health it development issues in latin american and the caribbean roberto j rodrigues regional advisor for services information technology division of systems pan organization world washington dc expert consultation workshop a conceptual framework construction indicators october 16 17 2001 h infrastructure market metrics driving forces barriers l availability digital communication technologies cost recovery containment efficiency administrative processes eligibility claims reimbursement procurement supply management logistics healthcare cooperation is priority dynamic scheduling data dissatisfaction with system choice access quality continuous long term relationships anticipation needs demand customer service made to measure care convenience global sector trend setters 1 increased distributed multidisciplinary practice improved documentation error reduction accountability transparency biomedical knowledge reference protocols registries bases evidence based consumer participation mass storage retrieval structured