition of technical terms .

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    3. RESEARCH PARTICIPANTS.The field research and local data analysis are from responsibility of all participants who havesigned the CooperationTerm (TC). In each local where the research is being developed there isthe corresponding team with a respective Local Coordinator. Local means the region where theresearch is being carried out with the application of the PQ in at least five (5) hospitals. The goalis to reach about one hundred universities (local coordinators) committed with the PQapplication and, generation of an LRR.

    Currently, the following universities are part of the GESITI/Hospital Project, Table 01. Thesemembers have signed aTerm of Research Cooperation (TC), and Research LevelAgreement(RLA). This RLA/TC term is required by the fact that the questionnaire is confidential. Seefigure 02.

    TABLE 01 LOCAL COORDINATORS.

    Local Coordinators of the GESITI/Hospital Project: An Evaluation of the ManagementInformation System and Technology in Hospitals. The Researchers below, posted inbold, are the Local Coordinators of the Project GESITI/Hospitals.

    Local Coordinatorsand their Collaborators in the Project GESITI/Hospitals

    1. Centro de Tecnologia da Informao Renato ArcherCTI . Diviso de GestoEmpresarial, Projeto GESITI/gesiti!cti.gov.brAntonio Jos Balloni

    2. Universidad ESAN (http://www.esan.edu.pe), Dr. Jorge Talavera Traverso,Rector , Dr. Enrique Crdenas Ojeda, Director of the Master of Health ServicesManagement, Ms.Alexandra Vallejos MatosLocal Coordinator for the project.

    3. Instituto Superior de Contabilidade e Administrao do Porto(WWW.ISCAP.IPP.PT), Professor Olmpio Castilho (Presidente do ISCAP MestreRui Bertuzi da Silva coordenador Local pelo projeto.

    4. University of Economics Varna/Bulgaria (www.ue-varna.bg). Prof. Dr.Plamen Iliev (Rector) andAssoc.prof.Dr. Bistra Vassileva,Vice Dean of theFaculty of Management

    http://www.cti.gov.br/gesiti-dtsdhttp://www.cti.gov.br/gesiti-dtsdhttp://www.cti.gov.br/gesiti-dtsdhttp://www.esan.edu.pe/http://www.esan.edu.pe/http://www.esan.edu.pe/http://www.iscap.ipp.pt/http://www.iscap.ipp.pt/http://www.iscap.ipp.pt/http://www.ue-varna.bg/http://www.ue-varna.bg/http://www.ue-varna.bg/http://ue-varna.academia.edu/BistraVassilevahttp://ue-varna.academia.edu/BistraVassilevahttp://ue-varna.academia.edu/BistraVassilevahttp://ue-varna.academia.edu/BistraVassilevahttp://ue-varna.academia.edu/BistraVassilevahttp://www.ue-varna.bg/http://www.iscap.ipp.pt/http://www.esan.edu.pe/http://www.cti.gov.br/gesiti-dtsd
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    5. TUKE (Technical University of Kosice, Slovakia -www.ekf.tuke.sk): Prof.Dr.Beata Gavurova,Prof. Dr. Viera Pavlikovand Prof. Dr. Vincent olts.

    6. USP (USP/EACH): Prof. Dr.Joo Porto de Albuquerque,Prof. Dr. MarceloArno Nerling, Prof. Dr. Edmir ParadaVasques Prado e Dr. Homero Fonseca Filho;

    7. UAEM (Universidad Autnoma del Estado de Mxico) - Dr. Julio AlvarezBotello, Profa. Dra. Patricia Mercado Salgado, Dra. Eva Martha Chaparro Salinas,Doutoranda, Doutorando Juan Alberto Ruiz Tapia, Doutoranda.Laura Leticia LaurentMartnez e Doutoranda Araceli Romero Romero;

    8. Technical University of Liberec - School of Economics, Department ofinformatics - Czech RepublicEurope,Doc. Ing. Klara Antlova, Ph.D., Ing. JanaHol, Ph.D. Faculty of Health Studied, Department of Informatics, Management andRadiology, University of Pardubice, Doc. Dr. Ing. Olga Hasporova, TechnicalUniversity of Liberec, Faculty of Economics.

