Part B - Information Systems and Information Technology Solutions

B.4.3. Selecting a Systems Architecture

Building, implementing, and managing systems in an open and distributed environment is a very
complex endeavor. As the user evaluates new solutions, the possible technological infrastructure
options provide the backdrop for a consistent methodology for assessing the fit of a solution, from
both a functional and an architectural perspective.
Such detailed evaluation of alternatives will permit reaching informed decisions regarding the balance
of short-term needs against long term objectives. Of course, there will still be situations where shortterm needs outweigh the desire to fully comply with the open architecture, resulting perhaps in the
implementation of one or more proprietary systems. However, these decisions should also be
informed decisions, with the pros and cons of these decisions clearly understood in advance, and
plans for evolution over time set in place from the onset.
In developing countries, it is important to consider the technological infrastructure of the health
services institution when evaluating systems architecture. Regional differences in technical
infrastructure, telecommunications capabilities, and IS&T personnel resources bring an additional
factor to bear on IS&T decisions. Also, it is important to consider the "life expectancy" of any system
and the rapid growth and early maturity that characterize today's systems. Users must be especially
careful to avoid investing in systems prone to early obsolescence.