A roadmap towards healthcare information systems interoperability in Greece

• Autorzy: Berler A. , Tagaris A. , Angelidis P. , Koutsouris D.
• Języki publikacji: EN

Abstrakty

EN

The advantages of the introduction of information and communication technologies (ICT) in the complex healthcare sector are already well known and well stated in the past. It is common knowledge that in order to install any type of information system in healthcare, six main groups of issues have to be dealt with: organizational and cultural matters related to healthcare, technological gap between healthcare professionals and information science experts, legal requirements on the confidentiality of personal data, of patient related data and on data privacy, industrial and market position of healthcare informatics and interoperability complexity, lack of vision and leadership of the health care managers and health authorities and user acceptability and usability of the proposed information systems. In order to meet these issues stated above, a special focus group (Z3) performed an assessment of the situation of healthcare informatics in Greece and of the main key points that would lead to success. In that sense it is now common knowledge that Greece is lagging information and communication technology progress in healthcare because almost none of the above mentioned issues were dealt with. This assessment is the result of the interaction of more than 150 decision makers, medical informaticians, healthcare practitioners and other individual involved in healthcare. As a conclusion, this focus group resulted in 4 major propositions that will lead to healthcare informatics introduction with better success chances: focus on terminologies and standards, focus on interoperability and information systems sustainability, focus on clear goals and system metrics that can create a healthcare performance management cockpit, and focus on people and what they have to say, by creating a e-health forum. These conclusions were taken into consideration by the Greek government and are incorporated the IASYS project, the national healthcare informatics framework for the next ten years.

Słowa kluczowe

EN

interoperability; HL7; regional healthcare information system; medical informatics standards; medical codifications; information technologies; communication technologies; healthcare

• Wydawca: Instytut Łączności - Państwowy Instytut Badawczy
• Czasopismo: Journal of Telecommunications and Information Technology
• Rocznik: 2006
• Tom: nr 2
• Strony: 59--73
• Opis fizyczny: Bibliogr. 30 poz., tab., rys.

Twórcy

autor

Berler A.

autor

Tagaris A.

autor

Angelidis P.

autor

Koutsouris D.

• Biomedical Engineering Laboratory, School of Electrical and Computer Science, National Technical University of Athens (NTUA), 9 Iroon Polytechniou st, 15773, Zografou Campus, Athens, Greece,

Bibliografia

• [1] L. Eder, Managing Healthcare Information Systems with Web Enabled Technologies. Hershey: Idea Group Publishing, 2000.
• [2] S. Englebardt and R. Nelson, Healthcare Informatics, an Interdisci-plinary Approach. St Louis: Mosby Edition, 2002.
• [3] A. Harmoni, Effective Healthcare Information System. Hershey: IRM Press, 2002.
• [4] T. E. Norris, S. S. Fuller, H. I. Goldberg, and P. Tarczy-Hornoch, Informatics in Primary Care, Strategies in Information Management for the Healthcare Provider. New York: Springer, 2002.
• [5] E. H. Shortliffe, L. E. Perreault, G. Wiederhold, and L. M. Fagan, Medical Informatics, Computer Applications, Healthcare and Biomedicine. 2nd ed. New York: Springer, 2001.
• [6] R. Stegwee and T. Spil, Strategies for Healthcare Information Sys-tems. Hershey: Idea Group Publishing, 2001.
• [7] I. Iakovidis, “Towards a health telematics infrastructure in the European Union”, in Information Technology Strategies from US and the European Union: Transferring Research to Practice for Healthcare Improvement. Amsterdam: IOS Press, 2000.
• [8] I. Iakovidis, “Towards personal health record: current situation, ob-stacles and trends in implementation of electronic healthcare records in Europe”, Int. J. Med. Inform., vol. 52, no. 123, pp. 105–117, 1998.
• [9] N2889/2001 (FEK-A/37/02.03.2001), Greek National Healthcare System Reform Act, 2001 (in Greek).
• [10] Information Society SA, “Healthcare information system for the 2nd regional healthcare authority of Central Macedonia”, Request for proposal co-funded by the 3rd CSF under the EU decision C(2001)551/14-3-2001, Greece, May 2003 (in Greek).
• [11] S. Spyrou, P. Bamidis, I. Chouvarda, G. Gogou, S. M. Tryfon, and N. Maglaveras, “Health care informatics standards: comparison of the approaches”, Health Inform. J., vol. 8, no. 1, pp. 14–19, 2002.
• [12] J. Grimson, W. Grimson, and W. Hasselbring, “The SI challenge in health care”, Commun. ACM, vol. 43, no. 6, pp. 49–55, 2000.
• [13] “Health Level Seven (HL7): an application protocol for electronic data exchange in healthcare environments”, Version 2.1, 1990. Chicago: Health Level Seven, 1990.
• [14] W. E. Hammond, “Health Level 7: an application standard for elec-tronic medical data exchange”, Top. Health Rec. Manag., no. 11, pp. 59–66, 1991.
• [15] HL7 standards Internet resources, http://www.hl7.org
• [16] S. Spyrou, A. Berler, and P. Bamidis, “Information system interop-erability in a regional healthcare system infrastructure: a pilot study using healthcare information standards”, in Proc. MIE 2003, Saint Malo, France, 2003, pp. 364–369.
• [17] OECD, STI Scoreboard, A.6.3, Health-related R&D, 2001.
• [18] CEN/ISSS e-health standardization focus group, 2004, http://www.centc251.org/ehealthfocusgroup.htm
• [19] P. Doupi and P. Ruotsalainen, “eHealth in Finland: present status and future trends”, Int. J. Circ. Health, vol. 63, no. 4, pp. 322–327, 2004.
• [20] P. Doupi and P. Ruotsalainen, “Healthcare informatics in Finland: current status and future prospects”, British J. Healthc. Comput. Inform. Manag., vol. 21, no. 10, pp. 20–23, 2004.
• [21] “MEDITRAV WP11, Deliverable 1”, P. Doupi et al., Eds., in The State of eHealth in Europe, Helsinki, Finland, 2003.
• [22] M. McKee and J. Healy, “Hospital in a changing Europe”, “Euro-pean Observatory on Health Care Systems” Series, Buckingham – Philadelphia, Open University Press, 2002.
• [23] HMSO, “An Organisation with a Memory”, Report of an expert group on learning from adverse events in the NHS chaired by the Chief Medical Officer, England, 2000.
• [24] L. T. Kohn, J. M. Corrigan, and M. S. Donaldson, To Err Is Human: Building a Safer Health System, Institute of Medicine. Washington: National Academy Press, 2000.
• [25] QAHCS, “Quality in Australian Health Care Study”, 1995.
• [26] F. H. Roger, “The minimum basic data set for hospital statistics in the EEC”, Document EUR 7162, Luxembourg, Office of Publications of the EEC, 1981.
• [27] EU Council, “Decision No 1786/2002/EC of the European Par-liament and of the Council of 23 September 2002 adopting a programme of Community action in the field of public health (2003–2008)”, 2002.
• [28] EU Commission, “e-Europe 2005: an information society for all –an action plan”, COM (2002) 263 final, 28.05.2002.
• 29] EU Commission, “e-Health – making healthcare better for Euro-pean citizens: an action plan for a european e-health area”, COM (2004)356, 30.04.2004.
• [30] EU Commission, “Follow-up to the high level reflection process on patient mobility and healthcare developments in the European Union”, COM (2004) 301 final, 20.04.2004.