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Methods Inf Med 2011; 50(06): 545-555
DOI: 10.3414/ME11-06-0005
Original Articles
Schattauer GmbH

Confluence of Disciplines in Health Informatics: an International Perspective

A. Geissbuhler
1   Geneva University, Geneva, Switzerland
,
M. Kimura
2   Hamamatsu University, School of Medicine, Department of Medical Informatics, Hamamatsu, Japan
,
C. A. Kulikowski
3   Rutgers University, New Brunswick, NJ, USA
,
P. J. Murray
4   International Medical Informatics Association
,
L. Ohno-Machado
5   University of California, San Diego, CA, USA
,
H.-A. Park
6   Seoul National University, Seoul, Korea
,
R. Haux
7   University of Braunschweig – Institute of Technology and Hannover Medical School, Braunschweig, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
22 January 2018 (online)

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Summary

Objective: To discuss international aspects as they relate to the convergence of disciplines in health informatics.

Method: A group of international experts was invited at a symposium to present and discuss their perspectives on this topic. These have been collated in a single manuscript.

Results and Conclusions: Significant challenges, as well as opportunities, appear when cumulating the intrinsic multidisciplinary nature of health informatics interventions with the diversity of contexts at the global level, in particular when considered in the perspective of a confluence, i.e., the mixing of different waters and their merging into a new, stronger entity. Health informatics experts reflect on key issues such as collaborative software development and distributed knowledge sourcing, social media and mobile technologies, the evolutions of the discipline from an historical perspective, as well as examples of challenges for implementing ubiquitous healthcare or for supporting disaster situations when infrastructures get disrupted.

Keywords

Biomedical informatics - health informatics - medical informatics - international perspectives - global health informatics
 

