{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T09:47:30Z","timestamp":1769507250309,"version":"3.49.0"},"reference-count":55,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T00:00:00Z","timestamp":1677542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Foundation for Science and Technology","award":["UIDB\/00127\/2020"],"award-info":[{"award-number":["UIDB\/00127\/2020"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Purpose: This study aimed to reflect on the challenges of Health Information Systems in Portugal at a time when technologies enable the creation of new approaches and models for care provision, as well as to identify scenarios that may characterize this practice in the future. Design\/methodology\/approach: A guiding research model was created based on an empirical study that was conducted using a qualitative method that integrated content analysis of strategic documents and semi-structured interviews with a sample of fourteen key actors in the health sector. Findings: Results pointed to the existence of emerging technologies that may promote the development of Health Information Systems oriented to \u201chealth and well-being\u201d in a preventive model logic and reinforce the social and management implications. Originality\/value: The originality of this work resided in the empirical study carried out, which allowed us to analyze how the various actors look at the present and the future of Health Information Systems. There is also a lack of studies addressing this subject. Research limitations\/implications: The main limitations resulted from a low, although representative, number of interviews and the fact that the interviews took place before the pandemic, so the digital transformation that was promoted was not reflected. Managerial implications and social implications: The study highlighted the need for greater commitment from decision makers, managers, healthcare providers, and citizens toward achieving improved digital literacy and health. Decision makers and managers must also agree on strategies to accelerate existing strategic plans and avoid their implementation at different paces.<\/jats:p>","DOI":"10.3390\/healthcare11050712","type":"journal-article","created":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T03:29:46Z","timestamp":1677554986000},"page":"712","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Are Health Information Systems Ready for the Digital Transformation in Portugal? Challenges and Future Perspectives"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7791-1932","authenticated-orcid":false,"given":"Leonor","family":"Teixeira","sequence":"first","affiliation":[{"name":"Department of Economics, Management, Industrial Engineering and Tourism (DEGEIT), Institute of Electronics and Informatics Engineering of Aveiro (IEETA)\/Intelligent Systems Associate Laboratory (LASI), University of Aveiro, 3810-193 Aveiro, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7497-9288","authenticated-orcid":false,"given":"Irene","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Associa\u00e7\u00e3o Portuguesa de Sistemas de Informa\u00e7\u00e3o (APSI), 4800-058 Guimar\u00e3es, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4095-3431","authenticated-orcid":false,"given":"Jorge","family":"Oliveira e S\u00e1","sequence":"additional","affiliation":[{"name":"Department of Information Systems, Centro ALGORITMI, University of Minho, 4800-058 Guimar\u00e3es, Portugal"}]},{"given":"Filipe","family":"Madeira","sequence":"additional","affiliation":[{"name":"Department of Informatics and Quantitative Methods, Research Centre for Arts and Communication (CIAC)\/Pole of Digital Literacy and Social Inclusion, Polytechnic Institute of Santar\u00e9m, 2001-904 Santarem, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1007\/978-3-030-67716-9_10","article-title":"Leveraging Digital Transformation Technologies to Tackle COVID-19: Proposing a Privacy-First Holistic Framework","volume":"Volume 348","author":"Arpaci","year":"2021","journal-title":"Emerging Technologies During the Era of COVID-19 Pandemic"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1321","DOI":"10.1007\/s12553-021-00598-8","article-title":"The potential and challenges of Health 4.0 to face COVID-19 pandemic: A rapid review","volume":"11","year":"2021","journal-title":"Health Technol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1186\/s12961-020-00585-x","article-title":"Contributions of information and communications technology to future health systems and Universal Health Coverage: Application of Japan\u2019s experiences","volume":"18","author":"Nomura","year":"2020","journal-title":"Health Res. 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