Hospital Informatization in China During the COVID-19 Pandemic: A Cross-Sectional Internet-Based Survey Study (Preprint)

2020 ◽  
Author(s):  
Ke Zeng ◽  
Weiguo Zhu ◽  
Caiyou Wang ◽  
Liyan Zhu
Keyword(s):  
Information Technology ◽  
Information Security ◽  
Medical Information ◽  
Survey Study ◽  
Chinese Government ◽  
Qr Code ◽  
Cross Sectional ◽  
Network Information ◽  
Tertiary Hospitals ◽  
The Impact

BACKGROUND The rapid spread of COVID-19 has created a severe challenge to China’s healthcare system. Hospitals across the country reacted quickly under the leadership of the Chinese government and implemented a range of informatization measures to effectively respond to the COVID-19. OBJECTIVE To understand the impact of the pandemic on the medical business of Chinese hospitals and the difficulties faced by hospital informatization construction. To discuss the application of hospital informatization measures during the COVID-19 pandemic. To summarize the practical experience of hospitals using information technology to fight the pandemic. METHODS Performing a cross-sectional on-line questionnaire survey in Chinese hospitals, of which the participants are invited including hospital information staff, hospital administrators, medical staff, etc. Statistical analyzing the collected data by using SPSS version 24. RESULTS A total of 804 valid questionnaires (88.45%) are collected in this study from 30 provinces in mainland China, of which 731 (90.92%) were filled out by hospital information staff. 473 (58.83%) hospitals are tertiary hospitals while the remaining 331 (41.17%) are secondary hospitals. The majority hospitals (82.46%) had a drop in their business volume during the pandemic and a more substantial drop is found in tertiary hospitals. 70.40% (n=566) of hospitals have upgraded or modified their information systems in response to the epidemic. The proportion of tertiary hospitals that upgraded or modified systems is significantly higher than that of secondary hospitals. Internet hospital consultation (70.52%), pre-check and triage (62.56%), telemedicine (60.32%), health QR code (57.71%), and telecommuting (50.87%) are the most used informatization anti-pandemic measures. There are obvious differences in the application of information measures between tertiary hospitals and secondary hospitals. Among these measures, most of them (41.17%) are aiming at serving patients and most of them (62.38%) are universal which continue to be used after pandemic. The informatization measures are mostly used to control the source of infection (48.19%), such as health QR Code, etc. During the pandemic, the main difficulties faced by the hospital information department are “information construction projects are hindered” (58.96%) and “increased difficulty in ensuring network information security” (58.58%). There are significant differences in this issue between tertiary hospitals and secondary hospitals. The shortcomings of hospital informatization that should be made up for are “shorten patient consultation time and optimize consultation process” (72.51%), “Ensure network information security” (72.14%) and “build internet hospital consultations platform” (59.95%). CONCLUSIONS A significant number of innovative medical information technology have been used and played a significant role in all phases of COVID-19 prevention and control in China. Since the COVID-19 brought many challenges and difficulties for informatization work, hospitals need to constantly improve their own information technology skills to respond to public health emergencies that arise at any moment.

Medical-information technology

1998 ◽  
Vol 103 (1) ◽  
pp. 13-16
Author(s):  
Bryan P. Bergeron
Keyword(s):  
Information Technology ◽  
Medical Information

Access Control for Healthcare

2011 ◽  
pp. 7-14
Author(s):  
Yifeng Shen
Keyword(s):  
Information Technology ◽  
Information Systems ◽  
Medical Information ◽  
Rapid Development ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Test Results ◽  
High Quality ◽  
Quality Healthcare ◽  
Administrative Services

Thanks to the rapid development in the field of information technology, healthcare providers rely more and more on information systems to deliver professional and administrative services. There are high demands for those information systems that provide timely and accurate patient medical information. High-quality healthcare services depend on the ability of the healthcare provider to readily access the information such as a patient’s test results and treatment notes. Failure to access this information may delay diagnosis, resulting in improper treatment and rising costs (Rind et al., 1997).

Community-Based Information Technology Interventions for Persons with Mental Illness

2006 ◽  
pp. 191-226
Author(s):  
Rosanna Tarsiero
Keyword(s):  
Information Technology ◽  
Mental Illness ◽  
Developing Countries ◽  
Medical Information ◽  
Illness Experience ◽  
Community Based ◽  
Distance Training ◽  
Profound Impact ◽  
Self Help ◽  
Information Providers

The chapter provides the reader with an overview of the problems persons with mental illness experience in their everyday life, and guides readers through how ICT access and usage can be approached in order to empower such a marginalized population in both developed and developing countries. It argues that, since isolation is their main problem, networking those people with reliable sources of medical information, providers of distance training and learning, and online self-help communities can have a profound impact on lifting their marginalization. The author hopes that the role ICT can play for these people will no longer be overlooked or neglected, and that policymakers will be inspired to use ICT worldwide to defeat mental illness by implementing solutions tailored on these people’s needs.

