scholarly journals Mapeando a dinâmica da informática médica: uma análise bibliométrica do campo científico

RECIIS ◽  
2021 ◽  
Vol 15 (4) ◽  
Author(s):  
Bruno Elias Penteado ◽  
Marcelo Fornazin ◽  
Leonardo Castro ◽  
Sandro Luis Freire

A saúde digital é um assunto emergente em fóruns acadêmicos, nas políticas públicas e nas organizações de saúde. Supondo que a saúde digital deriva de conhecimentos da informática médica, este artigo apresenta resultados de uma pesquisa bibliométrica sobre a evolução conceitual e tecnológica do campo da informática médica nas últimas décadas, enfatizando aspectos metodológicos. O trabalho realizou bibliometria em metadados de 100 mil artigos indexados sob a categoria ‘medical informatics’ na base de dados Web of Science entre os anos de 1960 e 2020. Foram realizadas análises longitudinais com utilização dos softwares Bibliometrix e CorText em três eixos: quantidade de publicações, países dos autores e palavras-chave. Conforme a hipótese metodológica que orientou o estudo, as mudanças terminológicas verificadas ao longo do tempo oferecem uma visão aproximativa das mudanças conceituais e tecnológicas do campo de pesquisa da informática médica. Os resultados mostram que esse campo de investigação apresentou crescimento consistente ao longo das últimas seis décadas, expandindo-se para diferentes países. As mudanças terminológicas e conceituais detectadas pela análise de palavras-chave permitiram a identificação de períodos temporais definidos, associados a rótulos genéricos como ‘health informatics’, ‘e-health’. O rótulo ‘medical informatics’ é recorrente como termo mais geral a designar o campo de aplicação, em razão de sua adoção por associações científicas internacionais a partir da década de 1970. Nos últimos cincos anos, pode-se identificar a emergência do termo ‘digital health’, que possivelmente será o conceito dominante na década que se inicia. A análise de palavras-chave também indica a associação entre mudanças terminológicas e de tecnologias, o que reforça as relações entre conceitos e aplicações tecnológicas de cada período.

2020 ◽  
Vol 29 (01) ◽  
pp. 015-025
Author(s):  
Fernando Martin-Sanchez ◽  
Marion J. Ball ◽  
Michio Kimura ◽  
Paula Otero ◽  
Elaine Huesing ◽  
...  

Background: The International Academy of Health Sciences Informatics (IAHSI) is the Academy of the International Medical Informatics Association (IMIA). As an international forum for peers in biomedical and health informatics, the Academy shall play an important role in exchanging knowledge, providing education and training, and producing policy documents. Objectives: A major priority of the Academy’s activities in its inaugural phase was to define its strategy and focus areas in accordance with its objectives and to prioritize the Academy’s work, which can then be transferred to respective taskforces. Method: This document reflects the major outcomes of intensive discussions that occurred during 2019. It was presented at the Academy’s 3rd Plenary on August 25th, 2019, in Lyon, France. Results: Regardless of the ‘living nature’ of the strategy and focus areas document, it was concluded during the Plenary that the first version, which will be used as a base for decisions on the Academy’s future activities, should be made available to a broad audience. Three out of eight ‘Visions for IAHSI‘, presented in the IMIA Yearbook of Medical Informatics 2018, were identified as central for developing, implementing, and evaluating the Academy’s strategic directions: (1) advise governments and organizations on developing health and health sciences through informatics, (2) stimulate progress in biomedical and health informatics research, education, and practice, and (3) share and exchange knowledge. Taskforces shall be implemented to work in the following areas, which were considered as priority themes: (1) artificial intelligence in health: future collaboration of entities with natural and with artificial intelligence in health care, and (2) current landscape of standards for digital health. Conclusions: Taskforces are now being established. Besides specific key performance indicators, suggested for monitoring the work of theses taskforces, the strategy to monitor the progress of the Academy itself has to be measured by relevant and acceptable metrics.


2017 ◽  
Vol 24 (1) ◽  
pp. 1 ◽  
Author(s):  
Philip J. Scott ◽  
Ronald Cornet ◽  
Colin McCowan ◽  
Niels Peek ◽  
Paolo Fraccaro ◽  
...  

Introduction: The Informatics for Health congress, 24-26 April 2017, in Manchester, UK, brought together the Medical Informatics Europe (MIE) conference and the Farr Institute International Conference. This special issue of the Journal of Innovation in Health Informatics contains 113 presentation abstracts and 149 poster abstracts from the congress.Discussion: The twin programmes of “Big Data” and “Digital Health” are not always joined up by coherent policy and investment priorities. Substantial global investment in health IT and data science has led to sound progress but highly variable outcomes. Society needs an approach that brings together the science and the practice of health informatics. The goal is multi-level Learning Health Systems that consume and intelligently act upon both patient data and organizational intervention outcomes.Conclusions: Informatics for Health demonstrated the art of the possible, seen in the breadth and depth of our contributions. We call upon policy makers, research funders and programme leaders to learn from this joined-up approach.


