Download PDF
Methods Inf Med 2009; 48(01): 62-65
DOI: 10.3414/ME9138
Original Articles
Schattauer GmbH

The Future of Medical Informatics

Some Perspectives of Intra- and Inter-institutional Information Systems
A. Winter
1   University of Leipzig, Institute of Medical Informatics, Statistics and Epidemiology, Leipzig, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
17 January 2018 (online)

    Permissions and Reprints

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.

Keywords

Health information systems - hospital information systems - information management - IT service management - architectural models - quality - strategic plans - ITIL - COBIT - SOA
 

  • References

  • 1 Protti DJ, van Bemmel JH, Gunzenhäuser R, Haux R, Warner H, Douglas JV, Lang E. Can Health/Medical Informatics be Regarded as a Separate Discipline?. Methods Inf Med 1994; 33 (03) 318-326.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 van Bemmel JH. Medical Informatics, Art or Science?. Methods Inf Med 1996; 35: 157-172.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Haux R. On Medical Informatics. Methods Inf Med 1989; 28: 66-68.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Moehr JR. Where to in the next ten years of health informatics education?. Methods Inf Med 2006; 45 (03) 283-287.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Haux R. Individualization, globalization and health – about sustainable information technologies and the aim of medical informatics. Int J Med Inform 2006; 75 (12) 795-808.
    CrossrefPubMedGoogle Scholar
  • 6 Haux R, Ammenwerth E, Herzog W, Knaup P. Health care in the information society. A prognosis for the year 2013. Int J Med Inf 2002; 66 1-3 3-21. doi: 10.1016/S1386-5056(02)00030-8.
    CrossrefPubMedGoogle Scholar
  • 7 Haux R, Knaup P, Bauer AW, Herzog W, Reinhardt E, Uberla K, van Eimeren W, Wahlster W. Information processing in healthcare at the start of the third millennium: potential and limitations. Methods Inf Med 2001; 40 (02) 156-162.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 8 Haux R. Health information systems – past, present, future. Int J Med Inform 2006; 75 3–4 268-281.
    CrossrefPubMedGoogle Scholar
  • 9 Nefiodow LA. Der Sechste Kondratieff – Wege zur Produktivität und Vollbeschäftigung im Zeitalter der Information. Sankt Augustin: Rhein-Sieg-Verlag; 2001
    Google Scholar
  • 10 Ammenwerth E, Haux R, Kulikowski C, Bohne A, Brandner R, Brigl B, Fischer G, Garde S, Knaup P, Ruderich F, Schubert R, Singer R, Wolff AC. 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 2003; 42 (02) 185-189.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 11 Gulliford M, Naithani S, Morgan M. What is ‘continuity of care’?. J Health Serv Res Policy 2006; 11 (04) 248-250. doi: 10.1258/135581906778476490.
    CrossrefPubMedGoogle Scholar
  • 12 Kuhn KA, Giuse DA, Lapao L, Wurst SH. Expanding the scope of health information systems – from hospitals to regional networks, to national infrastructures, and beyond. Methods Inf Med 2007; 46 (04) 500-502.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 13 Steinbrook R. Personally Controlled Online Health Data – The Next Big Thing in Medical Care?. N Engl J Med 2008; 358 (16) 1653-1656.
    CrossrefPubMedGoogle Scholar
  • 14 Mandl KD, Kohane IS. Tectonic shifts in the health information economy. N Engl J Med 2008; 358 (16) 1732-1737.
    CrossrefPubMedGoogle Scholar
  • 15 Demiris G. Smart homes and ambient assisted living in an aging society. New opportunities and challenges for biomedical informatics. Methods Inf Med 2008; 47 (01) 56-57.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 16 Blobel B, Pharow P. editors. Advanced Health Telematics and Telemedicine. Amsterdam: IOS Press; 2003
