ArticleHealth research policy and systems2025
Serbian Health Information System (HIS) improvements 2021-2024: comparison study using stages of continuous improvement (SOCI) methodology.
Article in Health research policy and systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Digital maturity index instrument development for primary health care in Indonesia: a sequential exploratory mixed-methods approach.BMC health services research · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
backgroundThe Health Information System (HIS) in public healthcare services in Serbia was introduced in 2008, with the first comprehensive evaluation of its maturity conducted in 2021. Since then, several improvement initiatives have been implemented. This study aimed to assess the extent of HIS advancement between 2021 and 2024 and to identify both the desirable and realistic future maturity status.
methodsThe maturity assessment of the Serbian HIS in 2024 was conducted using the same tool as in 2021: The Health Information Systems Stages of Continuous Improvement (SOCI), enabling direct comparison between the two periods. Progress was measured across five domains: Leadership and Governance, Management and Workforce, Information and Communication Technologies (ICT), Standards and Interoperability, and Data Quality and Use. These domains covered 13 components and 39 single subcomponents, with their maturity stages being assessed on a 5-point Likert scale on the basis of the opinions of key informants and documented through a desk review. Higher scores indicate a higher level of development. Along with a current assessment of maturity, key informants identified desired maturity levels for the future, using the same scale. Data were presented as comparisons in total scores per domain in 2024 versus 2021, for both current and projected statuses.
resultsBetween 2021 and 2024, the overall maturity of the Serbian HIS improved by nearly 1 point (from 1.6/5 to 2.5/5). The same difference of 0.9 was observed between the current 2024 status and the future desired status (2.5 versus 3.4). The most notable improvements were observed in the HIS Strategic Plan under Leadership and Governance (2.5-point increase) and Business Continuity under ICT Infrastructure (2-point increase). The primary driver of progress over the past 3 years was the adoption of the national Program for Digitalization in the Health System of Serbia (eHealth Strategy) and its corresponding Action Plan, which served as a development blueprint.
conclusionsSubstantial progress in HIS maturity was achieved between 2021 and 2024, driven by strong governmental commitment, international donor support, and the engagement of dedicated national professionals. If current momentum and resourcing are sustained, the projected maturity levels are likely to be attainable in the near future.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.