    9. University Trs-os-Montes e Alto Douro - Portugal - Prof. Dr. Joo EduardoQuintela Alves de Sousa Varajo e Prof.a Dra. Maria Manuela Cunha (InstitutoPolitcnico do Cvado e do Ave);

    10. UNSE_EDU (Universidad Nacional de Santiago del Estero -Argentina): Prof.aDra. Josefa Aida Delgado, Prof.a Rosa Esther Dinardo, Profa. Lic Mirta Paz;

    11. UNISUL - Universidade do Sul de Santa Catarina (http://www.unisul.br),Prof.a Dra. Clarissa Carneio Mussi, Prof. Dr. Ademar Dutra, Prof. Dr. RafaelFaraco. Mestrandos: Greice Medeiros Martins e Clarice de Souza Duarte

    12. UNIOESTE (UNIVERSIDADE ESTADUAL DO OESTE DO PARAN(Centro de Cincias Exatas e Tecnolgicas/Colegiado de Cincia da Computao)):Prof. Dr.Clodis Boscarioli, Prof. MSc. Rosely Sobral da Silva, e Prof. Willian TudiscoRodrigues -

    13. UFSC (Universidade Fed Sta Catarina): Profa. Dr.aAline Frana Abreu, Prof.Andr Albano, Prof.a Dra. Neiva A. Gasparetto e Prof. Dr. Leonardo Knihs Zierke

    14. UNICEUMA (Centro Universitrio do Maranho): Prof.a MestreCludiaArchere Prof. Dr.Will Ribamar Mendes Almeida, Prof. Dr. Andr RossannoMendes Almeida, Prof. MSc. Reinaldo de Jesus Silva e Prof. Jos Antnio Fecury

    15. UEPG (Univ Est Ponta Grossa): Dra.Diva Brecailo Abibe Doutoranda NelmaTerezinha Zubek Valente;

    http://www.ekf.tuke.sk/http://www.ekf.tuke.sk/http://www.ekf.tuke.sk/http://www.ekf.tuke.sk/http://www.ekf.tuke.sk/http://www.ekf.tuke.sk/http://lattes.cnpq.br/9426650405097319http://lattes.cnpq.br/9426650405097319http://lattes.cnpq.br/9426650405097319http://lattes.cnpq.br/7318288094515326http://lattes.cnpq.br/7318288094515326http://lattes.cnpq.br/2844207318576160http://lattes.cnpq.br/2844207318576160http://lattes.cnpq.br/2844207318576160http://lattes.cnpq.br/2844207318576160http://lattes.cnpq.br/8066818091120178http://lattes.cnpq.br/8066818091120178http://lattes.cnpq.br/8066818091120178http://lattes.cnpq.br/1278685609763769http://lattes.cnpq.br/1278685609763769http://lattes.cnpq.br/1278685609763769http://lattes.cnpq.br/1278685609763769http://buscatextual.cnpq.br/buscatextual/visualizacv.jsp?id=C18897http://buscatextual.cnpq.br/buscatextual/visualizacv.jsp?id=C18897http://buscatextual.cnpq.br/buscatextual/visualizacv.jsp?id=C18897http://buscatextual.cnpq.br/buscatextual/visualizacv.jsp?id=C18897http://lattes.cnpq.br/1278685609763769http://lattes.cnpq.br/1278685609763769http://lattes.cnpq.br/8066818091120178http://lattes.cnpq.br/2844207318576160http://lattes.cnpq.br/2844207318576160http://lattes.cnpq.br/7318288094515326http://lattes.cnpq.br/9426650405097319http://www.ekf.tuke.sk/http://www.ekf.tuke.sk/
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    16. UFS (Univ Fed Sergipe): Prof.a Dra.Adicinia Aparecida de Oliveira, Prof. Dr.Rogrio P.C. do Nacimento e Prof.a MSc Dbora Maria Coelho Nascimento eProfa. MSc Knia Kodel Cox;

    17. UFU (Uvers. Federal Uberl e Unipam): Profa. Dra.Mirna Tonus,Profa. Dra.Adriana Cristina Omena dos Santos, Prof. Dr. Eucdio Pimenta Arruda, Prof. Dr.Antnio Cludio Moreira Costa e Mestrando Marlon Wender Pinheiro Costa(Unipam);

    18. UFMT (Univ. Fed de Mato Grosso): Prof. Dr.Ruy Ferreira,Prof.a MSc.TatianaAnnoni Pazeto, Prof.a MSc.Soraia Silva Prietch, Prof.a MSc.Dbora AparecidaSilva Santos, Prof.a Esp.Liliam Carla Vieira Gimenes, Prof.a Esp. Camila LuccheseVeronesi;