    Google Scholar
  • 17 Lenz R, Blaser R, Beyer M, Heger O, Biber C, Baumlein M, Schnabel M. IT support for clinical pathways – Lessons learned. Int J Med Inf 2007; 76 (03) S397-S402. doi: 10.1016/j.ijmedinf.2007. 04.012.
    CrossrefPubMedGoogle Scholar
  • 18 Burkle T, Baur T, Hoss N. Clinical pathways development and computer support in the EPR: lessons learned. Stud Health Technol Inform 2006; 124: 1025-1030.
    PubMedGoogle Scholar
  • 19 Blaser R, Schnabel M, Biber C, Baumlein M, Heger O, Beyer M, Opitz E, Lenz R, Kuhn KA. Improving pathway compliance and clinician performance by using information technology. Int J Med Inform 2007; 76 2-3 151-156.
    CrossrefPubMedGoogle Scholar
  • 20 Marincola FM. Translational Medicine: A two-way road. J Transl Med 2003; 1 (01) 1.
    CrossrefPubMedGoogle Scholar
  • 21 Winter A, Funkat G, Haeber A, Mauz-Koerholz C, Pommerening K, Smers S, Stausberg J. Integrated information systems for translational medicine. Methods Inf Med 2007; 46 (05) 601-607.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 22 Murphy SN, Mendis M, Hackett K, Kuttan R, Pan W, Phillips LC, Gainer V, Berkowicz D, Glaser JP, Kohane I, Chueh HC. Architecture of the opensource clinical research chart from Informatics for Integrating Biology and the Bedside. AMIA Annu Symp Proc 2007; pp 548-552.
    PubMedGoogle Scholar
  • 23 Moehr JR. Guidelines, the Internet, and personal health: insights from the Canadian HEALNet experience. Methods Inf Med 2002; 41 (03) 230-234.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 24 Tanaka S, Kamitani H, Amin MR, Watanabe T, Oka H, Fujii K, Nagashima T, Hori T. Preliminary individual adjuvant therapy for gliomas based on the results of molecular biological analyses for drugresistance genes. J Neurooncol 2000; 46 (02) 157-171.
    CrossrefPubMedGoogle Scholar
  • 25 Strauss G, Koulechov K, Rottger S, Bahner J, Trantakis C, Hofer M, Korb W, Burgert O, Meixensberger J, Manzey D, Dietz A, Luth T. Evaluation of a navigation system for ENT with surgical efficiency criteria. Laryngoscope 2006; 116 (04) 564-572.
    CrossrefPubMedGoogle Scholar
  • 26 Papazoglou M, van den Heuvel W-J. Service- Oriented Design and Development Methodology. Int J of Web Engineering and Technology (IJWET) 2006; 4: 412-442.
    PubMedGoogle Scholar
  • 27 Wikipedia.. Green computing:. http://en.wikipedia.org/wiki/Green_computing , accessed 2008-03-13; 2008
    PubMedGoogle Scholar
  • 28 Blois M. Information and Medicine: The Nature of Medical Descriptions. Berkeley, CA: University of California Press; 1984
    Google Scholar
  • 29 Booch G. Object-Oriented Analysis and Design. Redwood City, CA: Benjamin Cummings; 1994
    Google Scholar
  • 30 Clayton PD, Narus SP, Huff S, Pryor TA, Haug PJ, Larkin T, Matney S, Evans RS, Rocha BH, Bowes WA, Halston ET, Gundersen ML. Building a comprehensive clinical information system from components. The approach at Intermountain Health Care. Methods Inf Med 2003; 1 (42) 1-7.
    PubMedGoogle Scholar
  • 31 Klingler A. Building Healthcare Information Systems from Business Components. In: Proceedings Medinfo 2001; 2001
    Google Scholar
  • 32 Hasselbring.. Top-Down Integration of Components for Hospital Information Systems based on HL7 and SGML. 1998
    PubMedGoogle Scholar
  • 33 Kuhn K, Lenz R, Blaser R. Building a hospital information system: design considerations based on results from a Europe-wide vendor selection process. Proc AMIA Symp 1999. 1999; pp 834-838.
    PubMedGoogle Scholar
  • 34 Eisele M, Kolb R, Kraus E, von Ehrenstein C. SAP NetWeaver: Slicing the fridge. Informatik-Spektrum 2007; 30 (06) 407-412. doi:10.1007/s00287- 007-0190-4.
    PubMedGoogle Scholar
