Methodological Framework for Assessing the Performance of Health Statistics Information Systems in Cuba
Keywords:
Health Information Systems; Data Management; Medical Informatics; Decision MakingAbstract
Introduction: health information systems are an essential component for evidence-based decision-making and the digital transformation of the healthcare sector. Within these systems, Health Statistical Information Systems play a critical role in generating data on morbidity, mortality, health services, and related processes.
Objective: to design a methodological framework to assess the performance of health statistical information systems in Cuba.
Methods: a technological and methodological development study was conducted, grounded in a document review and analysis of international reference frameworks: the Pan American Health Organization's IS4H-MM maturity model, the PRISM framework, and current national regulations and standards. Unstructured expert consultation and modeling methods were employed to structure all components of the proposal.
Results: a multidimensional assessment framework was established, encompassing data sources, information products, quality and interoperability standards, governance, and Information Technology infrastructure. This framework is organized into five progressive maturity levels (Initiated, Developing, Defined, Integrated, and Optimized Integrated). The instrument operationalizes the evaluation through qualitative and quantitative items and outlines an analytical procedure to yield a gap profile and an overall weighted index.
Conclusions: the developed methodological framework provides a flexible, contextualized, and action-oriented tool for diagnosing the state of health statistical information systems in Cuba, enabling the identification of operational gaps and guiding continuous improvement in healthcare delivery.
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