Supporting Information Management for Regional Health Information Systems by Models with Communication Path Analysis

Author(s):  
A. Winter ◽  
B. Brigl ◽  
O. Heller ◽  
U. Mueller ◽  
A. Struebing ◽  
...  
2007 ◽  
Vol 46 (04) ◽  
pp. 476-483 ◽  
Author(s):  
M. Marschollek ◽  
K.-H. Wolf ◽  
R. Haux ◽  
O. J. Bott

Summary Objectives: To analyze utilization of sensor technology in telemonitoring and home care and to discuss concepts and challenges of sensor-enhanced regional health information systems (rHIS). Methods: The study is based upon experience in sensor-based telemedicine and rHIS projects, and on an analysis of HIS-related journal publications from 2003 to 2005 conducted in the context of publishing the IMIA Yearbook of Medical Informatics. Results: Health-related parameters that are subject to sensor-based measurement in home care and tele-monitoring are identified. Publications related to tele-monitoring, home care and smart houses are analyzed concerning scope and utilization of sensor technology. Current approaches for integrating sensor technology in rHIS based on a corresponding eHealth infrastructure are identified. Based on a coarse architecture of home care and telemonitoring systems ten challenges for sensor-enhanced rHIS are identified and discussed: integration of home and health telematic platforms towards a sensor-enhanced telematic platform, transmission rate guarantees, ad hoc connectivity, cascading data analysis, remote configuration, message and alert logistic, sophisticated user interfaces, unobtrusiveness, data safety and security, and electronic health record integration. Conclusions: Utilization of sensor technology in health care is an active field of research. Currently few research projects and standardization initiatives focus on general architectural considerations towards suitable telematic platforms for establishing sensor-enhanced rHIS. Further research finalized by corresponding standardization is needed. Part 2 of this paperwill present experiences with a research prototype for a sensor-enhanced rHIS telematic platform.


Author(s):  
C. R. Ranjini ◽  
Sundeep Sahay

Large investments are being made to reform the health sector in developing countries as the various reports that indicate this potential of ICT is not being fully realized on the ground in particular settings. In this chapter, an empirical investigation of the introduction of health information systems in the primary health-care sector in India is reported. Three cases—the India Health Care Project, Family Health Information Management System, and Integrated Health Information Management Systems—are presented. The authors argue against adopting a technocentric approach during the development of the HIS and suggest that these efforts should be sensitive to the sociotechnical context. Furthermore, a variety of constraints are identified. The chapter concludes with a discussion on the potentials of integration to address some of the identified constraints.


Author(s):  
C. R. Ranjini ◽  
Sundeep Sahay

Large investments are being made to reform the health sector in developing countries as the various reports that indicate this potential of ICT is not being fully realized on the ground in particular settings. In this chapter, an empirical investigation of the introduction of health information systems in the primary health-care sector in India is reported. Three cases—the India Health Care Project, Family Health Information Management System, and Integrated Health Information Management Systems—are presented. The authors argue against adopting a technocentric approach during the development of the HIS and suggest that these efforts should be sensitive to the sociotechnical context. Furthermore, a variety of constraints are identified. The chapter concludes with a discussion on the potentials of integration to address some of the identified constraints.


2009 ◽  
Vol 48 (01) ◽  
pp. 62-65 ◽  
Author(s):  
A. Winter

Summary Objectives: Presenting the author’s point of view on chances and challenges of medical informatics in research, education, and practice of information management, especially in the field of regional as well as institutional health information systems. Method: Collecting and interpreting current issues concerning (health) information systems and their management from selected references. Results: There are challenging research topics concerning information management, IT service management in small health care units, reference models, trustworthy architectures, service-oriented architectures. Medical informatics requires multidisciplinarity. Conclusions: Medicine and health care need medical informatics as a scientific, researching discipline.


2008 ◽  
Vol 47 (05) ◽  
pp. 417-424 ◽  
Author(s):  
A. Strübing ◽  
A. Winter

Summary Objectives: To introduce a formal definition of data availability as a contribution to trustworthiness of health information systems and to automatically detect respective weaknesses and propose solutions. Method: Specifying an ontology, based on enterprise functions and application systems of (health) information systems and closely linked to the Three-Layer Graph-Based Meta Model (3LGM2). Deriving appropriate measures and algorithms. Results: A formal definition for data availability is introduced and elucidated by an example. This concept is used e.g. to disclose missing communication links and to suggest solutions. Conclusions: Data availability is a necessary but not sufficient condition for trustworthiness of health information systems. If information management has a thorough description of the information system at its disposal, e.g. by using 3LGM2, the calculation of data availability does not need further efforts.


