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)

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.

 
  • 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.
  • 2 van Bemmel JH. Medical Informatics, Art or Science?. Methods Inf Med 1996; 35: 157-172.
  • 3 Haux R. On Medical Informatics. Methods Inf Med 1989; 28: 66-68.
  • 4 Moehr JR. Where to in the next ten years of health informatics education?. Methods Inf Med 2006; 45 (03) 283-287.
  • 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.
  • 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.
  • 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.
  • 8 Haux R. Health information systems – past, present, future. Int J Med Inform 2006; 75 3–4 268-281.
  • 9 Nefiodow LA. Der Sechste Kondratieff – Wege zur Produktivität und Vollbeschäftigung im Zeitalter der Information. Sankt Augustin: Rhein-Sieg-Verlag; 2001
  • 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.
  • 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.
  • 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.
  • 13 Steinbrook R. Personally Controlled Online Health Data – The Next Big Thing in Medical Care?. N Engl J Med 2008; 358 (16) 1653-1656.
  • 14 Mandl KD, Kohane IS. Tectonic shifts in the health information economy. N Engl J Med 2008; 358 (16) 1732-1737.
  • 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.
  • 16 Blobel B, Pharow P. editors. Advanced Health Telematics and Telemedicine. Amsterdam: IOS Press; 2003
  • 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.
  • 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.
  • 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.
  • 20 Marincola FM. Translational Medicine: A two-way road. J Transl Med 2003; 1 (01) 1.
  • 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.
  • 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.
  • 23 Moehr JR. Guidelines, the Internet, and personal health: insights from the Canadian HEALNet experience. Methods Inf Med 2002; 41 (03) 230-234.
  • 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.
  • 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.
  • 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.
  • 27 Wikipedia.. Green computing:. http://en.wikipedia.org/wiki/Green_computing , accessed 2008-03-13; 2008
  • 28 Blois M. Information and Medicine: The Nature of Medical Descriptions. Berkeley, CA: University of California Press; 1984
  • 29 Booch G. Object-Oriented Analysis and Design. Redwood City, CA: Benjamin Cummings; 1994
  • 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.
  • 31 Klingler A. Building Healthcare Information Systems from Business Components. In: Proceedings Medinfo 2001; 2001
  • 32 Hasselbring.. Top-Down Integration of Components for Hospital Information Systems based on HL7 and SGML. 1998
  • 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.
  • 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.
  • 35 Klein GO, Sottile PA, Endsleff F. Another HISA – the new standard: health informatics – service architecture. Medinfo 2007; 12 Pt (01) 478-482.
  • 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.
  • 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.
  • 38 Winkler V. Identifikation und Gestaltung von Services. Wirtschaftsinformatik 2007; 49 (04) 257-266.
  • 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.
  • 40 CeBIT.. CeBIT green IT:. http://www.cebit.de/greenit_e. Aaccessed 2008-03-13; 2008
  • 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.
  • 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
  • 43 Office of Government Commerce (OGC).. Service Transition. London: TSO; 2007
  • 44 Office of Government Commerce (OGC).. Service Delivery. London: TSO; 2007
  • 45 Office of Government Commerce (OGC).. Service Strategy. London: TSO; 2007
  • 46 Office of Government Commerce (OGC).. Service Operation. London: TSO; 2007
  • 47 Office of Government Commerce (OGC).. Service Design. London: TSO; 2007
  • 48 Zarnekow R, Brenner W. Auf dem Weg zu einem produkt- und dienstleistungsorientierten IT-Management. HMD 2003; 232: 7-16.
  • 49 Haux R, Winter A, Ammenwerth E, Brigl B. Strategic Information Management in Hospitals. New York: Springer; 2004
  • 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.
  • 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.
  • 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.
  • 53 Object Management Group Healthcare Domain Task Force.. The CORBAmed Roadmap. Bericht. Framingham:: Object Management Group; 1998. 3.2.1998. Report No.: 1.0b.
  • 54 Runy LA. The changing role of the CMIO. Hosp Health Netw 2008; 82 (02) 37-42 1.
  • 55 Friedman BA. The potential role of physicians in the management of hospital information systems. Clin Lab Med 1990; 10 (01) 239-250.