A context-aware framework for health care governance decision-making systems: A model based on the Brazilian Digital TV

This paper proposes a governance decision-making framework for public health care systems. It encompasses and integrates data about family homes in a new intelligent health care information system. In order to support end-user interactions, the framework has been built on the GINGA middleware developed for the Brazilian Digital TV, whose full access will be country-wide in 2015. Based on five governance fields, namely knowledge, normative, clinical-epidemiological, administrative, and shared management, the framework relies on an Optical-WiMAX communication infrastructure (Brazilian Digital Belt), which will reach 82% of urban population in the Ceara State. In addition, we present a case study showing how the framework could be used for improving health care governance decisions.