2008 ◽  
Vol 17 (01) ◽  
pp. 52-54
Author(s):  
C. Bréant ◽  

Summary Objectives To summarize excellent current research in the field of Health Information Systems. Method Synopsis of the articles selected for the IMIA Yearbook 2008. Results HIS is a broad field that includes many fruitful areas of research and development. Some current topics were selected for this IMIA yearbook. Conclusions The best paper selection of articles on health information systems shows examples of original developments in the area of: medical record systems to meet specific requirements in a developing country, methodologies to identify strengths and weaknesses of hospital information systems, networking of hospital information systems towards an integrated regional health platform, and development of an open source picture archiving and communication systems to facilitate the integration of advanced new imaging functionalities.


2021 ◽  
Vol 27 (3) ◽  
pp. 175-181
Author(s):  
Hyejin Park ◽  
Sung-Hong Kang ◽  
Young Sung Lee ◽  
In-Sik Lee ◽  
Yul Hwangbo ◽  
...  

Objectives: Along with the exponentially-growing data produced and accumulated every day through mobile platforms, social networking services, the Internet, and other media, information is becoming increasingly important as a strategic resource. This report presents specific and clear directions and suggests empirical project plans regarding innovations in regional health information systems to promote the utilization of medical information.Methods: We reviewed and examined documents about global trends and examples of regional health information systems. The problems and solutions of health information utilization and regional health information systems in Korea were analyzed.Results: This study presented examples of the establishment of health information systems, problems in the use of local healthcare information, and an empirical project for improvement.Conclusions: The results of this study imply the need for long-term and systematic approaches for the use of medical information and the establishment of a local healthcare information system, along with implementation plans. As a first step, it is imperative to clarify the goal of building a medical information system, the information that must be provided to build the system, and the data that should be collected to provide such information, while moving away from the mentality of focusing on technology-oriented medical information services. In addition, it is necessary to consider information governance, data-based service development, and the medical innovation framework, which are ways to efficiently manage, utilize, and systemize the data to be collected.


2009 ◽  
Vol 18 (01) ◽  
pp. 71-74
Author(s):  
C. Bréant ◽  

Summary Objectives Summarize excellent current research in the field of Health Information Systems. Method Synopsis of the articles selected for the IMIA Yearbook 2009. ResultsFive papers from international peer reviewed journals have been selected for the section on health information systems. They concentrate on topics such as personal health records, the comparison of IT infrastructures in hospitals from different countries, hospital to hospital IT outsourcing partnership, and the wireless monitoring of patients. Conclusions The elected articles highlight the new shifts in health information management and challenges faced by hospitals regarding IT infrastructures.


2011 ◽  
pp. 1265-1288
Author(s):  
Ranjini C.R. ◽  
Sundeep Sahay

Large investments are being made to reform the health sector in developing countries as the potential of ICTs in achieving health goals is being increasingly recognized. However, there have been various reports that indicate this potential of ICT is not being fully realized on the ground in particular settings. In this chapter, an empirical investigation of the introduction of health information systems in the primary health-care sector in India is reported. Three cases—the India Health Care Project, Family Health Information Management System, and Integrated Health Information Management Systems—are presented. The authors argue against adopting a technocentric approach during the development of the HIS and suggest that these efforts should be sensitive to the sociotechnical context. Furthermore, a variety of constraints are identified. The chapter concludes with a discussion on the potentials of integration to address some of the identified constraints.


2006 ◽  
Vol 45 (03) ◽  
pp. 294-299 ◽  
Author(s):  
E. Ammenwerth ◽  
A. Häber ◽  
G. Hübner-Bloder ◽  
P. Knaup-Gregori ◽  
G. Lechleitner ◽  
...  

Summary Objectives: To report about the themes and about experiences with practicums in the management of information systems in health care settings (health information management) for medical informatics students. Methods: We first summarize the topics of the health information management practicums/projects that the authors organized between 1990 and 2003 for the medical informatics programs at Heidelberg/ Heilbronn, Germany, UMIT, Austria, as well as for the informatics program at the University of Leipzig, Germany. Experiences and lessons learned, obtained from the faculty that organized the practicums in the past 14 years, are reported. Results: Thirty (of 32) health information management practicums focused on the analysis of health information systems. These took place inside university medical centers. Although the practicums were time-intensive and required intensively tutoring students with regard to health information management and project management, feedback from the students and graduates was mainly positive. Discussion: It is clearly recommended that students specializing in medical informatics need to be confronted with real-world problems of health information systems during their studies.


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