    19. UFRRJ (DCAC/PPGEN/UFRRJ): Prof. Dr.Saulo Barbar de Oliveira, Prof.aDra. Heloisa Guimares Peixoto Nogueira, Prof.a Dra. Beatriz Quiroz Villardi,Prof. Dra. Adriana Soares de Schueler e Doutorando Gustavo Olivares;

    20. ITE (Faculdade de Cincias Econmicas de Bauru): Prof. Ms.Paulo FernandoRodrigues de Almeida, Prof. Dr. Jos Ricardo S. Carrijo, Profa. MsC Giovana

    Yuko Nakashima, Prof. MsC. Marcos Vinicio Bilancieri, Prof. Luiz Bertonha e

    Profa. Esp. Patricia Keli Botari;

    21. UFPB (Univ Fed Paraba): Prof.a DraSimone Bastos Paiva, MestrandaMarliaCaroline Freire Cunha, Mestrando Alexsandro Gonalves da Silva Prado,Mestranda Cristiane Gomes da Costa e Graduando Augusto Cezar Cunha e SilvaFilho;

    22. UFBA (Univ Fed. Bahia): Prof. Dr.aSnia Maria da Silva Gomes eNeylane dos Santos Oliveira;

    23. UFLA (Univ. Fed. de Lavras): Prof. Dr.Paulo Henrique de Souza Bermejo,Ariana de Melo Bueno, Prof. Dr. Andr Luiz Zambalde, Adriano Olmpio Tonelli(ps-graduado e consultor UFLA) e Msc. Dany Flvio Tonelli.

    24. UFAM (Uni Fed do Amazonas) : Prof.a Dra.Maria do Perptuo SocorroRodrigues Chavese Prof.a Talita de Melo Lira;

    25. SETREM (Sociedade Educacional Trs de Maio/RS): Prof. Ms. Fauzi deMoraes Shubeita, Prof. Ms. Rafael Soder, Prof. Ms. Gilberto Souto Caramo,Profa. Ms. Estela Maris Rossato e Profa. Ms. Vera Lcia L. Benedetti;

    http://lattes.cnpq.br/3395887313881726http://lattes.cnpq.br/3395887313881726http://lattes.cnpq.br/3395887313881726http://lattes.cnpq.br/7780938514523815http://lattes.cnpq.br/7780938514523815http://lattes.cnpq.br/7780938514523815http://lattes.cnpq.br/6825801458186734http://lattes.cnpq.br/6825801458186734http://lattes.cnpq.br/6825801458186734http://lattes.cnpq.br/6825801458186734http://lattes.cnpq.br/0247628533800844http://lattes.cnpq.br/0247628533800844http://lattes.cnpq.br/0247628533800844http://lattes.cnpq.br/2831888349247517http://lattes.cnpq.br/2831888349247517http://lattes.cnpq.br/2831888349247517http://lattes.cnpq.br/2831888349247517http://lattes.cnpq.br/0784559041772247http://lattes.cnpq.br/0784559041772247http://lattes.cnpq.br/0784559041772247http://lattes.cnpq.br/6665895901535071http://lattes.cnpq.br/6665895901535071http://lattes.cnpq.br/6665895901535071http://lattes.cnpq.br/6665895901535071http://lattes.cnpq.br/3105186524832213http://lattes.cnpq.br/3105186524832213http://lattes.cnpq.br/3105186524832213http://lattes.cnpq.br/9012704117180126http://lattes.cnpq.br/9012704117180126http://lattes.cnpq.br/9012704117180126http://lattes.cnpq.br/0251938411548526http://lattes.cnpq.br/0251938411548526http://lattes.cnpq.br/0251938411548526http://lattes.cnpq.br/0251938411548526http://lattes.cnpq.br/9428400084088447http://lattes.cnpq.br/9428400084088447http://lattes.cnpq.br/9428400084088447http://lattes.cnpq.br/9428400084088447http://lattes.cnpq.br/9428400084088447http://lattes.cnpq.br/0251938411548526http://lattes.cnpq.br/0251938411548526http://lattes.cnpq.br/9012704117180126http://lattes.cnpq.br/3105186524832213http://lattes.cnpq.br/6665895901535071http://lattes.cnpq.br/6665895901535071http://lattes.cnpq.br/0784559041772247http://lattes.cnpq.br/2831888349247517http://lattes.cnpq.br/2831888349247517http://lattes.cnpq.br/0247628533800844http://lattes.cnpq.br/6825801458186734http://lattes.cnpq.br/7780938514523815http://lattes.cnpq.br/3395887313881726
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    26. IMED (Faculdade Meridional RS/Passo Fundo):Prof. Msc Willian Zanella,Prof.a Adriele Busatto do Carmo

