The design and evaluation of social policies requires information systems that enable social intervention with the people targeted by the programmes and services and that also offer indicators for the follow-up and monitoring of the policies adopted. The article presents the process of validation of a tool for diagnosing situations of social difficulty arising from social exclusion. The scale has been implemented in one of Spain’s seventeen Autonomous Communities and has been selected on the basis of Good Practice under the European Social Fund. Expert judges were consulted for content validity; the metric properties of the scores obtained by the scale were examined and an exploratory factorial analysis (EFA) was performed to study the internal structure. The results show that the scale has adequate levels of content validity, construct validity and internal consistency. The SiSo Scale supplies a synthetic index of Social Position, providing professionals with the technical tools needed to carry out social diagnoses and simultaneously giving valid and reliable information on the social condition of people in a situation of social exclusion, which can guide social policy decision-making.

Although, the knowledge management (KM)-culture research has helped to validate the importance of cultural values for companies' KM initiatives and provided insights into some important values, it still lacks frameworks and analysis outlining how specific types of cultural values might relate to Knowledge Management system (KMS) adoption and subsequent outcomes. In this paper, we provide a three-dimensional framework to help managers articulate how culture affects their unit's ability to create, transfer, and apply knowledge through KMS use. To illustrate the application of the framework, we also present an exploratory case study we have performed in an international organization in the area of development assistance and capacity development.

Migrants are considered a key group at risk for HIV infection. This study describes differences between migrants and the Spanish-born population as they progress through the HIV care cascade in Catalonia, Spain. This study found that among people reached by prevention activities, migrants had a higher number of barriers to access HIV testing services than Spanish-born people, driven primarily by shared risk factors. Between 2001 and 2013, 9829 new HIV diagnoses were reported in Catalonia, the proportion of migrants increasing from 24% in 2001 to 41% in 2013. Compared with Spanish-born people, migrants had a higher proportion of women at diagnosis (24·6% vs. 16·7%), and were younger (median age of 33 vs. 37). The most frequent at-risk population was MSM (men who have sex with men) in both migrants and Spanish-born people, (40% and 43%, respectively), although there were significant differences by region of origin. People from sub-Saharan Africa had the highest proportion of late diagnosis (63·7%). Compared with the Spanish-born population, migrants on follow-up had a lower proportion of people on antiretroviral therapy (ART) (93·7% vs. 90·8%, P < 0·001) and with viral suppression (87·2% vs. 82·9%, P < 0·001). Migrants have higher number of barriers to access HIV testing services, lower retention rates and proportions on ART as compared with Spanish-born people, these differences not being uniform between migrants from different regions.

Euclid is the ESA M2 mission and a milestone in the understanding of the geometry of the Universe. In total Euclid will produce up to 26 PB per year of observations. The Science Archive Systems (SAS) belongs to the Euclid Archive System (EAS) that sits in the core of the Euclid Science Ground Segment (SGS). The SAS is being built at the ESAC Science Data Centre (ESDC), which is responsible for the development and operations of the scientific archives for the Astronomy, Planetary and Heliophysics missions of ESA. The SAS is focused on the needs of the scientific community and is intended to provide access to the most valuable scientific metadata from the Euclid mission. In this paper we describe the architectural design of the system, implementation progress and the main challenges from the data management point of view in the building of the SAS.

In the past 10 years, under the common problems of unemployment of people with a higher education and the devaluation of diplomas, the concepts and practices of higher education governance have emerged and have gradually been embedded in university operations. Higher education in Taiwan faces the same problems as the rest of the world. Thus, guided by policies of the Taiwanese Ministry of Education (TMOE) and fuelled by the media, the education-job gap is becoming a discursive truth. With this background, the TMOE has invested numerous resources to establish an information system (IS) that attempts to guide the direction of university education using information technology. If the IS is poorly designed, the scope of its side effects and harm will be magnified by a massive number of IS users and the characteristics of procedure standardisation. We suggest another form of action — IS competition, in which more positive social changes can be created. Based on the analysis of the available data, the action of IS competition does have a positive impact on society.

