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Health care in the information society. A
prognosis for the year 2013 -- Haux R, et al. Int J Med Inf 2002
Nov;66(1-3):3-21.
Three factors will greatly influence the further development of
information processing in health care within the near future: the
development of the population, medical advances, and advances in
informatics. These factors have motivated us to set up 30 theses for
health care provision in the year 2013. The theses cover areas of health
care, such as its people, its information systems, and its ICT tools.
Three major goals requiring achievement have been identified:
patient-centered recording and use of medical data for cooperative care,
process-integrated decision support through current medical knowledge,
comprehensive use of patient data for research and health care
reporting.
- Information
society in Czech healthcare 'starting point' to prognosis for the year
2013 -- Zvarova J, et al. Int
J Med Inf 2002 Nov 20;66(1-3):59-68
A prognosis
of how the information society in health care will look in 2013 must
start from the current state of affairs at the given locality regarding
healthcare management by public authorities including legislative, ICT
technological levels and accessibility of professional knowledge in
individual fields of medicine. It is presumed that after 10 years the
influence of this 'starting point' will still persist and knowledge of
the current state of affairs will be needed to positively but also
negatively differentiate the prognosis for individual localities.
- Information processing in healthcare at the
start of the third Millennium: potential and limitations -- Haux R,et al. Methods
Inf Med 2001 May;40(2):156-62
Important
aspects raised by the panelists and in the subsequent discussion were:
1. The main goal of
expanding information processing methodology (IPM) and information and
communication technology (ICT) should be to further improve quality of
care, while maintaining reasonable costs;
2. With the
support of modern IPM and ICT the boundaries between inpatient and
outpatient care will fade away enabling a more efficient,
patient-centered health care;
3.
Cooperation between health-care professionals will increase; there will
be different ways of communication between them and with the patient,
including modern ICT and the Internet;
4. Society
must be concerned with achieving equal opportunities in being informed
about and in using new ICT;
5. Misuse of
data will remain a serious problem and can become an obstacle to
progress.
- A Clinical
Information System Research Landscape -- Sittig DF, et al. The
Permanente Journal Spring 2002/Vol. 6, No. 2; 62-68.
This
landscape enabled us to examine and potentially improve delivery of
health care services from the perspective of its major constituents
(ie, patients and their families, clinicians, processes for delivering
care, organizations, patient populations) by using the information
captured in CIS. We then identified aspects of the care delivery system
which need to be addressed to improve the quality of care delivered:
the care must be safe, effective, patient-centered, timely, efficient,
and equitable. In addition to the static picture of this research
landscape, we needed to portray the research process and how it relates
to operational aspects of health care delivery.
- A Clinical Information System Research
Agenda for Kaiser Permanente -- Sittig DF, et al. The
Permanente Journal Summer 2002/Vol. 6, No. 3. 41-44.
We
identified four CIS research priorities: clinical decision support
systems, population-based care systems, personal health record systems,
and establishment of a functional baseline against which future CIS
enhancement can be measured. These research priorities should help
guide researchers so they can focus their time, effort, and money on
important questions that will inform KP and other health care providers
about the use of CIS to improve health care.
- Knowledge management to support
performance-based medicine -- Stefanelli M. Methods Inf Med.
2002;41(1):36-43.
The increasing pressure on Health Care Organizations (HCOs) to ensure
efficiency and cost-effectiveness, balance the quality of care, and
contain costs will drive them towards more effective management of
medical knowledge derived from biomedical research. Knowledge
management technology may provide effective methods and tools in
speeding up the diffusion of innovative medical procedures. Reviews of
the effectiveness of various methods of best practice dissemination
show that the greatest impact is achieved when such knowledge is made
accessible through the health information system at the moment it is
required by care providers at their work sites. Thus, the great
challenge for medical informatics is represented by the effective
exploitation of the astonishing capabilities of new technologies to
assure the conditions of knowledge management and organizational
learning within HCOs.
- Preparing for the Hospital of the Future:
Working Towards the Virtual Hospital -- The evolution of clinical
practice, with much more chronic and non-inpatient clinical services,
has set the stage for the evolution of hospitals. At least four phases
of this evolutionary process can be identified as follows: Devolution,
Coordination/Communication, Integration and Virtualisation. The hospital evolves
into an organisation including multiple campuses and services of
diverse types (clinics, procedure centres, nursing centres of varying
acuity, hospital in the home etc.) supported by a mix of facilities and
services. These diverse health services are bound together by an
information system serving both patient and organisation requirements. The bricks-and-mortar
hospital is no longer the central focus of care. The "solid" remnants
of the monolith are now merely supports for the information management
system that has become the focus of care. This system, and the
management of it, becomes the "virtual" hospital/health system.
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