This special issue of the Health Informatics Journal contains papers from the 14th International Symposium for Health Information Management Research (ISHIMR 2009) hosted by the University of Kalmar (now Linnaeus University), Kalmar, Sweden in collaboration with the Centre for Health Information Management Research (CHIMR), University of Sheffield, 16-18 October 2009. The ISHIMR conference encourages researchers and practitioners working with information and communication technologies (ICTs) in the healthcare sector to present their latest research and developments. The theme for ISHIMR 2009 was 'Evaluation and implementation of e-health and health information initiatives: international perspectives' and a range of papers and posters on this theme were presented during the conference. This special issue contains six of the best papers from the conference, as reviewed by the ISHIMR 2009 Programme Committee. The selected papers are from a range of countries, i.e. the US, England, Wales and Malaysia, giving an international perspective, and utilize a range of qualitative and quantitative methodologies.
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