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This paper presents a review of five national health information systems in Ireland using a set of guiding principles and information governance standards that have been nationally agreed by the health information regulatory body there. The review uses a socio-technical approach to examine three dimensions of these systems; policy, infrastructure and people. The review was undertaken using documentary analysis of written materials about the systems from both primary and secondary data sources. The findings show that progress has been slow in the development of health information policy in Ireland and as a result, systems like those reviewed vary in how nationally agreed standards and principles have been applied. The paper concludes the need for a more consistent approach to national health information systems like those reviewed using agreed national standards.

A Socio-technical Review of Five National Health Information Systems in Ireland using Agreed National Standards