Opinion Paper: Ethical Problems in Health Information Systems

2001 ◽  
Vol 40 (04) ◽  
pp. 359-361 ◽  
Author(s):  
F. Grémy ◽  
J.-M. Fessler
Keyword(s):  
Information System ◽  
Information Systems ◽  
Health Information ◽  
Health Information Systems ◽  
Human Interaction ◽  
Main Question ◽  
Human Beings ◽  
Human Relationships ◽  
Ethical Problems ◽  
Automatic Information

Summary Objectives: To introduce term and concept of infoethics and to argue on its importance for health information systems. Methods: To argue about our viewpoint of the dominance of the human component, which has been discussed at an IMIA working conference held in Helsinki, Finland (February 1998) devoted to the evaluation of health information systems. Results and conclusions: Any technology sets a relationship between human beings and their environment, both physical and human. No technology can be seen as merely instrumental. This is especially relevant when dealing with large automatic information systems, developed to contribute to the management and integration of large organizations, such as hospitals. In such a context, the environment is mainly made up of humans. In evaluating such information systems, human factors preside over merely technical factors. Even if satisfying the latter is mandatory, they are never really sufficient. A perfect hard- and software system can be an absolute failure in everyday use. In any information system, the human factor is, of course, human-computer interaction, which always occurs when one person interacts with the machinery. However, in a simultaneous multi-user context, human-human interaction is the main question to tackle. The evaluation of large information systems, such as those found in hospitals, is founded in the whole concept of inter-human relationships which underlie the design and use of the system. Indeed, such an information system predominately appears as a social system, with its psychological, sociological and ethical features.

scholarly journals Implementation of Toddler Health Information Systems

2021 ◽  
Vol 7 (1) ◽  
pp. 1-4
Author(s):  
Teungku Nih Farisni ◽  
Keyword(s):  
Information System ◽  
Information Systems ◽  
Health Center ◽  
Health Information ◽  
Reporting System ◽  
Health Information System ◽  
Public Information ◽  
Health Information Systems ◽  
Integrated System

Health Information System is an integrated system that used to manage data and public information. Babahrot Health Center, has problems in the field of health information system and the health center of integrated recording and reporting system especially the system toddler health information

scholarly journals OpenMRS FRAMEWORK : HEALTH INFORMATION SYSTEM SOLUTION TO DEVELOP IN SABHA, LIBYA

Respati ◽  
2017 ◽  
Vol 9 (27) ◽  
Author(s):  
Mostafa Abobaker ◽  
Selo Sulistyo ◽  
Adhistya Erna Permanasari
Keyword(s):  
Health Care ◽  
Information System ◽  
Information Systems ◽  
Health Services ◽  
Health Information ◽  
Health Care System ◽  
Health Information System ◽  
Health Information Systems ◽  
Care System ◽  
The Revolution

The health care system in Libya in recent years does not change significantly, less developed and modernized. This problem is further exacerbated by the revolution that occurred in Libya. The revolution that occurred in 2011 has caused the health care system into collapse. In this study conducted a review for the development of health information systems in Libya by using OpenMRS Framework.At the stage of gathering information using questionnaires concluded that the majority of respondents (about 95.35%) wanted the development of a new system that can resolve the main problems that occurred in Libya, the health information system ineffective and inefficient in which this system has led to wastage of time and increased operating costs. Based on analysis of system vulnerabilities using PIECES method could also be concluded that the current system is not used effectively and efficiently. In this study is also presented on how to implement OpenMRS.Based on the results of the discussion it can be concluded that OpenMRS is a solution that can be taken for the development of a health information system that is fast, low cost, and is an open source application that only requires a little setting in the system of patient management and care. OpenMRS can be implemented to support the health services of a small clinic to the health services with enterprise scale. Therefore, OpenMRS could be the answer to the development of health information systems in various countries around the world, including Libya.

scholarly journals Data Incompleteness Preventing Information Communication from Hospital Information Systems to the Iranian National Electronic Health Record (SEPAS)

2021 ◽  
Vol 10 (1) ◽  
pp. 97
Author(s):  
Reza Abbasi ◽  
Reza Khajouei ◽  
Monireh Sadeghi Jabali ◽  
Moghadameh Mirzaei
Keyword(s):  
Information System ◽  
Information Systems ◽  
Electronic Health Record ◽  
Health Information ◽  
Information Quality ◽  
Clinical Information ◽  
Health Information Systems ◽  
Hospital Information Systems ◽  
Health Record ◽  
Electronic Health

