Model-based Assessment of Data Availability in Health Information Systems

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.

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):  
Felipe Mejia Medina ◽  
Zenaida Cucaita Vergara ◽  
Ruben Dario Castro Acuña ◽  
Jair Tellez

Patient safety is one of the most important challenges facing healthcare organizations in the world. Patient safety programs aim to avoid the events caused to the patient during their care, through strategies aimed at guaranteeing infection control, safe use of medications, equipment, clinical practice and environment. However, errors in health care are often due to weak information systems and their causes can be corrected by identifying the incidents and events presented during the care. Each country must have solid and reliable health information systems (HIS) to generate its own data, in order to monitor the different health programs and thus report on their management. In many countries, SISs are weak, incomplete and fragmented, with problems related to infrastructure, interoperability, connectivity, lack of training and availability to health care personnel. The objective of this study was to conduct a rapid systematic review of the literature about the experiences reported by users or health professionals with the Health Information Systems of Patient Safety Programs (PSP). 98 articles were identified in the Medline database, of which 5 articles with a qualitative approach were included. The results showed problems with the definition of concepts related to patient safety, fear of professionals to report events or incidents, reluctance to use SIS due to interoperability or communication problems. The qualitative studies related to HIS of the PSP are scarce and the publications found have been carried out in countries such as Iran, Taiwan, Austria, Spain and the Netherlands.


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.


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.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K Bozorgmehr ◽  
R Jahn ◽  
L Biddle ◽  
S Rohleder ◽  
S Puthopparambil

Abstract This presentation discusses the findings of a Health Evidence Network synthesis report on availability and integration of refugee and migrant health data in health information systems in the WHO European Region. Based on an analysis of 41 full-text studies and 696 abstracts, the report found that refugee and migrant health data were available in less than half of the Region's Member States, and that data availability and integration, data collection systems, as well as indicators on migration varied markedly between states. From these findings, the report derived key policy considerations regarding the strengthening and harmonization of migrant health data collection, as well as governance and monitoring of health information systems.


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.


Author(s):  
Onalenna Seitio-Kgokgwe ◽  
Robin DC Gauld ◽  
Philip C Hill ◽  
Pauline Barnett

Background: Studies evaluating development of health information systems in developing countries are limited. Most of the available studies are based on pilot projects or cross-sectional studies. We took a longitudinal approach to analysing the development of Botswana’s health information systems.Objectives: We aimed to: (i) trace the development of the national health information systems in Botswana (ii) identify pitfalls during development and prospects that could be maximized to strengthen the system; and (iii) draw lessons for Botswana and other countries working on establishing or improving their health information systems.Methods: This article is based on data collected through document analysis and key informant interviews with policy makers, senior managers and staff of the Ministry of Health and senior officers from various stakeholder organizations.Results: Lack of central coordination, weak leadership, weak policy and regulatory frameworks, and inadequate resources limited development of the national health information systems in Botswana. Lack of attention to issues of organizational structure is one of the major pitfalls.Conclusion: The ongoing reorganization of the Ministry of Health provides opportunity to reposition the health information system function. The current efforts including development of the health information management policy and plan could enhance the health information management system.Keywords: Disease outbreaks, electronic health records/classification, machine learning, natural language processing, public health informatics, public health surveillance/methods


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