    27. UBI (Universidade da Beira Interior- Departamento de Gesto e Economiada Universidade da Beira Interior -UBI/PT Departamento de Gesto eEconomia),Profa. Dra. Anabela Almeida, Prof. Dr. Paulo Pinheiro , Prof. Dr.Miguel Castelo Branco, Vasco Teixeira Lino

    28. UEL (Universidade Estadual de Londrina)Prof.a. Dra. Marcia ReginaGabardo da Camara, Prof.a Dra., Ndina Moreno, Prof. Dr. Saulo Fabiano

    Amncio, Doutorando Prof. Vanderley Jos Sereia, Mestrando Renato FabianoCintra e Graduando Alberth Venson.

    29. IFRR(Instituto Federal de Educao, Cincia e Tecnologia de Roraima),Prof. Dr. Jaci Lima da Silva(Pr-reitor de Pesquisa, Ps-graduao e Inovao

    Tecnolgica) Coordenador Local pelo projeto, a professora MSc. Cleide MariaFernandes Bezerra.

    It is understood by LOCAL the region where the research is being or will be developed,and which must have at least five (5) hospitals. These hospitals should be chosen at

    random by the Local coordinators. The Researchers above, posted in bold, are the LocalCoordinators of the Project GESITI/Hospitals. The local coordinator and his team arethe responsible for applying the PQ. The analysis and interpretation of the data shall becarried out by researchers in collaboration.The goal is to reach about one hundred (100)universities (local coordinators) committed with the research and generation of a LRR. So,it is a must to have the TC/ RLA signed by the local coordinator. There is not anydistinction in the kind of hospital, see Appendix 1.

    The membership of the research is voluntary, but it is required the signature of a TC/RLA sincethe PQ is confidential. Currently, the number of employees participating still does not cover allthe Brazilian Federative states and, the goal is to broaden the research (Table 01) to about onehundred universities (local coordinators). The figure 03 shows the five major Brazilians regions(geographical distribution of participating institutions) where the research has been concluded(PQ application). Also presents the others countries where the research has been concluded.

    http://lattes.cnpq.br/8604506037096123http://lattes.cnpq.br/8604506037096123http://lattes.cnpq.br/8604506037096123http://www.dge.ubi.pt/http://www.dge.ubi.pt/http://www.dge.ubi.pt/http://lattes.cnpq.br/8500685908461699http://lattes.cnpq.br/8500685908461699http://lattes.cnpq.br/8500685908461699http://lattes.cnpq.br/8500685908461699http://lattes.cnpq.br/5983985428026759http://lattes.cnpq.br/5983985428026759http://lattes.cnpq.br/5983985428026759http://lattes.cnpq.br/8500685908461699http://lattes.cnpq.br/8500685908461699http://www.dge.ubi.pt/http://lattes.cnpq.br/8604506037096123
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    Courtesy from Prof. Dr. Ruy Ferreira Local Coordenator UFMT/MT.

    Figure 03 Geographical distribution of the participating universities.At each Local identified on the map, the PQ should, where possible, beapplied in at least five (5) hospitals. The goal is to reach about onehundred universities in this research project. There is no distinction onthe kind of hospital, see Appendix 1. The universities showed abovemeans the ones where the research has been concluded.

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    4. METHODOLOGY.This section refers to the methodological procedures that have been applied to the researchthrough the PQ (see figure 02, the content of the PQ).

    The research is characterized as qualitative and exploratory. The exploratory studies orformulators have as objective to familiarize or to achieve understanding of the phenomenon,often to make or to express a more precise research problem or to create new hypotheses

    (unfolding). This research fits in these characteristics. [10].