Mass casualty incidents are probably the greatest challenge to a hospital. When such an event occurs, hospitals are required to instantly switch from their routine activity to conditions of great uncertainty and confront needs that exceed resources. We describe an information system that was uniquely designed for managing mass casualty events. The web-based system is activated when a mass casualty event is declared; it displays relevant operating procedures, checklists, and a log book. The system automatically or semiautomatically initiates phone calls and public address announcements. It collects real-time data from computerized clinical and administrative systems in the hospital, and presents them to the managing team in a clear graphic display. It also generates periodic reports and summaries of available or scarce resources that are sent to predefined recipients. When the system was tested in a nationwide exercise, it proved to be an invaluable tool for informed decision making in demanding and overwhelming situations such as mass casualty events. (Disaster Med Public Health Preparedness. 2013;7:549–554)

The quality of routine mental health care is not optimal, it can vary greatly from region to region and among providers; in many occasions, it does not correspond to the standards of evidence-based mental health. To bridge this gap, the promotion of a systematic use of the information available for quality assurance would be most helpful, but measuring the quality of mental health care is particularly challenging. Quality measurement can play a key role in transforming health care systems, and the routine measurement of quality, using clinical indicators derived from evidence-based practice guidelines, is an important step to this end. In Italy, the use of clinical indicators is still sporadic: over the last 5 years only three projects have been aimed at analysing, in a structured way, the quality of care in severe mental illness, and two of these were led by the Italian Society of Psychiatric Epidemiology. Not only in Italy but also at global level there is an urgent need for the implementation of mental health information systems that could lead to a substantial improvement in information technology. Once this has been achieved, a common set of clinical indicators, agreed upon at the regional and national level and useful for benchmarking and for comparing mental health services, could be defined. Finally, using the implementation strategies, a system of quality improvement at both regional and local levels will be built.

Objectives: The aim of this study was to facilitate effective internal and external communication of an international network and to explore how to support communication and work processes in health technology assessment (HTA).

Structure and Methods: European network for Health Technology Assessment (EUnetHTA) connected sixty-four HTA Partner organizations from thirty-three countries. User needs in the different steps of the HTA process were the starting point for developing an information system. A step-wise, interdisciplinary, creative approach was used in developing practical tools.

Results: An Information Platform facilitated the exchange of scientific information between Partners and with external target groups. More than 200 virtual meetings were set up during the project using an e-meeting tool. A Clearinghouse prototype was developed with the intent to offering a single point of access to HTA relevant information. This evolved into a next step not planned from the outset: Developing a running HTA Information System including several Web-based tools to support communication and daily HTA processes. A communication strategy guided the communication effort, focusing on practical tools, creating added value, involving stakeholders, and avoiding duplication of effort.

Conclusions: Modern technology enables a new information infrastructure for HTA. The potential of information and communication technology was used as a strategic tool. Several target groups were represented among the Partners, which supported collaboration and made it easier to identify user needs. A distinctive visual identity made it easier to gain and maintain visibility on a limited budget.

Canadian hospitals gather few emergency department (ED) data, and most cannot track their case mix, care processes, utilization or outcomes. A standard national ED data set would enhance clinical care, quality improvement and research at a local, regional and national level. The Canadian Association of Emergency Physicians, the National Emergency Nurses Affiliation and l’Association des médecins d’urgence du Québec established a joint working group whose objective was to develop a standard national ED data set that meets the information needs of Canadian EDs. The working group reviewed data elements derived from Australia’s Victorian Emergency Minimum Dataset, the US Data Elements for Emergency Department Systems document, the Ontario Hospital Emergency Department Working Group data set and the Canadian Institute for Health Information’s National Ambulatory Care Reporting System data set. By consensus, the group defined each element as mandatory, preferred or optional, and modified data definitions to increase their relevance to the ED context. The working group identified 69 mandatory elements, 5 preferred elements and 29 optional elements representing demographic, process, clinical and utilization measures. The Canadian Emergency Department Information System data set is a feasible, relevant ED data set developed by emergency physicians and nurses and tailored to the needs of Canadian EDs. If widely adopted, it represents an important step toward a national ED information system that will enable regional, provincial and national comparisons and enhance clinical care, quality improvement and research applications in both rural and urban settings.