Data-Driven Descriptive Design Approach for Health Level-7 Based Interoperability Framework for Italy`s Regional Healthcare
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The integration of efficient information-based systems characterizes one of the vital priorities of an Italian regional healthcare environment to meet its clinical, organizational, and managerial needs, especially after the COVID-19 pandemic. The current study proposes that the most likely approach to achieve an Italian regional healthcare system is to use a health level-7-based interoperable communication system implemented by an asynchronous communication infrastructure between healthcare sites. The proposed framework is a comprehensive and integrated management information systems (MIS) centered coordination at an Italian regional level that includes all categories of healthcare levels, including the interoperability concerns; that covers most of the needed elements and can work efficiently and effectively in a vast secure area network to safeguard data privacy and confidentiality of a local the patient. Another essential feature of the proposed framework system solution is that it creates interoperability and compatibility that can be simulated from one healthcare institution to another inside the Italian healthcare environment. In that case, joint interoperability and system-compatible messages can interrelate heterogeneous management-based information systems. In response to the COVID-19 situation in Italy, more than 50 different consortiums have submitted proposals directly to the Italian Government. It is believed that the proposed interoperability framework seems to be widely considered an acceptable solution to enhance information and communication technologies (ICT) developments in the healthcare sector in Italy. Furthermore, this study identifies some flaws inside the Italian healthcare sector with possible elucidations for further research.
Abstract
The integration of efficient information-based systems characterizes one of the vital priorities of an Italian regional healthcare environment to meet its clinical, organizational, and managerial needs, especially after the COVID-19 pandemic. The current study proposes that the most likely approach to achieve an Italian regional healthcare system is to use a health level-7-based interoperable communication system implemented by an asynchronous communication infrastructure between healthcare sites. The proposed framework is a comprehensive and integrated management information systems (MIS) centered coordination at an Italian regional level that includes all categories of healthcare levels, including the interoperability concerns; that covers most of the needed elements and can work efficiently and effectively in a vast secure area network to safeguard data privacy and confidentiality of a local the patient. Another essential feature of the proposed framework system solution is that it creates interoperability and compatibility that can be simulated from one healthcare institution to another inside the Italian healthcare environment. In that case, joint interoperability and system-compatible messages can interrelate heterogeneous management-based information systems. In response to the COVID-19 situation in Italy, more than 50 different consortiums have submitted proposals directly to the Italian Government. It is believed that the proposed interoperability framework seems to be widely considered an acceptable solution to enhance information and communication technologies (ICT) developments in the healthcare sector in Italy. Furthermore, this study identifies some flaws inside the Italian healthcare sector with possible elucidations for further research.
참고문헌 (23)
- Angelis, A., "Using health technology assessment to assess the value of new medicines : Results of a systematic review and expert consultation across eight European countries", The European Journal of Health Economics, 19, pp.123~152 (2018)
- Armocida, B., "The Italian health system and the COVID-19 challenge", The Lancet Public Health, 5(5), pp.e253~ (2020)
- Bordogna, M. T., "Regional health systems and non-conventional medicine : The situation in Italy", EPMA Journal, 2(4), pp.411~423 (2011)
- Conticini, E., "Can atmospheric pollution be considered a co-factor in extremely high levels of SARS-CoV-2 lethality in Northern Italy", Environmental Pollution, 261, pp.114465~ (2020)
- Chirico, A., "Virtual reality in the health system : Beyond entertainment. A mini-review on the efficacy of VR during cancer treatment", Journal of Cellular Physiology, 231(2), pp.275~287 (2016)
- De Girolamo, G., "Mental health in the coronavirus disease 2019 emergency—The Italian response", JAMA Psychiatry, 77(9), pp.974~976 (2020)
- Estes, C., "Modeling NAFLD disease burden in China, France, Germany, Italy, Japan, Spain, the United Kingdom, and the United States for 2016–2030", Journal of Hepatology, 69(4), pp.896~904 (2018)
- Ferri, M., "Antimicrobial resistance : A global emerging threat to public health systems", Critical Reviews in Food Science and Nutrition, 57(13), pp.2857~2876 (2017)
- Gourinchas, P. O., "Flattening the pandemic and recession curves", Mitigating the COVID Economic Crisis : Act Fast and do Whatever, 31(2), pp.57~62 (2020)
- Lupo, T., "A fuzzy framework to evaluate service quality in the healthcare industry : An empirical case of public hospital service evaluation in Sicily", Applied Soft Computing, 40, pp.468~478 (2016)
- Lora, A., "An overview of the mental health system in Italy", Ann 1st Super Sanita, 45(1), pp.5~16 (2009)
- Laurita Longo, V., "An unnecessary cut? multilevel health systems analysis of drivers of cesarean section rates in Italy : A systematic review", BMC Pregnancy and Childbirth, 20(1), pp.1~16 (2020)
- Lal, A., "Fragmented health systems in COVID-19 : Rectifying the misalignment between global health security and universal health coverage", The Lancet, 397(10268), pp.61~67 (2021)
- Lazzerini, M., "Delayed access or provision of care in Italy resulting from fear of COVID-19", The Lancet Child & Adolescent Health, 4(5), pp.e10~e11 (2020)
- Mossialos, E., "2015 International Profiles of Health Care Systems" (2016), Canadian Agency for Drugs and Technologies in Health
- Matlin, S. A., "Migrants’ and refugees’ health : Towards an agenda of solutions", Public Health Reviews, 39(1), pp.1~55 (2018)
- Palladino, R., "Associations between multimorbidity, healthcare utilization, and health status : Evidence from 16 European countries", Age and Aging, 45(3), pp.431~435 (2016)
- Sakamoto, H., "Japan health system review", Health Systems in Transition, 8(1) (2018)
- Scalzo, A. L., "Italy. health system review", Health Systems in Transition(European Observatory on Health Systems and Policies), 11(6) (2009)
- Shaw, D., "Drivers of maternity care in high-income countries : Can health systems support woman-centered care", The Lancet, 388(10057), pp.2282~2295 (2016)
- Verelst, F., "Indications for healthcare surge capacity in European countries facing an exponential increase in Coronavirus disease(COVID-19)Cases, March 2020", Euro Surveillance, 25(13), pp.2000323~ (2020)
- Verzola, A., "Multidimensional evaluation of performance : Experimental application of the balanced scorecard in ferrara university hospital", Cost Effectiveness and Resource Allocation, 7, pp.7~15 (2009)
- Webster, P., "Virtual health care in the era of COVID-19", The Lancet, 395(10231), pp.1180~1181 (2020)