    The chosen of hospitals are at random and are from responsibility of the Local Coordinator.(Table 01). The numbers of hospitals where the questionnaire must be applied are, wherepossible, at least five (5). A formal procedure (Informed Consent - See Appendix I), must beused to obtain access and permission to carry out the research inside of each hospitals. Thisletter, Informed Consent, should be given in two-way and signed in the act. One or morerepresentatives must be designated by the hospital to respond the questionnaire.

    The research should be carried out through direct interview with the representatives of eachhospital, which should answer the questions accordingly the item or theme described by the PQ.

    The research must be applied in person (interviewer) to the one responsible by the area ofinterest (figure 02): the PQ must not be left to be answered without the presence of theinterviewer. This is an important procedure since it will avoid distortions or bias in the results,reducing the responses reliability.

    There are three factors that determine the kind of search strategy to be used: the kind ofresearch question; the degree of control that the researcher has on the behavioral events; and thedegree of focus on contemporary or historical event [11]. This research aims to analyze the

    management of IS and IT in Brazilian hospitals, through the study of contemporary events,which do not require control. As a consequence, the strategy of the case study is appropriate.

    In this way, as already mentioned, the methodology to be used in this research is Interpretative(or Introspective), [12]. In the interpretative approach the project chose the qualitative study [13].

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    5. EXPECTED RESULTS.

    The main expected results are:

    1.2 Region or niche: the region chosen for analysis of the IS and IT management in hospitalsare from Local Coordinator responsibility as it is the generation of the LRR. The Local result ofthe analyses (Local means application of the questionnaire in at least five (5) hospitals in the

    region surveyed) can be used for making local decisions by its LRR. The second part,2.2 Integrated results: these results deals with an integrated analysis from all regions surveyed(the integration of all LRR). The goal is to reach about one hundred universities (localcoordinators) committed with the PQ application for a best IRR/RRR generation. TheIRR/RRR is strategic since it will facilitate the public and/or private managers to make

    a more comprehensive and assertive decision regarding hospitals management.

    The Pilot project GESITI/Hospital aims to map the management of IS and IT in Hospitals. Ithas covered the themes presented in figure 02.

    CTIRENATOARCHERBYMEANSOFITSGESITIPROJECTHASBEENCOORDINATING

    THEEXPLORATION OFDATARELATEDTOTHEMANAGEMENTOFISANDIT.THEPROJECTCONCLUDED THEDATACOLLECTIONFROMMEXICO,PORTUGAL,ARGENTINAANDBRAZIL. THE REFERENCE 08 PRESENTS ALL RESULTS OBTAINED.NEWSUNIVERSITIES AREENGAGINGAND, THE GOALISTOREACHONEHUNDREDUNIVERSITIES.

    The Project GESITI/Hospitals aims do deep the comprehensiveness of this research. Among

    the several expected results for this research, it is hoped: to bring timely and integratedqualified information to the public and or private hospital managers. This will be the

    great merit of this project: an IRR/RRR document as a source for decision making

    support for public and or private managers interested in the theme.

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    6. REFERENCES.

    [01] - a) - Research Road Map - http://researchroadmap.org/content.fcg/ResearchRoadmap -last access July 2011

    b) - Research Road Map -http://www.cs.bham.ac.uk/research/projects/cosy/presentations/munich-roadmap-0701.pdf

    last access July 2011[02] - BALLONI, A. J. Por Que GESITI? - Por que gesto em sistemas e tecnologias de informao?

    Campinas: Editora Komedi, 2006. p. 11-56.http://www.cti.gov.br/noticiaseeventos/2006/gesiti/pdf/livro_por_que_gesiti.pdf, ltimo acesso 06Julho/2011[03] - SUN, Violeta. Contribuio ao Estudo da Evoluo de Infraestruturas de Informao: Um caso de sistemahospitalar. Tese de Doutorado/USP/2010 - http://www.teses.usp.br/teses/disponiveis/12/12139/tde-28072010-161737/publico/VioletaSunTese.pdf - ltimo acesso: 06 Julho/2011[04] - HAMILTON, Scott, CHERVANY, Norman L.Evaluating information system effectiveness - part I:comparing evaluation approaches. MIS Quarterly, v.5, p.55-69. 1981[05] BALLONI, A.J. Projeto GESITI Hospitalar - "Uma avaliao da GEsto em SIstemas e Tecnologias deInformao em Hospitais", 2011 -http://www.cti.gov.br/images/stories/cti/atuacao/dtsd/gesiti/hospitalar.pdf- ltimo acesso: 06Julho/2011

