Modelling and comparing hospitals’ informationsystems in Japan and Germany
2
조회
0
다운로드
0
인용
0
참고문헌
초록
Medicine and health care are developing to be and yet are driving economical factors worldwide and information and communication technology is one of their most important resources. Thus, there is a special need for effective and efficient information systems. These information systems have continually to be adjusted to changing demands stemming from innovation and trends in medicine (continuity of care, translational medicine), but also from trends in information technology and information management (e.g. SOA, “Green IT”, ITIL). Teams worldwide meet the challenge and implement projects concerning information systems for hospitals, health care regions, or even nationwide health telematics like German teams do by introducing the electronic health card. Completing the IMIA “world‐wide vision to improve the health of the world population” by application of information technology needs effective cooperation worldwide. As already stated in the bible (tower of babel) one common language is needed for cooperation. This requires a widely accepted terminology/ontology for describing information systems in health care, a common understanding of the domain and of the tasks to be supported by information systems, and shared methods for creating construction plans. As a small contribution we had proposed 3LGM² as an ontology to describe information systems, a reference model to describe the domain of health care information processing, and the 3LGM² tool to create models and plans for information systems in health care. In a joint project of the University of Leipzig (Germany) and Chiba University (Japan) we applied these concepts to systematically compare the information systems of the respective universities’ medical centres. We regard this comparison as small but important step towards better cooperation between Asia and Europe in building health care information systems. The comparison unfolded e.g. differences concerning architectural styles, heterogeneity, redundancy, use of communication standards and organisation of information management between both hospitals. The confrontation of the information systems of both sites with each other using the same terminology provides new chances for sharing experiences and, thus, for cooperation. Despite of the differences, no reason could be found for rating one information system significantly better than the other. For doing this, a more thorough understanding of quality of information systems in health care and respective research is needed.
Abstract
Medicine and health care are developing to be and yet are driving economical factors worldwide and information and communication technology is one of their most important resources. Thus, there is a special need for effective and efficient information systems. These information systems have continually to be adjusted to changing demands stemming from innovation and trends in medicine (continuity of care, translational medicine), but also from trends in information technology and information management (e.g. SOA, “Green IT”, ITIL). Teams worldwide meet the challenge and implement projects concerning information systems for hospitals, health care regions, or even nationwide health telematics like German teams do by introducing the electronic health card. Completing the IMIA “world‐wide vision to improve the health of the world population” by application of information technology needs effective cooperation worldwide. As already stated in the bible (tower of babel) one common language is needed for cooperation. This requires a widely accepted terminology/ontology for describing information systems in health care, a common understanding of the domain and of the tasks to be supported by information systems, and shared methods for creating construction plans. As a small contribution we had proposed 3LGM² as an ontology to describe information systems, a reference model to describe the domain of health care information processing, and the 3LGM² tool to create models and plans for information systems in health care. In a joint project of the University of Leipzig (Germany) and Chiba University (Japan) we applied these concepts to systematically compare the information systems of the respective universities’ medical centres. We regard this comparison as small but important step towards better cooperation between Asia and Europe in building health care information systems. The comparison unfolded e.g. differences concerning architectural styles, heterogeneity, redundancy, use of communication standards and organisation of information management between both hospitals. The confrontation of the information systems of both sites with each other using the same terminology provides new chances for sharing experiences and, thus, for cooperation. Despite of the differences, no reason could be found for rating one information system significantly better than the other. For doing this, a more thorough understanding of quality of information systems in health care and respective research is needed.
