scholarly journals 25.M. Workshop: Improving migration health information systems: Task-Force for facilitating action

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract Health information systems have not kept up with the demands and needs created by the sharp rise in human mobility over the past three decades. Most health information systems operate in national silos, and fail to provide a fully accurate, reliable and timely picture of the health and health care situation of a world on the move. As such, health needs of a large number of international migrants go unrecognized, and health systems fail to produce the evidence required for migrant-sensitive service planning, monitoring and public health action. The generation of such essential evidence relies on the inclusion of migrant health in health information systems in a consistent, comparable and ethically acceptable manner. A high-level consensus conference in Pecs (October 2019) noted the need for greater harmonisation and international cooperation on migrant health information systems, including data collection, analysis and dissemination. Taking the status quo of health information systems as a starting point, the workshop aims to present steps towards health system reforms which make information systems more sensitive and responsive to the health needs of increasingly mobile human populations. To this end, the workshop brings together researchers, policy makers and health professionals from different fields and institutions, to share existing knowledge, and by jointly exploring the following questions: What measures can we take to facilitate the harmonisation of migrant health indicators and data collection methods to ensure cross-border comparability, compatibility and completeness of data?How can we effectively improve international cooperation and governance of data management in order to share and transfer data for reasonable analysis, advocacy, and action?How can we initiate health systems reforms towards the above aims, considering that health systems are complex adaptive social constructs which are often resistant to change and not linear?What ethical and data protection considerations must be made when collecting, analysing and sharing migrant health data?How can build the required human resource capacities? Key messages Evidence based development of ‘migrant sensitive health care system’ requires specific, consistent and comparable health data Health systems harmonization on the field of migration requires supportive policy, guidance, infrastructure and trained human resources

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K Bozorgmehr ◽  
R Jahn ◽  
L Biddle ◽  
S Rohleder ◽  
S Puthopparambil

Abstract This presentation discusses the findings of a Health Evidence Network synthesis report on availability and integration of refugee and migrant health data in health information systems in the WHO European Region. Based on an analysis of 41 full-text studies and 696 abstracts, the report found that refugee and migrant health data were available in less than half of the Region's Member States, and that data availability and integration, data collection systems, as well as indicators on migration varied markedly between states. From these findings, the report derived key policy considerations regarding the strengthening and harmonization of migrant health data collection, as well as governance and monitoring of health information systems.


1996 ◽  
Vol 26 (4) ◽  
pp. 197-201 ◽  
Author(s):  
Tina Magennis ◽  
Jennifer Mitchell

As electronic patient health information systems become more fully developed and widespread, there are persistent concerns about the privacy and confidentiality of the personal health data being stored and disseminated. Standards Australia has released two Standards which provide useful guidelines for the organisational, technological and human behaviour solutions required to protect privacy and confidentiality in health care organisations. The major requirements of these Standards are outlined and the implications of the Standards for health information managers are discussed.


Author(s):  
Louise Biddle ◽  
Kayvan Bozorgmehr ◽  
Rosa Jahn

Ensuring the health of migrants and access to appropriate health services presents a challenge to health systems in the age of global migration. Reliable and timely information is key to decision-making in all sectors of the health system to ensure that health system goals are met. Such information is even more important among a mobile, sometimes rapidly changing, dynamic and heterogeneous migrant population. While health information systems (HIS) are crucial for effective functioning of other health system blocks as well as for evidence-informed decision-making, they are often sidelined in health system policy and development. Looking across the World Health Organization (WHO) European Region, HIS for migrants are deficient both in their overall availability and their integration into regular monitoring structures. Less than half of the 53 member states routinely report health data for refugees and migrants. Most of the routinely collected data on migrant and refugee health can be identified in countries with strong population-based records, with some good practice examples of well-integrated and high-quality health monitoring surveys, disease-specific registries, and “parallel” HIS in migrant-specific settings. Overall, however, HIS in the WHO European Region are not able to provide data of sufficient quality and comparability to be well integrated into regular health monitoring structures. The reasons for this can be highlighted by five key barriers to improved information systems for migrant health: barriers in recording data, standardizing data collection, harmonizing migrant indicators, producing high-quality data, and sharing information. Better integration can be achieved through increased multilateral collaboration for the harmonization of indicators, strengthening of governance frameworks for data-sharing and protection measures, and the increased use of currently underutilized data collection mechanisms, including health monitoring surveys and medical records from refugee reception facilities. These steps will remain essential for the adequate planning and provision of needs-based care for refugees and migrants.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
I Szilárd

Abstract Background Experts of the high-level Consensus Conference (Pécs, 7-8 October 2019) agreed that there is a need for greater harmonisation and international cooperation on migrant health information systems. In order to facilitate the realization of this goal the formation of a multi-stakeholder scientific task force (TF) was proposed. Objectives The Consensus Conference Follow up Task-Force is an informal, voluntary scientific body, aiming to assist and facilitate the realization of the Statement of the Conference. More specifically: Calling the attention about the needfor reliable, migrants/migration related health, public health and occupational health data;for the harmonisation of the migrants/migration related health information systems;for the establishment of international cooperation;Design and work out unified definitions and technical guidance on taxonomy and methodologies of data collection;Facilitate and assist both individual researchers' and teams' endowers for the international harmonisation of target group variables and indicators in order to ensure comparability of data;Call the attention for and initiate the establishment of a European level migrant health database, and provide scientific and technical assistance for its realization. Results The WHO Collaborating Centre at the University of Pécs Medical School (UPMS) has offered to coordinate this initiative, worked out the Terms of Reference (ToR) of this new body and asked the leading international organizations and individual experts to participate in the work of this innovative endower. WHO, IOM, ECDC and the European Union Agency for Fundamental Rights has appointed delegates and twelve experts joint to the initiative. On 11 February an internet-based conference was organized where participants approved the ToR and with consensus Prof. Dr. Kayvan Bozorgmehr has been elected for president. UPMS runs its secretariat. The work plan of the TF will be presented during the conference.


2017 ◽  
Vol 56 (S 01) ◽  
pp. e20-e29 ◽  
Author(s):  
Najeeb Al-Shorbaji ◽  
Elizabeth Borycki ◽  
Michio Kimura ◽  
Christoph Lehmann ◽  
Nancy Lorenzi ◽  
...  

SummaryThis article is part of a For-Discussion-Section of Methods of Information in Medicine about the paper “Representation of People’s Decisions in Health Information Systems: A Complementary Approach for Understanding Health Care Systems and Population Health” written by Fernan Gonzalez Bernaldo de Qui-ros, Adriana Ruth Dawidowski, and Silvana Figar. It is introduced by an editorial. This article contains the combined commentaries invited to independently comment on the paper of de Quiros, Dawidowski, and Figar. In subsequent issues the discussion can continue through letters to the editor.


2010 ◽  
Vol 19 (01) ◽  
pp. 30-33
Author(s):  
C. Bréant ◽  

Summary Objectives: Summarize excellent current research in the field of Health Information Systems. Method: Synopsis of the articles selected for the IMIA Yearbook 2010. Results: Five papers from international peer reviewed journals have been selected for the section on health information systems. Conclusions: The elected articles illustrate how health care IT alignment, assessment and benchmarking have become a challenge and a key aspect to the strengthening of health information systems in order to maintain and expand the objectives and strategies of organizations.


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