    [06]

    SIGTEC/CTI/MCT - Sistema de Informaes Gerenciais e Tecnolgicas2011 -http://www.cti.gov.br/index.php/dtds-projetos/sigtec.htmlltimo acesso: 06 Julho/2011[07] - VIII - Workshop GESITI/2011 - VIII Workshop GESITI/Globalizao y loseventos acoplados I Congreso de Competitividad Organizacional y III GESITI/Sade.http://www.dep.uaemex.mx/fca/Congreso_1/paginas/principal.html ltimo acesso: 06 Julho/2011[08] BALLONI, Antonio Jos, Questionrio ProspectivoRegistrado na Biblioteca Nacional comoObra no publicada sob Nr. 570.379, Livro 1088, fiolha 447, Agosto 2012, ou;http://www.cti.gov.br/images/stories/cti/gesiti/CERTIDAO_DE_REGISTRO_QUESTIONARIO_PROSPECTIVO.pdf, ltimo acesso em 28/AGO/2012.[09] CTI/MCT., Repositrio de Informaes do CTIGesto Hospitalar. Todos os Relatrios de Pesquisas e,alguns artigos esto disponvel em formato pdf nesse link:http://repositorio.cti.gov.br/repositorio/simple-search?query=Balloniltimo acesso: 06 Julho/2011

    [10] - SELLTIZ, JAHODA, DEUTSCH & COOK.Mtodos de Pesquisa nas Relaes Sociais. So Paulo:Editora da Universidade de So Paulo (trabalho originalmente publicado em 1951), 1975.[11] - YIN, Robert K. Estudo de caso planejamento e mtodos. 3. ed. Porto Alegre: Bookman, 2005.[12] - PADRN Jos G. 2001. La estructura de los procesos de investigacin. In: REVISTA EDUCACIN YCIENCIAS HUMANAS. Ao IX, n 17 julio-diciembre de 2001. Decanato de Postgrado, UniversidadNacional Experimental Simn Rodrguez. Caracas. p. 33. Disponvel em:http://padron.entretemas.com/Estr_Proc_Inv.htm. Acesso em 19/10/2010.[13] - MARTINS, Gilberto de Andrade. 1994.Metodologias Convencionais e No-convencionais e a Pesquisa emAdministrao. Caderno de Pesquisas em Administrao - PPGA/FEA/USP, n. 1, p. 2 - 6, janeiro 1995.Disponvel em: http://www.ead.fea.usp.br/cad-pesq/arquivos/C00-art01.pdf. Acesso em: 22/06/2010.

    http://researchroadmap.org/content.fcg/ResearchRoadmaphttp://www.cs.bham.ac.uk/research/projects/cosy/presentations/munich-roadmap-0701.pdfhttp://www.cti.gov.br/noticiaseeventos/2006/gesiti/pdf/livro_por_que_gesiti.pdfhttp://www.teses.usp.br/teses/disponiveis/12/12139/tde-28072010-161737/publico/VioletaSunTese.pdfhttp://www.teses.usp.br/teses/disponiveis/12/12139/tde-28072010-161737/publico/VioletaSunTese.pdfhttp://www.cti.gov.br/images/stories/cti/atuacao/dtsd/gesiti/hospitalar.pdfhttp://www.cti.gov.br/index.php/dtds-projetos/sigtec.htmlhttp://www.dep.uaemex.mx/fca/Congreso_1/paginas/principal.htmlhttp://www.cti.gov.br/images/stories/cti/gesiti/CERTIDAO_DE_REGISTRO_QUESTIONARIO_PROSPECTIVO.pdfhttp://www.cti.gov.br/images/stories/cti/gesiti/CERTIDAO_DE_REGISTRO_QUESTIONARIO_PROSPECTIVO.pdfhttp://repositorio.cti.gov.br/repositorio/simple-search?query=Ballonihttp://padron.entretemas.com/Estr_Proc_Inv.htm.%20Acesso%20em%2019/10/2010http://padron.entretemas.com/Estr_Proc_Inv.htm.%20Acesso%20em%2019/10/2010http://repositorio.cti.gov.br/repositorio/simple-search?query=Ballonihttp://www.cti.gov.br/images/stories/cti/gesiti/CERTIDAO_DE_REGISTRO_QUESTIONARIO_PROSPECTIVO.pdfhttp://www.cti.gov.br/images/stories/cti/gesiti/CERTIDAO_DE_REGISTRO_QUESTIONARIO_PROSPECTIVO.pdfhttp://www.dep.uaemex.mx/fca/Congreso_1/paginas/principal.htmlhttp://www.cti.gov.br/index.php/dtds-projetos/sigtec.htmlhttp://www.cti.gov.br/images/stories/cti/atuacao/dtsd/gesiti/hospitalar.pdfhttp://www.teses.usp.br/teses/disponiveis/12/12139/tde-28072010-161737/publico/VioletaSunTese.pdfhttp://www.teses.usp.br/teses/disponiveis/12/12139/tde-28072010-161737/publico/VioletaSunTese.pdfhttp://www.cti.gov.br/noticiaseeventos/2006/gesiti/pdf/livro_por_que_gesiti.pdfhttp://www.cs.bham.ac.uk/research/projects/cosy/presentations/munich-roadmap-0701.pdfhttp://researchroadmap.org/content.fcg/ResearchRoadmap
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    APPENDIX 1. .