참고문헌 (36)
- Nefiodow LA, "Der Sechste Kondratieff ‐ Wege zur Produktivität und Vollbeschäftigung im Zeitalter der Information" (2001), Rhein‐Sieg‐Verlag
- Haux R, "Health care in the information society. A prognosis for the year 2013", Int J Med Inf, 66(1-3), pp.3~21 (2013)
- Ammenwerth E, "Medical informatics and the quality of health: new approaches to support patient care ‐ findings from the IMIA Yearbook of Medical Informatics 2003", Methods Inf Med, 42(2), pp.185~189 (2003)
- Gulliford M, "What is ‘continuity of care’?", Health Serv Res Policy, 11(4), pp.248~250 (2006)
- Moehr JR, "Where to in the next ten years of health informatics education?", Methods Inf Med, 45(3), pp.283~287 (2006)
- Lenz R, "IT support for clinical pathways‐‐Lessons learned", International Journal of Medical Informatics, 76(3), pp.S397~S402 (2007)
- Burkle T, "Clinical pathways development and computer support in the EPR: lessons learned", Stud Health Technol Inform, 124, pp.1025~1030 (2006)
- Blaser R, "Improving pathway compliance and clinician performance by using information technology", Int J Med Inform, 76(2-3), pp.151~156 (2007)
- Marincola FM, "Translational Medicine: A two‐way road", J Transl Med, 1(1), pp.1~ (2003)
- Winter A, "Integrated information systems for translational medicine", Methods Inf Med, 46(5), pp.601~607 (2007)
- Tanaka S, "Preliminary individual adjuvant therapy for gliomas based on the results of molecular biological analyses for drug‐resistance genes", J Neurooncol, 46(2), pp.157~171 (2000)
- Strauss G, "Evaluation of a navigation system for ENT with surgical efficiency criteria", Laryngoscope, 116(4), pp.564~572 (2006)
- Papazoglou M, "Service‐Oriented Design and Development Methodology", Int J of Web Engineering and Technology (IJWET), 4, pp.412~442 (2006)
- "Wikipedia"[URL]
- Clayton PD, "Building a comprehensive clinical information system from components. The approach at Intermountain Health Care", Methods Inf Med, 1(42), pp.1~7 (2003)
- Kuhn K, "Building a hospital information system: design considerations based on results from a Europe‐wide vendor selection process", Proc AMIA Symp, pp.834~838 (1999)
- Mykkanen J, "Designing web services in health information systems: from process to application level", Int J Med Inform, 76(2-3), pp.89~95 (2007)
- Winkler V, "Identifikation und Gestaltung von Services", Wirtschaftsinformatik, 49(4), pp.257~266 (2007)
- Fuchs SK, "SAP NetWeaver in der Praxis – Wie gut bewährt sich der Technologie‐Stack in der praktischen Arbeit?", Informatik‐Spektrum, 30(6), pp.428~433 (2007)
- "CeBIT"[URL]
- "CobiT 4.0 Control Objectives for Information and related Technology" (2005)[URL]
- Office of Government Commerce (OGC), "Service Transition" (2007), TSO
- Office of Government Commerce (OGC), "Service Delivery" (2007), TSO
- Office of Government Commerce (OGC), "Service Strategy" (2007), TSO
- Office of Government Commerce (OGC), "Service Operation" (2007), TSO
- Office of Government Commerce (OGC), "Service Design" (2007), TSO
- Towards IMIA 2015 ‐ the IMIA Strategic Plan. Edmonton, "International Medical Informatics Association (IMIA)", International Medical Informatics Association (IMIA), ~ (2007)
- Winter A, "IMIA Yearbook of Medical Informatics 2005: Ubiquitous Health Care Systems in : Modeling Hospital Information Systems (Part 1): The Revised Three‐Layer Graph‐Based Meta Model 3LGM2", pp.363~370 (2005), Schattauer
- Hübner‐Bloder G, "Specification of a reference model for the domain layer of a hospital information system", Stud Health Technol Inform, 116, pp.497~502 (2005)
- Wendt T, "Modeling Hospital Information Systems (Part 2): Using the 3LGM2 Tool for Modeling Patient Record Management", Methods Inf Med, 43(3), pp.256~267 (2004)
- Winter A, "Modeling Hospital Information Systems (Part 1): The Revised Three‐Layer Graph‐Based Meta Model 3LGM2", Methods Inf Med, 42(5), pp.544~551 (2003)
- Spewak SH, "Enterprise Architecture Planning: Developing a blueprint for Data, Applications and Technology" (1992), John Wiley & Sons
- Zachman JA, "A framework for information systems architecture", IBM Systems Journal, 26(3) (1987)
- Ammenwerth E, "A Requirements Index for Information Processing in Hospitals", Methods of Information in Medicine, 41(4), pp.282~288 (2002)
- Haux R, "Strategic Information Management in Hospitals" (2004), Springer
- Hasselbring W, "Information System Integration", Communications of the ACM, 43(6), pp.33~38 (2000)