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Methods Inf Med 1986; 25(01): 4-14
DOI: 10.1055/s-0038-1635446
Original Artical
Schattauer GmbH

Hospital Information Systems in Japan

Krankenhausinformationssysteme in Japan
K. C. Lum
1   From the Hospital Computer Center, University of Tokyo Hospital, Tokyo, Japan
,
R. Watanabe
1   From the Hospital Computer Center, University of Tokyo Hospital, Tokyo, Japan
,
S. Kaihara
1   From the Hospital Computer Center, University of Tokyo Hospital, Tokyo, Japan
› Author Affiliations
Further Information

Publication History

Publication Date:
20 February 2018 (online)

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Summary

Hospital information systems have been in use in Japan since 1968. Yet, riot much is known in Western literature about Japanese HIS. This paper traces the historical development of HIS in e that country and discusses the strong influence of the Japanese social system. An attempt is e made to classify some of the existing varieties of HIS into four general models with examples given of each kind. Results of evaluations of some of these systems in terms of acceptance by doctors and of hospital and patient management efficiency are also discussed. ment, Japan

Krankenhausinformationssysteme (HIS) sind in Japan seit 1968 eingeführt; dennoch ist in der westlichen Literatur nicht viel über japanische HIS bekannt. In der vorliegenden Arbeit wird a die historische Entwicklung von HIS in diesem Lande verfolgt und der starke Einfluß des it japanischen Sozialsystems erörtert. Es wird der Versuch unternommen, einige der bestehenden Formen von HIS in vier allgemeine Modelle einzuordnen, wobei Beispiele für jede dieser Formen gegeben werden. Außerdem werden Ergebnisse von Auswertungen einiger dieser Systeme im Hinblick auf die Akzeptanz durch die Ärzte und auf ihre Brauchbarkeit in der Krankenhaus- und Patientenverwaltung diskutiert.

Key-Words

Hospital Information Systems - Hospital Communication Systems - HIS Develop-

Schlüssel-Wörter

Krankenhausinformationssysteme - Krankenhauskommunikationssysteme - “HIS-Entwicklung in Japan
 