    INFORMED CONSENT

    Dear Mr. Hospital Director a) From Universityb) - From Municipal Publicc) - Privated) - From Foundationf) - Philanthropic

    g) Any other

    AS PREVIOUSLY CONTACT, THE RESEARCHER PROF.DR.XXX ORSTUDENT XXX WILL BE APPLYING THEPROSPECTIVE QUESTIONNAIRE, THE PROJECT GESITI/HOSPITALS ANEVALUATIONOFTHEMANAGEMENT INFORMATIONSYSTEM(IS)ANDTECHNOLOGY(IT)INHOSPITALS

    AND, HE WILL BE RESPONSIBLE FOR THIS ACTIVITY.THIS WORK IS BEING DEVELOPED IN COOPERATION BETWEENTHE UNIVERSITY XXX AND THE PROJECT GESITI OF THE CENTER FOR INFORMATION TECHNOLOGY CTIRENATO ARCHER, WHICH HAS BEEN COORDINATED BY THE RESEARCHER ANTONIO J.BALLONI (AUTHOR OF THEQUESTIONNAIRE PROSPECTIVE TO BE APPLIED).

    THE RESEARCH HAS AS OBJECTIVE TO MAKE A REVIEW OF THE EXISTING MANAGEMENT OF IT AND IS IN

    HOSPITALS OF THE REGION. A FIRST BENEFIT FOR EACH HOSPITAL WILL BE THE KNOWLEDGE OF ITS IT

    PARK. ONE POSSIBLE RESULT WILL BE THE COMPARISON AMONG THE HOSPITALS OF THE REGION AND,

    ANOTHER RESULT WILL BE THE INFORMATION ON WHICH AREAS CAN BE MADE INVESTMENTS (SEE

    PROSPECTIVE QUESTIONNAIRE). THIS STUDY IS CONSIDERED TO BE RELEVANT SINCE IT WILL ALLOW THE

    SCIENTIFIC KNOWLEDGE DEEPENING ABOUT THE SUBJECT AND, CONSEQUENTLY FACILITATING THE

    HOSPITAL DEVELOPMENT AS A WHOLE.

    The scientific publications generated in this research will not be reveal any information about the hospital, nor ahospital will know about the information of another. Only the integrated data by region will be published. This isa commitment of those involved in this work is under the responsibility of action of researcher Prof. Dr. XXX ORStudent XXX, whose involvement in this work and voluntary, collaborative and integrated with the otherresearchers mentioned below. Therefore, it is guaranteed that the information obtained will be kept confidentialand the results obtained in the survey will be used only for achieving the objective of the study, mentionedabove, including its publication in the specialized scientific literature. The participation in this research does notbring the involved losses or financial benefits or professionals.

    If you agree to this Informed Consent, sign your name below and allos us access to the dependencies of thehospital mentioned.

    Yours Truly;______________________

    Prof. Dr. XXXXX University XXX www. XXXXPhone: xx XXXXXXXX

    Prof. Prof. Dr.Site Telephone

    Prof. Dr. XXXXX University XXX www. XXXXPhone: xx XXXXXXXX

    Prof. Prof. Dr.Site Telephone

    I have been clarified and I am allowing that the information I have provided may be used in this research

    study. Also, I am aware I will receive a full copy of this Informed Consent as well the local data from our

    hospital.

    Signature: Date

    Date