Author(s):  
Farah Magrabi ◽  
Elske Ammenwerth ◽  
Catherine K. Craven ◽  
Kathrin Cresswell ◽  
Nicolet F. De Keizer ◽  
...  

Objectives: To highlight the role of technology assessment in the management of the COVID-19 pandemic. Method: An overview of existing research and evaluation approaches along with expert perspectives drawn from the International Medical Informatics Association (IMIA) Working Group on Technology Assessment and Quality Development in Health Informatics and the European Federation for Medical Informatics (EFMI) Working Group for Assessment of Health Information Systems. Results: Evaluation of digital health technologies for COVID-19 should be based on their technical maturity as well as the scale of implementation. For mature technologies like telehealth whose efficacy has been previously demonstrated, pragmatic, rapid evaluation using the complex systems paradigm which accounts for multiple sociotechnical factors, might be more suitable to examine their effectiveness and emerging safety concerns in new settings. New technologies, particularly those intended for use on a large scale such as digital contract tracing, will require assessment of their usability as well as performance prior to deployment, after which evaluation should shift to using a complex systems paradigm to examine the value of information provided. The success of a digital health technology is dependent on the value of information it provides relative to the sociotechnical context of the setting where it is implemented. Conclusion: Commitment to evaluation using the evidence-based medicine and complex systems paradigms will be critical to ensuring safe and effective use of digital health technologies for COVID-19 and future pandemics. There is an inherent tension between evaluation and the imperative to urgently deploy solutions that needs to be negotiated.


2018 ◽  
Vol 10 (1) ◽  
pp. 13-29
Author(s):  
Outi Maria Ahonen ◽  
Ulla-Mari Kinnunen ◽  
Jarmo Heinonen ◽  
Gun-Britt Lejonqvist ◽  
Elina Rajalahti ◽  
...  

Multidisciplinary cooperation is required to develop digital health and welfare services. The aim of this article is to determine the eHealth and eWelfare service design competences that multidisciplinary students need to be able to develop digital services in health and social care. A secondary aim is to develop a measurement tool based on the International Medical Informatics Association (IMIA) curriculm for future assessment of such competences. Based on basic descriptive statistics results show that most students felt they have good skills in e-communication, basic IT, literature retrieval and research methods; some students, however, reported that they lack these basic skills. It is crucial that instructors be aware of student variations so that they can support the learning of the basics and further the biomedical and health informatics (BMHI) and design thinking (DT) competences. Principal components analysis (PCA) was used to determine the principal components (PC) from measured responses to BMHI and DT sections. Data were collected from 64 students. The components were explored and compared to constructs used to design the original measurement tool. A twenty-component structure showed the simplest solution and explained (80%, 68%, 73%) of variances in BMHI and 83% DT competences, respectively, in the measurement tool, each part of which was analysed by PCA. The PC can be the core areas in different professions taking part in developing eHealth and eWelfare. The parts of measurement tools relied on item reliability and content validity testing. This study provided a base for further measurement tool revision and theoretical testing.


1997 ◽  
Vol 36 (02) ◽  
pp. 79-81
Author(s):  
V. Leroy ◽  
S. Maurice-Tison ◽  
B. Le Blanc ◽  
R. Salamon

Abstract:The increased use of computers is a response to the considerable growth in information in all fields of activities. Related to this, in the field of medicine a new component appeared about 40 years ago: Medical Informatics. Its goals are to assist health care professionals in the choice of data to manage and in the choice of applications of such data. These possibilities for data management must be well understood and, related to this, two major dangers must be emphasized. One concerns data security, and the other concerns the processing of these data. This paper discusses these items and warns of the inappropriate use of medical informatics.


1994 ◽  
Vol 33 (03) ◽  
pp. 246-249 ◽  
Author(s):  
R. Haux ◽  
F. J. Leven ◽  
J. R. Moehr ◽  
D. J. Protti

Abstract:Health and medical informatics education has meanwhile gained considerable importance for medicine and for health care. Specialized programs in health/medical informatics have therefore been established within the last decades.This special issue of Methods of Information in Medicine contains papers on health and medical informatics education. It is mainly based on selected papers from the 5th Working Conference on Health/Medical Informatics Education of the International Medical Informatics Association (IMIA), which was held in September 1992 at the University of Heidelberg/Technical School Heilbronn, Germany, as part of the 20 years’ celebration of medical informatics education at Heidelberg/Heilbronn. Some papers were presented on the occasion of the 10th anniversary of the health information science program of the School of Health Information Science at the University of Victoria, British Columbia, Canada. Within this issue, programs in health/medical informatics are presented and analyzed: the medical informatics program at the University of Utah, the medical informatics program of the University of Heidelberg/School of Technology Heilbronn, the health information science program at the University of Victoria, the health informatics program at the University of Minnesota, the health informatics management program at the University of Manchester, and the health information management program at the University of Alabama. They all have in common that they are dedicated curricula in health/medical informatics which are university-based, leading to an academic degree in this field. In addition, views and recommendations for health/medical informatics education are presented. Finally, the question is discussed, whether health and medical informatics can be regarded as a separate discipline with the necessity for specialized curricula in this field.In accordance with the aims of IMIA, the intention of this special issue is to promote the further development of health and medical informatics education in order to contribute to high quality health care and medical research.