Introduction: One of the well-known problems related to the information quality is the information incompleteness in health information systems. The purpose of this study was to investigate the completeness rate of patients’ information recorded in the hospital information system, sending information from which to Iranian electronic health record system (SEPAS) seemed to be unsuccessful.Methods: This study was conducted in six hospitals associated with Kerman University of Medical Sciences (KUMS) in Iran. In this study, 882 records which had failed to be sent from three hospital information systems to SEPAS were reviewed and the data were collected using a checklist. Data were analyzed using the descriptive and inferential statistics with SPSS.18.Results: A total of 18758 demographic and clinical information elements were examined. The rate of completeness was 55%. The highest completeness rate of demographic information was related to name, surname, gender, nationality, date of birth, father's name, marital status, place of residence, telephone number (79-100%), and in clinical information it was related to the final diagnosis (74%). The completeness rate of some information elements was significantly different among the hospitals (p <0.05). The completeness rate of information communicated to the Iranian national electronic health record was at a moderate level.Conclusion: This study showed that completeness rate is different among hospitals using the same hospital information system. The results of this study can help the health policymakers and developers of the national electronic health record in developing countries to improve completeness rate and also information quality in health information systems.

scholarly journals Usability Evaluation of Hospital Information System According to Heuristic Evaluation

2021 ◽  
Vol 10 (1) ◽  
pp. 69
Author(s):  
Ahmad Azizi ◽  
Mahmood Maniati ◽  
Hadis Ghanbari-Adivi ◽  
Zeinab Aghajari ◽  
Sedigheh Hashemi ◽  
...  
Keyword(s):  
Information System ◽  
Information Systems ◽  
Health Information ◽  
User Satisfaction ◽  
Hospital Information System ◽  
Evaluation Method ◽  
Health Information Systems ◽  
Heuristic Evaluation ◽  
Usability Problems ◽  
Scientific Principles

Introduction: There are various applications and health information systems which have been developed to promote the effective retrieval of patient information, statistics, research, and education. Therefore, there is a need to design them in consistency with scientific principles of usability. To this end, the usability of hospital information sub-systems employed at the hospitals of Ahvaz were compared using heuristic evaluation method. The objective of the study was to assess the usability of hospital information system according to heuristic evaluation.Material and Methods: Six trained evaluators, independently determined the ADT subsystem, HIM subsystem, and NIS according to Nielsen’s 10 Heuristic Principles. Since more than half of the hospitals (about 54%) employed Sib application, no specific sampling method was used. After combining the usability problems, the average severity ratings of the problems were calculated, and then the subsystems were compared.Results: The number of the usability problems of the ADT information subsystem, HIM subsystem, and NIS were 40, 39, and 37, respectively. After merging the problems, the features of “user control and freedom” with 20 cases and “flexibility and efficiency of use” with six cases had the highest and the lowest inconsistencies with usability principles. The average severity ratings of the problems also varied between 1.7 and 3.Conclusion: Heuristic evaluation method is regarded as one of the approaches appropriate to identify usability problems in health information systems. Thus, it is advisable to utilize this method to modify the design of the systems and to improve their efficiency before their implementation in order to increase user satisfaction.

scholarly journals Investigations into the use of Snomed CT to enhance an OpenMRS health information system

2011 ◽  
Vol 47 ◽  
Author(s):  
Ken Halland ◽  
Katarina Britz ◽  
Aurona Gerber
Keyword(s):  
Information System ◽  
Information Systems ◽  
Health Information ◽  
Health Information System ◽  
Health Information Systems ◽  
Snomed Ct ◽  
Implementation Analysis

In this paper, we discuss the advantages of using formal medical ontologies to enhance health information systems. In particular, we consider the suitability of the medical ontology Snomed CT for enhancing a health information system developed in the OpenMRS framework. We propose ways in which a module of Snomed CT can be linked to an OpenMRS application, based on an implementation analysis.

Accountability, Beneficence, and Self-Determination

2010 ◽  
pp. 274-286
Author(s):  
Tina Saryeddine
Keyword(s):  
Decision Making ◽  
Information Systems ◽  
Health Information ◽  
Health Informatics ◽  
Ethical Decision Making ◽  
Health Information Systems ◽  
Self Determination ◽  
Web Based ◽  
Ethical Problems ◽  
Accountability For Reasonableness

Existing literature often addresses the ethical problems posed by health informatics. Instead of this problem-based approach, this chapter explores the ethical benefits of health information systems in an attempt to answer the question “can health information systems make organizations more accountable, beneficent, and more responsive to a patient’s right to self determination?” It does so by unpacking the accountability for reasonableness framework in ethical decision making and the concepts of beneficence and self-determination. The framework and the concepts are discussed in light of four commonly used health information systems, namely: Web-based publicly accessible inventories of services; Web-based patient education; telemedicine; and the electronic medical record. The objective of this chapter is to discuss the ethical principles that health information systems actually help to achieve, with a view to enabling researchers, clinicians, and managers make the case for the development and maintenance of these systems in a client-centered fashion.