Formulating the Business Case for Hospital Information Systems – Analysis of Kaiser Permanente Investment Choice

2020 ◽  
pp. 42-49
Author(s):  
Zukowski McLean
Keyword(s):  
Information Technology ◽  
Information Systems ◽  
Medical Information ◽  
Business Case ◽  
Hospital Information Systems ◽  
Limited Information ◽  
Medical Practitioners ◽  
Social Mission ◽  
Wide Range ◽  
Cost And Benefit Analysis

This research paper focusses on the business case for the Hospital Information Systems (HIS) which represents the businesses that contemplate the fundamental investment in the Electronic Medical Record (EMR) information technology framework. In that case, Kaiser permanent framework is tasked with the obligation to maintain social mission which will develop the medical fields and can be applied by medical practitioners to effectively develop the clinical sector. Nonetheless, Kaiser framework might be stimulated to underscore just like many investment organizational cases, the data presented in this framework signifies our ‘effective thinking’ at a certain timeframe in relation to limited information. This represents both the internalized Kaiser Permanent information and the paucity of the essential sets of data in the wide-range medical and bioinformatics sector. We project that this research contributes to the upcoming measure of EMR to the clinical aspect of communities and patients. Moreover, there are critical analyses that have been executed in relation to the medical information technology and has been designed based on the framework’s cost and benefit analysis for the electronic HIS.

scholarly journals Smart Medical Information Technology for Healthcare (SMITH)

2018 ◽  
Vol 57 (S 01) ◽  
pp. e92-e105 ◽  
Author(s):  
Alfred Winter ◽  
Sebastian Stäubert ◽  
Danny Ammon ◽  
Stephan Aiche ◽  
Oya Beyan ◽  
...  
Keyword(s):  
Information Technology ◽  
Information System ◽  
Data Integration ◽  
Medical Information ◽  
Use Cases ◽  
Use Case ◽  
Clinical Use ◽  
Privacy Management ◽  
Reference Architecture ◽  
Market Place

Summary Introduction: This article is part of the Focus Theme of Methods of Information in Medicine on the German Medical Informatics Initiative. “Smart Medical Information Technology for Healthcare (SMITH)” is one of four consortia funded by the German Medical Informatics Initiative (MI-I) to create an alliance of universities, university hospitals, research institutions and IT companies. SMITH’s goals are to establish Data Integration Centers (DICs) at each SMITH partner hospital and to implement use cases which demonstrate the usefulness of the approach. Objectives: To give insight into architectural design issues underlying SMITH data integration and to introduce the use cases to be implemented. Governance and Policies: SMITH implements a federated approach as well for its governance structure as for its information system architecture. SMITH has designed a generic concept for its data integration centers. They share identical services and functionalities to take best advantage of the interoperability architectures and of the data use and access process planned. The DICs provide access to the local hospitals’ Electronic Medical Records (EMR). This is based on data trustee and privacy management services. DIC staff will curate and amend EMR data in the Health Data Storage. Methodology and Architectural Framework: To share medical and research data, SMITH’s information system is based on communication and storage standards. We use the Reference Model of the Open Archival Information System and will consistently implement profiles of Integrating the Health Care Enterprise (IHE) and Health Level Seven (HL7) standards. Standard terminologies will be applied. The SMITH Market Place will be used for devising agreements on data access and distribution. 3LGM2 for enterprise architecture modeling supports a consistent development process.The DIC reference architecture determines the services, applications and the standards-based communication links needed for efficiently supporting the ingesting, data nourishing, trustee, privacy management and data transfer tasks of the SMITH DICs. The reference architecture is adopted at the local sites. Data sharing services and the market place enable interoperability. Use Cases: The methodological use case “Phenotype Pipeline” (PheP) constructs algorithms for annotations and analyses of patient-related phenotypes according to classification rules or statistical models based on structured data. Unstructured textual data will be subject to natural language processing to permit integration into the phenotyping algorithms. The clinical use case “Algorithmic Surveillance of ICU Patients” (ASIC) focusses on patients in Intensive Care Units (ICU) with the acute respiratory distress syndrome (ARDS). A model-based decision-support system will give advice for mechanical ventilation. The clinical use case HELP develops a “hospital-wide electronic medical record-based computerized decision support system to improve outcomes of patients with blood-stream infections” (HELP). ASIC and HELP use the PheP. The clinical benefit of the use cases ASIC and HELP will be demonstrated in a change of care clinical trial based on a step wedge design. Discussion: SMITH’s strength is the modular, reusable IT architecture based on interoperability standards, the integration of the hospitals’ information management departments and the public-private partnership. The project aims at sustainability beyond the first 4-year funding period.

scholarly journals Study on Hospital Medical Information Engineering

2019 ◽  
Vol 26 ◽  
pp. 02006
Author(s):  
Na Wang ◽  
Qun Li
Keyword(s):  
Information Technology ◽  
Medical Information ◽  
Management Training ◽  
Computer Hardware ◽  
Current Status ◽  
Electronic Information ◽  
Hospital Medical ◽  
Management Personnel ◽  
Information Engineering

On the base of the current status of hospital medical information engineering, this paper analyzes some major problems existing in computer hardware, and puts forward some plans and reform measures in connection with the characteristics of medical information engineering. Because the application of electronic information engineering in hospitals is perfect and comprehensive, and there is no corresponding management training, so that the management personnel do not have the information technology and skills required by the application of electronic information engineering, the training of relevant personnel should be strengthened.

Currents in Contemporary Bioethics

2011 ◽  
Vol 39 (4) ◽  
pp. 690-693 ◽  
Author(s):  
Mark A. Rothstein
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Medical Information ◽  
Clinical Encounter ◽  
Significant Information ◽  
Episode Of Care ◽  
Legal Duty ◽  
Patient Relationships ◽  
Duty To Inform ◽  
Physician Patient

Physicians' duties to their patients traditionally have been construed narrowly in time and scope to focus on the specific episode of care or clinical encounter. Physicians generally have had no ethical or legal duty to notify patients about new medical information discovered after a visit, notwithstanding the health care benefits to patients that might flow from receiving the information. The rule was based on the relatively high burdens that notification would impose on physicians compared with the likelihood of benefits to patients. This established view, however, no longer may be appropriate in light of new physician-patient relationships and the reduced burden of patient notification using new types of health information technology (HIT). This article explores the duty to inform patients and former patients about relevant, medical developments subsequent to their episode of care. It concludes by recommending the recognition in ethics and law of a limited, ongoing duty to notify patients of significant information relevant to their health.

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