Hospital information systems planning

Journal of Medical Systems - Phase I of the information systems plan at a large metropolitan teaching hospital is described. Planning strategy, staffing, and cost are discussed, as well as the...     

Hospital information systems and the development of a national health information system

Hospitals require information to support medical quality assurance, cost containment, productivity improvement, utilization analysis, program planning and evaluation, research, and education. Although hospitals could benefit from participation in a national health information system, many would be reluctant to participate particularly if participation were federally mandated. Incentives to participation should include funding of developmental costs, standardized computer software, guarantees of system stability, and prompt reporting back to participating hospitals.     

我国医院信息系统必走整合之路

论述了我国医院信息系统(HIS)整合的重要意义和原则,介绍了HIS整合的方法措施以及经验.     

An evaluation methodology for office practice information systems

This paper presents an evaluation methodology for assessing information systems in office practice. The premise is that a meaningful evaluation of information systems in office practice should be a threefold process: First, assess the internal performance of the information system; second, analyze the communication between the users and the information system; and third, evaluate how well practice managers utilize information prepared by the system in managing the practice. The paper approaches the topic from a systems perspective and develops the research method through the presentation of criteria for each of the three evaluation components.     

医院信息化管理模式的转变

推进医院信息化建设是医疗机构全方位发展的要求和必然趋势。随着信息技术的多元化发展,人们对信息系统功能与作用的认识逐渐加深,相应的对信息系统建设的要求不断提高,这必然导致了医院信息化管理模式的不断更新与转变。本文结合具体案例,分析了这几年来医院信息化管理模式的基本情况以及在转变过程中存在的问题和原因,并对当前环境下如何更好的开展医院信息化管理提出了一些见解。     

A problem-oriented approach to medical information systems

A relatively simple computer-based information system developed for a primary care group practice at the San Francisco Veterans Administration Hospital contributes to the management of the practice, to improvement of medical care for patients within the group, and to research studies on resource utilization in the management of chronic diseases and the evaluation of care of chronically ill patients. Preliminary results from the use of the information system are encouraging and demonstrate that much may be achieved by information systems that do not attempt to computerize the entire medical record.     

Review: Measuring value for money: a scoping review on economic evaluation of health information systems

Objective

To explore how key components of economic evaluations have been included in evaluations of health information systems (HIS), to determine the state of knowledge on value for money for HIS, and provide guidance for future evaluations.

Materials and methods

We searched databases, previously collected papers, and references for relevant papers published from January 2000 to June 2012. For selection, papers had to: be a primary study; involve a computerized system for health information processing, decision support, or management reporting; and include an economic evaluation. Data on study design and economic evaluation methods were extracted and analyzed.

Results

Forty-two papers were selected and 33 were deemed high quality (scores ≥8/10) for further analysis. These included 12 economic analyses, five input cost analyses, and 16 cost-related outcome analyses. For HIS types, there were seven primary care electronic medical records, six computerized provider order entry systems, five medication management systems, five immunization information systems, four institutional information systems, three disease management systems, two clinical documentation systems, and one health information exchange network. In terms of value for money, 23 papers reported positive findings, eight were inconclusive, and two were negative.

Conclusions

We found a wide range of economic evaluation papers that were based on different assumptions, methods, and metrics. There is some evidence of value for money in selected healthcare organizations and HIS types. However, caution is needed when generalizing these findings. Better reporting of economic evaluation studies is needed to compare findings and build on the existing evidence base we identified.     

通过医疗服务信息公示与医院评价的相互促进做好新时期医院管理工作

吉林省在开展医院评价工作的过程中,发挥了医疗服务信息公示的职能,促进了医疗机构向公开、公平、有序的竞争,加强了对医院的监管,有利于医疗服务质量的提高和医疗费用的降低.     

医院图书馆业务系统集成研究

介绍了昆明医科大学第一附属医院图书馆的业务系统改造前存在的问题以及改造后系统集成原理、系统构成及集成系统给图书馆信息服务带来的变化,包括提升电子阅览室服务,扩展医院资源服务,开展内外网即时空间、学科导航服务等。     

基于HIS的医院预防保健信息一体化管理系统

目的：通过在HIS系统的平台上建立医院预防保健领域信息一体化管理系统，实现对疾病报告和监测管理、慢性病的监测和统计分析、免疫规划和妇幼信息的统计和上报等工作的信息自动化。方法：在医生工作站的平台上建立医院疾病自动实时报告系统（包括孕产妇和5岁以下儿童死亡）。建立专门程序，使门诊日志录入和查询，疾病上报病例监测查询和统计，免疫规划和妇幼信息的统计和上报，为检查传染病漏报为目的而设计的检验科阳性结果统计和查询功能信息自动化。结果深圳市第六人民医院防保领域进入了信息一体化管理的新阶段。结论：在我国医院全面信息化管理的发展趋势下，预防保健领域实现信息一体化管理意义重大。     

网络环境下医院图书馆的信息服务工作

网络环境下医院图书馆信息服务具有信息资源网络化、信息需求多元化、服务手段现代化、服务内容多元化、服务方式主动化等特点，医院图书馆工作人员应适应时代的发展，应用现代网络技术手段，把工作重点从传统文献服务转移到医学信息服务上来，更好地为医院管理者科学决策，广大医务人员的医疗、科研、教学以及医院重点学科建设提供信息服务。     

Shipboard medical information systems: Familiarity and receptivity

Analyses were performed on the perceived automation needs and current medical department computerization status aboard ships of the U.S. Pacific Fleet to determine if present automation status had a bearing on receptivity to further automation. Current medical department automation status consisted of microcomputers and/or the Shipboard Nontactical ADP Program (SNAP). Measures of receptivity to department automation included perceived need for automation of reports and composite scores of perceived need for 12 automated medical capabilities. Those ships with the highest present levels of automation were the most receptive to medical department computerization. Lack of familiarity with benefits to be attained through automation was proposed as responsible for observed decrements in receptivity among medical departments.     

Computer-based information systems models

A synthesis of theories from the management information systems (MIS) field provided the conceptual framework to describe how to design and develop effective computer-based information systems. An analysis of activities and interviews with nurse managers in a tertiary care medical center provided the basis for describing five major nursing department functions and the information requirements arising from those functions. The MIS framework was applied to the nursing department information requirements in order to derive MNIS, a normative model of a nursing information system, which was then used to “bench mark” the current status of commercially available nursing information systems. The researchers compared the MNIS with 28 nursing information systems that vendors are currently developing or marketing. The comparison revealed large gaps between nursing department needs and vendor-provided solutions.     

An evaluation of two commercial deep learning-based information retrieval systems for COVID-19 literature

The COVID-19 pandemic has resulted in a tremendous need for access to the latest scientific information, leading to both corpora for COVID-19 literature and search engines to query such data. While most search engine research is performed in academia with rigorous evaluation, major commercial companies dominate the web search market. Thus, it is expected that commercial pandemic-specific search engines will gain much higher traction than academic alternatives, leading to questions about the empirical performance of these tools. This paper seeks to empirically evaluate two commercial search engines for COVID-19 (Google and Amazon) in comparison with academic prototypes evaluated in the TREC-COVID task. We performed several steps to reduce bias in the manual judgments to ensure a fair comparison of all systems. We find the commercial search engines sizably underperformed those evaluated under TREC-COVID. This has implications for trust in popular health search engines and developing biomedical search engines for future health crises.