scholarly journals Health information systems and pesticide poisoning at Pernambuco

2015 ◽  
Vol 18 (3) ◽  
pp. 666-678 ◽  
Author(s):  
Pedro Costa Cavalcanti de Albuquerque ◽  
Idê Gomes Dantas Gurgel ◽  
Aline do Monte Gurgel ◽  
Lia Giraldo da Silva Augusto ◽  
Marília Teixeira de Siqueira
Keyword(s):  
Information System ◽  
Information Systems ◽  
Health Information ◽  
Suicide Attempts ◽  
Health Information Systems ◽  
Quality Data ◽  
Pesticide Poisoning ◽  
Epidemiologic Profile ◽  
Epidemiological Profile ◽  
The Impact

INTRODUCTION: Understanding the epidemiologic profile of a particular disease is key to undertake health actions. To that end, information systems that present quality data help in the decision-making process and demonstrate the impact of the problems. OBJECTIVE: To analyze the contribution of health information systems for the characterization of pesticide poisoning through SINAN, CEATOX and SIM in the State of Pernambuco. METHOD: In this study, the completeness and consistency of the data were assessed, as well as the epidemiological profile of pesticide poisoning in Pernambuco in the period from 2008 to 2012, based on the following Health Information Systems: Center for Toxicological Assistance of Pernambuco (CEATOX), Notifiable Diseases Information System (SINAN) and Mortality Information System (SIM). RESULTS: The data revealed incompleteness and inconsistencies in information. Regarding the profile, females are more affected in the morbidity profile, and men have a higher mortality rate. Poisoning was more frequent in young adults with low educational level. With regard to the circumstances, most of the cases were suicide attempts, unique acute cases and not related to work. Despite suggesting underreporting, the data showed that persons engaged in agriculture are most commonly affected. CONCLUSION: The strengthening of these systems is necessary for the generation of consistent information that support health policies for the population groups involved.

scholarly journals A Model for Acceptance and Use of Health Information Systems for South African Health Practitioners

2020 ◽  
Vol 5 (6) ◽  
pp. 1296-1310
Author(s):  
Million Mberi ◽  
Ray M Kekwaletswe
Keyword(s):  
Information System ◽  
Information Systems ◽  
Health Information ◽  
South African ◽  
Health Information System ◽  
Health Information Systems ◽  
Operational Costs ◽  
African Health ◽  
Health Practitioners ◽  
South African Health

This paper discusses the acceptance and use of Health Information Systems in the context of South African Health Practitioners. The paper argues that ideally, Health Practitioners who adopt HIS are poised to significantly improve their operations and services, and thereby offering patient satisfaction and adequately cover operational costs. Despite the continued investment in information system, there is still limited research and knowledge into what influences or affect the use of the system by health practitioners. The paper addresses the inadequacy of literature in addressing the use of health information system by health practitioners, especially in the context of South Africa. To this point this study sought to explore and explain what affects the use of HIS by individuals.

scholarly journals Global Trends of Regional Health Information Systems and Suggested Strategic Utilization of their Medical Information

2021 ◽  
Vol 27 (3) ◽  
pp. 175-181
Author(s):  
Hyejin Park ◽  
Sung-Hong Kang ◽  
Young Sung Lee ◽  
In-Sik Lee ◽  
Yul Hwangbo ◽  
...  
Keyword(s):  
Information System ◽  
Information Systems ◽  
Health Information ◽  
Medical Information ◽  
Health Information Systems ◽  
Medical Information System ◽  
Regional Health ◽  
Healthcare Information ◽  
Global Trends ◽  
Local Healthcare

Objectives: Along with the exponentially-growing data produced and accumulated every day through mobile platforms, social networking services, the Internet, and other media, information is becoming increasingly important as a strategic resource. This report presents specific and clear directions and suggests empirical project plans regarding innovations in regional health information systems to promote the utilization of medical information.Methods: We reviewed and examined documents about global trends and examples of regional health information systems. The problems and solutions of health information utilization and regional health information systems in Korea were analyzed.Results: This study presented examples of the establishment of health information systems, problems in the use of local healthcare information, and an empirical project for improvement.Conclusions: The results of this study imply the need for long-term and systematic approaches for the use of medical information and the establishment of a local healthcare information system, along with implementation plans. As a first step, it is imperative to clarify the goal of building a medical information system, the information that must be provided to build the system, and the data that should be collected to provide such information, while moving away from the mentality of focusing on technology-oriented medical information services. In addition, it is necessary to consider information governance, data-based service development, and the medical innovation framework, which are ways to efficiently manage, utilize, and systemize the data to be collected.

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