A Proposed Architecture for Implementing a Knowledge Management System in the Brazilian National Cancer Institute.

Abstract

Because their services are based decisively on the collection, analysis and exchange of clinical information or knowledge, within and across organizational boundaries, knowledge management has exceptional application and importance to health care organizations. This article proposes a conceptual framework for a knowledge management system, which is expected to support both hospitals and the oncology network in Brazil. Under this holistic single-case study, triangulation of multiple sources of data collection was used by means of archival records, documents and participant observation, as two of the authors were serving as INCA staff members, thus gaining access to the event and its documentation and being able to perceive reality from an insider point of view. The benefits derived from the present status of the ongoing implementation, so far, are: (i) speediness of cancer diagnosis and enhanced quality of both diagnosis and data used in epidemiological studies; (ii) reduction in treatment costs; (iii) relief of INCA’S labor shortage; (iii) improved management performance; (iv) better use of installed capacity; (v) easiness of massive (explicit) knowledge transference among the members of the network; and (vi) increase in organizational capacity of knowledge retention (institutionalization of procedures).