  • REFERENCES

  • 1 Balgrosky J, Strum D. W, Bradley E. Evaluation ensures performance. Hospitals 1982; 56: 82-84.
    PubMedSearch in Google Scholar
  • 2 Barret J. R, Barnum R. A, Gordon B. B. et al. Evaluation of the Implementation of a Medical Information System in a General Community Hospital. Columbus, Ohio: Battelle Columbus Laboratories; 1975
  • 3 Dlugacz Y. D, Siegel C, Fischer S. Receptivity toward Uses of a New Computer Application in Medicine. In Blum B. I. (Ed) Proceedings of the Sixth Annual Symposium on Computer Applications in Medical Care. New York: IEEE Computer Society Press; 1982
    Search in Google Scholar
  • 4 Health and Welfare Services in Japan. Japan: Ministry of Health and Welfare; 1984
    Search in Google Scholar
  • 5 Integrated Medical Information System (IMIS). Kochi Medical School. 1984
    Search in Google Scholar
  • 6 Ishibashi T, Takahashi K, Tako N, Nishiyama T. Shared Hospital Administrative System in Iwate Prefecture. In Lindberg D. A, Kaihara S. (Eds) Proceedings of MEDINFO 80. Amsterdam: North-Holland; 1980. 1351
    Search in Google Scholar
  • 7 Ishikawa X, Nozaki S, Sato Y, Nishiyama T. Practical Medical Record System at Hitachi General Hospital. In Lindberg D. A, Kaihara S. (Eds) Proceedings of MEDINFO 80. Amsterdam: North-Holland; 1980: 465-469.
    Search in Google Scholar
  • 8 Jay S. J, Anderson J. G. Computerised hospital information systems: their future role in medicine. J. roy. Soc. Med 1982; 75: 303-304.
    PubMedSearch in Google Scholar
  • 9 Kaihara S. Health Care Supported by Technology in Japan. In Wagner G, Reichertz P L, Masé E. (Eds) Technology and Health: Man and his World. Lecture Notes in Medical Informatics Vol 7. Berlin – Heidelberg – New York: Springer; 1980: 145-155.
    Search in Google Scholar
  • 10 Kaihara S. Characteristics of the computer system of the University Hospital, University of Tokyo. Tokyo J. med. Sci 1983; 90: 136-143. in Japanese
    PubMedSearch in Google Scholar
  • 11 Kaihara S, Satomura Y, Takahashi T, Hirakawa A, Miyake H. (Eds) Hospital Information Systems – The first and second generations. Tokyo: Itensha; 1983. (in Japanese)
    Search in Google Scholar
  • 12 Kitazoe Y, Yamamoto K, Ogura H, Furutani H, Takeda Y. Online computer system for storage and retrieval of perinatal records. Asia-Oceania J. Obstetrics and Gynaecology 1983; 9: 405-412.
    PubMedSearch in Google Scholar
  • 13 Komori M, Hirakawa A. Common Database Utilization through Inhouse MUMPS Network System. In Lind-berg and D. A, Kaihara S. (Eds) Proceedings of MEDINFO 80. Amsterdam: North-Holland; 1980: 1360
    Search in Google Scholar
  • 14 Lindberg D. A.B. The Growth of Medical Information Systems in the U.S. Massachusetts: Lexington Books; 1979
    Search in Google Scholar
  • 15 Mass D. Medical information systems: Current aspects and implications. J. med. Technol 1984; 1: 370-374.
    PubMedSearch in Google Scholar
  • 16 Mishelevich D. J, Van Slyke D. Application development system: the software architecture of the IBM Health Care Support DL/I-Patient Care System. IBM Systems J 1982; 19: 478-505.
    PubMedSearch in Google Scholar
  • 17 Miyake H, Kohno M, Aoyama M. The Nationwide Survey of the Practical Computer Facility Usage in Hospitals of Japan. In Shires D. B, Wolf H. (Eds) MEDINFO 77. Amsterdam: North-Holland; 1977: 933-937.
    Search in Google Scholar
  • 18 Ogura H, Yamamoto K, Furutani H, Kitazoe Y, Takeda Y. Online Order Entry System Operated by Doctors in a Total Hospital Information System. Proceedings of the 22nd Conference of the Japanese Society on Hospital Administration. 1984: 18-1. October in Japanese
    Search in Google Scholar
  • 19 Ogushi Y. personal communication. 1984
    Search in Google Scholar
  • 20 Ogushi Y, Kobayashi E, Noguchi H. et al. Information processing system for Osaka Prefectoral Habikino Hospital. Sumitomo Electric Technical Review 1984; 23: 136-146.
    PubMedSearch in Google Scholar
  • 21 Ohmichi H, Haneda S, Ishii T, Kaku Y, Kimura S. Shared Hospital Information System (SHIS) – Hospital Accounting System. In Lindberg D. A, Kaihara S. (Eds) Proceedings of MEDINFO 80. Amsterdam: North-Holland; 1980: 1070-1074.
    Search in Google Scholar
  • 22 Reese J. W. Computing in Japan: Coming from behind moving in front. Asia Computer Monthly No. 1984. August 25-29.
    Search in Google Scholar
  • 23 Satomura Y, Era K, Otsuka N, Ishii H, Suzuki K. Medical Record Management and Database System of Chiba University Hospital. In Lindberg D. A, Kaihara S. (Eds) Proceedings of MEDINFO 80. Amsterdam: North-Holland; 1980: 484-487.
    Search in Google Scholar
  • 24 Teach R. L, Shortliffe E. H. An analysis of physician attitudes regarding computer-based clinical consultation systems. Comp. biomed. Res 1981; 14: 542-558.
    CrossrefPubMedSearch in Google Scholar
  • 25 Tokyo University Hospital Statistical Yearbook. 1984. (in Japanese)
    Search in Google Scholar
  • 26 U. S. General Accounting Office. Computerised Hospital Information Systems Need Further Evaluation to Ensure Benefits from Huge Investments. Gaithers-burg: MD; 1980
    Search in Google Scholar
  • 27 Weinberger G, Tenenbaum A. The future of healthcare computer systems. Computers in Healthcare. 1983. Feb 20-22.
    Search in Google Scholar
  • 28 Yasumatsu N. FACOM Hospital Information System. In Lindberg D. A, Kaihara S. (Eds) Proceedings of MEDINFO 80. Amsterdam: North-Holland; 1980. 1359
    Search in Google Scholar
  • 29 Yamamoto K. personal communication. 1984
    Search in Google Scholar
  • 30 Yamamoto K, Ogura H, Furutani H, Kitazoe Y, Takeda T. System design of summary records gathered by clinicians in a hospital information system. Medical Informatics 1984; 9: 103-109.
    CrossrefPubMedSearch in Google Scholar