  • 35 Klein GO, Sottile PA, Endsleff F. Another HISA – the new standard: health informatics – service architecture. Medinfo 2007; 12 Pt (01) 478-482.
    PubMedGoogle Scholar
  • 36 Mykkanen J, Korpela M, Ripatti S, Rannanheimo J, Sorri J. Local, regional and national interoperability in hospital-level systems architecture. Methods Inf Med 2007; 46 (04) 470-475.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 37 Mykkanen J, Riekkinen A, Sormunen M, Karhunen H, Laitinen P. Designing web services in health information systems: from process to application level. Int J Med Inform 2007; 76 2-3 89-95.
    CrossrefPubMedGoogle Scholar
  • 38 Winkler V. Identifikation und Gestaltung von Services. Wirtschaftsinformatik 2007; 49 (04) 257-266.
    CrossrefPubMedGoogle Scholar
  • 39 Fuchs SK. SAP NetWeaver in der Praxis – Wie gut bewährt sich der Technologie-Stack in der praktischen Arbeit?. Informatik-Spektrum 2007; 30 (06) 428-433. doi: 10.1007/s00287-007-0191-3.
    PubMedGoogle Scholar
  • 40 CeBIT.. CeBIT green IT:. http://www.cebit.de/greenit_e. Aaccessed 2008-03-13; 2008
    PubMedGoogle Scholar
  • 41 Winter AF, Ammenwerth E, Bott OJ, Brigl B, Buchauer A, Gräber S, Grant A, Häber A, Hasselbring W, Haux R, Heinrich A, Janssen H, Kock I, Penger O-S, Prokosch H-U, Terstappen A, Winter A. Strategic Information Management Plans: The Basis for systematic Information Management in Hospitals. Int J Med Inf 2001; 64 2-3 99-109.
    CrossrefPubMedGoogle Scholar
  • 42 IT Government Institute (ITGI).. CobiT 4.0 Control Objectives for Information and related Technology:. http://www.isaca.org/Template.cfm?Section=COBIT6&Template=/TaggedPage/TaggedPageDisplay.cfm&TPLID=55&ContentID=7981. Accessed 2008-03-13; 2005
    PubMedGoogle Scholar
  • 43 Office of Government Commerce (OGC).. Service Transition. London: TSO; 2007
    Google Scholar
  • 44 Office of Government Commerce (OGC).. Service Delivery. London: TSO; 2007
    Google Scholar
  • 45 Office of Government Commerce (OGC).. Service Strategy. London: TSO; 2007
    Google Scholar
  • 46 Office of Government Commerce (OGC).. Service Operation. London: TSO; 2007
    Google Scholar
  • 47 Office of Government Commerce (OGC).. Service Design. London: TSO; 2007
    Google Scholar
  • 48 Zarnekow R, Brenner W. Auf dem Weg zu einem produkt- und dienstleistungsorientierten IT-Management. HMD 2003; 232: 7-16.
    PubMedGoogle Scholar
  • 49 Haux R, Winter A, Ammenwerth E, Brigl B. Strategic Information Management in Hospitals. New York: Springer; 2004
    Google Scholar
  • 50 Hellrung N, Gusew N, Willkomm M, Haux R. ITbased information management in health care networks: the MedoCom approach. Stud Health Technol Inform 2008; 136: 623-628.
    PubMedGoogle Scholar
  • 51 Klingler A. An Open, Component-based Architecture for Healthcare Information Systems. In: Hasman A, Blobel B, Dudeck J, Engelbrecht R, Gell G, Prokosch H-U. editors. Medical Infobahn for Europe. Amsterdam: IOS Press; 2000. pp 997-1001.
    Google Scholar
  • 52 CEN/TC251.. Healthcare Information System Architecture Part 1 (HISA) Healthcare Middleware Layer. European Prestandard: CEN European Committee for Standardisation; 1997 03.1997. Report No.: prENV 12967-1:1997 Final Draft 2.
    PubMedGoogle Scholar
  • 53 Object Management Group Healthcare Domain Task Force.. The CORBAmed Roadmap. Bericht. Framingham:: Object Management Group; 1998. 3.2.1998. Report No.: 1.0b.
    Google Scholar
  • 54 Runy LA. The changing role of the CMIO. Hosp Health Netw 2008; 82 (02) 37-42 1.
    PubMedGoogle Scholar
  • 55 Friedman BA. The potential role of physicians in the management of hospital information systems. Clin Lab Med 1990; 10 (01) 239-250.
    CrossrefPubMedGoogle Scholar