File(s) not publicly available

Towards sustainability of health information systems : how can we define, measure and achieve it?

conference contribution
posted on 2017-12-06, 00:00 authored by Sebastian GardeSebastian Garde, Carola HullinCarola Hullin, R Chen, T Schuler, J Gränz, P Knaup, Evelyn HovengaEvelyn Hovenga
Health information systems (HIS) in their current form arerarely sustainable. In order to sustain our health information systems and with it our health systems, we need to focus on defining and maintaining sustainable Health Information System building blocks or components. These components need to be easily updatable when clinical knowledge (or anything else) changes, easily adaptable when business requirements or processes change, and easily exchangeable when technology advances. One major prerequisite for this is that we need to be able to define and measure sustainability, so that it can become one of the major business drivers in HIS development. Therefore, this paper analyses general definitions and indicators for sustainability, and analyses their applicability to HIS. We find that general ‘Emergy analysis’ is one possibility to measure sustainability for HIS. Based on this, we investigate major enablers and inhibitors to sustainability in a high level framework consisting of four pillars: clinical, technical, socio-technical, and political/business.


Category 1 - Australian Competitive Grants (this includes ARC, NHMRC)


Start Page


End Page


Number of Pages


Start Date





Brisbane, Qld.


IOS Press

Place of Publication


Peer Reviewed

  • Yes

Open Access

  • No

External Author Affiliations

Austin Health (Heidelberg, Vic.); Fachhochschule Ulm; Faculty of Business and Informatics; Universitetet i Linköping; Universität Freiburg im Breisgau; Universität Heidelberg;

Era Eligible

  • Yes

Name of Conference

World Congress on Health (Medical) Informatics.