2016 ◽  
Vol 5 (5) ◽  
pp. 10 ◽  
Author(s):  
Saif Khairat ◽  
Ryan Sandefer ◽  
David Marc ◽  
Lee Pyles

Objective: The purpose of this paper is to review the current state of health information technology (HIT) training programs and identify limitations in workforce expectations and student/trainee level of preparedness. A framework is proposed to build a more effective training program, differentiate HIT and health informatics, and emphasize the critical role of interprofessional collaboration for informatics-related curriculum. We define interprofessionalism as the multi-sector collaborations among academia, industry (Health Care Organizations), and vendors to produce competent informaticians.Methods: Critical review of published HIT and health informatics curricular competencies was conducted, including those published by the Office of the National Coordinator (ONC) for HIT, the American Medical Informatics Association (AMIA), the International Medical Informatics Association (IMIA), and the Council on Accreditation for Health Informatics and Information Management. A review of literature related to HIT and health informatics education and training was also completed.Results: The paper presents a framework for promoting health informatics training with an interprofessional foundation. The core components of the curricular competencies include understanding the healthcare system, biomedical data, computer programming, data analytics, usability, and technology infrastructure. To effectively deliver the content, programs require collaboration between academic institutions, healthcare organizations, and industry vendors.Conclusions: HIT and health informatics-related training programs, in their current form, are not meeting industry needs. The proposed framework addresses the current limitations by providing unique pathways for content delivery by promoting interprofessional collaboration and partnerships between academia and industry.


Author(s):  
Wullianallur Raghupathi ◽  
Sridhar Nerur

This paper presents the results of an author co-citation analysis of the health and medical informatics discipline. It updates a smaller study that focused on health information systems. Drawing on such sub-fields as bio informatics, clinical decision support systems, computational genomics, e-health, health informatics, and others, this body of knowledge defines the core internal structure of the discipline and delineates its sub-fields. An author co-citation analysis was performed for a nine-year period using the members of editorial boards of several medical informatics-related journals as an initial author sample (N = 272). Several multivariate analyses, including cluster analysis, factor analysis and multidimensional scaling, were performed. The authors results confirm that several established sub-fields still stand but a number of new sub-fields are emerging. Future research can build on this work and examine other journals and additional authors to gain insights into the collaborative and interdisciplinary nature of the health and medical informatics discipline.


2010 ◽  
Vol 01 (01) ◽  
pp. 11-18 ◽  
Author(s):  
Don Detmer ◽  
Benson Munger ◽  
Christoph Lehmann

SummaryWithin health and health care, medical informatics and its subspecialties of biomedical, clinical, and public health informatics have emerged as a new discipline with increasing demands for its own work force. Knowledge and skills in medical informatics are widely acknowledged as crucial to future success in patient care, research relating to biomedicine, clinical care, and public health, as well as health policy design. The maturity of the domain and the demand on expertise necessitate standardized training and certification of professionals. The American Medical Informatics Association (AMIA) embarked on a major effort to create professional level education and certification for physicians of various professions and specialties in informatics. This article focuses on the AMIA effort in the professional structure of medical specialization, e.g., the American Board of Medical Specialties (ABMS) and the related Accreditation Council for Graduate Medical Education (ACGME). This report summarizes the current progress to create a recognized sub-certificate of competence in Clinical Informatics and discusses likely near term (three to five year) implications on training, certification, and work force with an emphasis on clinical applied informatics.


2015 ◽  
Vol 54 (05) ◽  
pp. 385-387
Author(s):  
R. -D. Hilgers ◽  
R. Hofestädt ◽  
U. Hübner ◽  
P. Knaup-Gregori ◽  
C. Ose ◽  
...  

SummaryThe demand for evidence-based health informatics and benchmarking of ‘good’ information systems in health care gives an opportunity to continue reporting on recent papers in the German journal GMS Medical Informatics, Biometry and Epidemiology (MIBE) here. The publications in focus deal with a comparison of benchmarking initiatives in German-speaking countries, use of communication standards in telemonitoring scenarios, the estimation of national cancer incidence rates and modifications of parametric tests. Furthermore papers in this issue of MIM are introduced which originally have been presented at the Annual Conference of the German Society of Medical Informatics, Biometry and Epidemiology. They deal as well with evidence and evaluation of ‘good’ information systems but also with data harmonization, surveillance in obstetrics, adaptive designs and parametrical testing in statistical analysis, patient registries and signal processing.


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