Free and Open Source in Healthcare: Enough Waste

Nuno Rua



The process of Free and Open Source Software development is explained and compared with Proprietary Software development. The requirements and difficulties of implementing computer information systems in Healthcare environments is discussed, and some Free and Open Source Software projects in the area are cited. Some advantages of F/OSS over proprietary software for healthcare informatics environments are presented and measures to accelerate F/OSS adoption are suggested.


  1. C. DiBona et al., 1999. “Open Sources: Voices from the Open Source Revolution”, O'Reilly Media, Inc.
  2. M.Cusumano et al., 2007. “Perspectives on Free and Open Source Software”, The MIT Press.
  3. E.S. Raymond, 2001. “The Cathedral & the Bazaar: Musings on Linux and Open Source by an Accidental Revolutionary”, O'Reilly Media, Inc.
  4. T.S. Kuhn, 1996. “The Structure of Scientific Revolutions”, University Of Chicago Press.
  5. S. Weber, 2004. “The Success of Open Source”, Harvard University Press.
  6. A.M.S. Laurent, 2004. “Understanding Open Source and Free Software Licensing”, O'Reilly Media, Inc.
  7. J. Lerner and J. Tirole, 2004. “ECONOMIC PERSPECTIVES ON OPEN SOURCE” Intellectual Property and Entrepreneurship, JAI, pp. 33-69; science/article/B75FM-4C47MB8-3/1/7a64a45981b31c30acd7b844f3d7a6a8.
  8. D. Woods and G. Guliani, 2005. “Open Source for the Enterprise: Managing Risks, Reaping Rewards”, O'Reilly Media, Inc.
  9. K. Ven and H. Mannaert, Aug. 2008. “Challenges and strategies in the use of Open Source Software by Independent Software Vendors” Information and Software Technology, vol. 50, pp. 991-1002.
  10. J.P. Johnson, Nov. 2006. “Collaboration, peer review and open source software”, Information Economics and Policy, vol. 18, pp. 477-497.
  11. M. Dolores, Paula, and Salvador, Jun. 2008. “Designing a forecasting analysis to understand the diffusion of open source software in the year 2010”, Technological Forecasting and Social Change, vol. 75, pp. 672-686.
  12. R. Rajala, J. Nissilä, M. Westerlund, Jun. 2006. “Determinants of OSS Revenue Model Choices”, Proceedings of ECIS 2006, Gothenburg, Sweden.
  13. K.R. Lakhani and E. von Hippel, Jun. 2003. “How open source software works: "free" user-to-user assistance” Research Policy, vol. 32, pp. 923-943.
  14. S.T. Lee, H. Kim, and S. Gupta, vol. in Press. “Measuring open source software success” Omega, Corrected Proof; science/article/B6VC4- 4NX8N1G-1/1/52ca06677fde01f70459efa45491770a.
  15. M. Henley and Richard, “Open Source Software: An introduction”, Computer Law & Security Report, vol. 24, pp. 77-85.
  16. D. Cerri and A. Fuggetta, Nov. 2007. “Open standards, open formats, and open source” Journal of Systems and Software, vol. 80, pp. 1930-1937.
  17. G. von Krogh and E. von Hippel, Jul. 2003. “Special issue on open source software development”, Research Policy, vol. 32, pp. 1149-1157.
  18. G. von Krogh and S. Spaeth, Sep. 2007. “The open source software phenomenon: Characteristics that promote research”, The Journal of Strategic Information Systems, vol. 16, pp. 236-253.
  19. Kalwey, Nadine; Kooths, Stefan; Langenfurth, Markus, 2003, “Open Source-Software - Eine volkswirtschaftliche Bewertung [Open-Source Software - An Economic Assessment]” - MICE Economic Research Studies, Vol. 4, Münster 2003
  20. “IDABC - Open Source Observatory”; http://ec.
  21. “FLOSS report”; report/.
  22. “Open Source in Developing Countries - Publications - Sida”; jsp/sida.jsp?d=118& a=3055&language=en_US.
  23. “Software libre. Estudio del Programa IDA sobre el uso de los programas de fuentes abiertas en el Sector Público”;
  24. “Software libre: Propuesta de recomendaciones a la Administración General del Estado sobre utilización del software libre y de fuentes abiertas”; csi/pg5s44.htm.
  25. Kouroubali, Angelina. 2002. “Structuration Theory and Conception-Reality Gaps: Addressing Cause and Effect of Implementation Outcomes in Health Care Information Systems”. Proceedings of the 35th Hawaii International Conference on System Sciences.
  26. Lorenzi, N.M. and R.T. Riley, 1995. “Organizational aspects of health informatics. Computers in Health Care”, ed. K. Hannah and M. Ball. New York: Springer-Verlag.
  27. Sauer, C., 1998. “Deciding the future for IS failures-not the choice you might think”. in Rethinking MIS, W.L. Currie and R.D. Galliers, Editors., Oxford University Press: Oxford.
  28. Gardner, R. Davies keynote lecture in The Computer-based Patient Record Institute Conference. 1998. Washington, DC.
  29. Aarts, J. and V. Peel, “Using a descriptive model of change when implementing large-scale clinical information systems to identify priorities for further research”. International Journal of Medical Informatics, 1999. 56: p. 43-50.
  30. Sittig, D.F., “Grand challenges in medical informatics”. Journal of the American Medical Informatics Association, 1994. 1(5): p. 412-413.
  31. Forsythe, D.E. and B.G. Buchanan. “Broadening our approach to evaluating medical information systems”. In Fifteenth annual symposium on computer applications in medical care. 1992. Washington, D.C.: McGraw-Hill.
  32. Khalak, A., 2000. “Economic model for impact of open source software”. papers/osseconomics.pdf

Paper Citation

in Harvard Style

Rua N. (2009). Free and Open Source in Healthcare: Enough Waste . In Proceedings of the 1st International Workshop on Open Source in European Health Care: The Time is Ripe - Volume 1: Workshop OSEHC, (BIOSTEC 2009) ISBN 978-989-8111-79-1, pages 8-17. DOI: 10.5220/0001827800080017

in Bibtex Style

@conference{workshop osehc09,
author={Nuno Rua},
title={Free and Open Source in Healthcare: Enough Waste },
booktitle={Proceedings of the 1st International Workshop on Open Source in European Health Care: The Time is Ripe - Volume 1: Workshop OSEHC, (BIOSTEC 2009)},

in EndNote Style

JO - Proceedings of the 1st International Workshop on Open Source in European Health Care: The Time is Ripe - Volume 1: Workshop OSEHC, (BIOSTEC 2009)
TI - Free and Open Source in Healthcare: Enough Waste
SN - 978-989-8111-79-1
AU - Rua N.
PY - 2009
SP - 8
EP - 17
DO - 10.5220/0001827800080017