  • References

  • 1 RAFT website http://raft.hcuge.ch Last accessed on April 16 2011
    PubMed
  • 2 Geissbuhler A, Bagayoko CO. et al. The RAFT network: 5 years of distance continuing medical education and tele-consultations over the Internet in French-speaking Africa. Int J Med Inform 2007; 76: 351-356.
    CrossrefPubMedGoogle Scholar
  • 3 Canton J. Designing the future: NBIC technologies and human performance enhancement. Ann N Y Acad Sci 2004; 1013: 186-198.
    CrossrefPubMedGoogle Scholar
  • 4 Martin-Sanchez F, Maojo V. Biomedical Informatics and the Convergence of Nano-Bio-InfoCogno (NBIC) Technologies. Yearb Med Inform 2009; pp 134-142
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Healy JC. The WHO eHealth Resolution – eHealth for all by 2015?. Methods Inf Med 2007; 46 (Suppl. 01) 2-4.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 WHA58-28 http://apps.who.int/gb/ebwha/pdf_files/WHA58/WHA58_28-en.pdf Last accessed on April 16 2011
    PubMed
  • 7 AFR/RC60/R3 http://www.afro.who.int/index.php?option=com_docman&task=doc_download&gid=5729 last accessed on April 16 2011
    PubMed
  • 8 Immelt JR, Govindarajan V, Trimble C. How GE Is Disrupting Itself: http://files.gereports.com/wpcontent/uploads/2009/09/how_ge_is_disrupting_itself.pdf Last accessed on April 16 2011
    PubMed
  • 9 Wolton D. L’Autre Mondialisation. Flammarion eds.; Paris: 2003
    Google Scholar
  • 10 http://en.wikipedia.org/wiki/Sanankuya Last accessed on September 15 2011
    PubMed
  • 11 Kay M, Santos J. Report on the World Health Organization Global Observatory for eHealth strategic planning workshop, April 2008. Methods Inf Med 2008; 47 (Suppl. 04) 381-387.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 12 De Moor GJ, Norager S, Breton V. The role of the GRID in a future global health information space. Methods Inf Med 2005; 44 (Suppl. 02) 137-139.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 13 Lindberg DA. Medicine in the 21st century: global problems, global solutions. Methods Inf Med 2002; 41 (Suppl. 03) 235-236.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 14 Curioso WH. et al. Ten years of international collabo ration in biomedical informatics and beyond: the AMAUTA program in Peru. J Am Med Inform Assoc 2010; 17 (Suppl. 04) 477-480.
    CrossrefPubMedGoogle Scholar
  • 15 Marin HF. et al. A certificate program in health informatics: Brazil/USA experience. Stud Health Technol Inform 2006; 122: 800.
    PubMedGoogle Scholar
  • 16 Seebregts CJ, Mamlin BW, Biondich PG. et al. Human Factors for Capacity Building. Lessons learned from the OpenMRS Implementers Network. Yearb Med Inform 2010 pp 13-20.
    PubMedGoogle Scholar
  • 17 Kimball AM. et al. Developing capacity in health informatics in a resource poor setting: lessons from Peru. Hum Resour Health 2009; 7: 80.
    CrossrefPubMedGoogle Scholar
  • 18 Were MC. et al. Leap frogging paper-based records using handheld technology: experience from Western Kenya. Stud Health Technol Inform 2010; 160 Pt 1 525-529.
    PubMedGoogle Scholar
  • 19 Fraser HS, Blaya J. Implementing medical information systems in developing countries, what works and what doesn’ t. AMIA Annu Symp Proc 2010; 2010: 232-236.
    PubMedGoogle Scholar
  • 20 Marcelo AB. Health information systems: a survey of frameworks for developing countries. Yearb Med Inform 2010. pp 25-29
    PubMedGoogle Scholar
  • 21 Asangansi I, Braa K. The emergence of mobile-supported national health information systems in developing countries. Stud Health Technol Inform 2010; 160 Pt 1 540-544.
    PubMedGoogle Scholar
  • 22 Were MC, Emenyonu N, Achieng M. et al. Evaluating a scalable model for implementing electronic health records in resource-limited settings. J Am Med Inform Assoc 2010; 17 (Suppl. 03) 237-244.
    CrossrefPubMedGoogle Scholar
  • 23 Blaya JA, Shin S, Contreras C. et al. Full impact of laboratory information system requires direct use by clinical staff: cluster randomized controlled trial. J Am Med Inform Assoc 2011; 18 (Suppl. 01) 11-16.
    CrossrefPubMedGoogle Scholar
  • 24 Were MC, Shen C, Tierney WM. et al. Evaluation of computer-generated reminders to improve CD4 laboratory monitoring in sub-Saharan Africa: a prospective comparative study. J Am Med Inform Assoc 2011; 18 (Suppl. 02) 150-155.
    CrossrefPubMedGoogle Scholar
  • 25 Landis Lewis Z. et al. The feasibility of automating audit and feedback for ART guideline adherence in Malawi. J Am Med Inform Assoc 2011
    PubMedGoogle Scholar
  • 26 Ray HN. et al. Providing context-sensitive decision-support based on WHO guidelines. Proc AMIA Symp 2002 pp 637-641
    PubMedGoogle Scholar
  • 27 Lim JL, Yih Y, Gichunge C. et al. The AMPATH Nutritional Information System: designing a food distribution electronic record system in rural Kenya. J Am Med Inform Assoc 2009; 16 (Suppl. 06) 882-888.
    CrossrefPubMedGoogle Scholar
  • 28 Cajigas-Gonzalez IG-UC, Santos GS, OhnoMachado L. Remote health surveillance: A case study using PDAs and GPS. Development by design: dyd02 Conference. 2002
    PubMedGoogle Scholar
  • 29 Bernabe-Ortiz A, Curioso WH, Gonzales MA. et al. Handheld computers for self-administered sensitive data collection: a comparative study in Peru. BMC Med Inform Decis Mak 2008; 8: 11.
    CrossrefPubMedGoogle Scholar
  • 30 Blaya JA. et al. Personal digital assistants to collect tuberculosis bacteriology data in Peru reduce delays, errors, and workload, and are acceptable to users: cluster randomized controlled trial. Int J Infect Dis 2009; 13 (Suppl. 03) 410-418.
    CrossrefPubMedGoogle Scholar
  • 31 Zanner R, Wilhelm D, Feussner H, Schneider G. Evaluation of M-AID, a first aid application for mobile phones. Resuscitation 2007; 74 (Suppl. 03) 487-494.
    CrossrefPubMedGoogle Scholar
  • 32 Anantraman V. et al. Open source handheld-based EMR for paramedics working in rural areas. Proc AMIA Symp 2002; pp 12-16.
    PubMedGoogle Scholar
  • 33 Abbott R. Delivering quality-evaluated healthcare information in the era of Web 2.0: design implications for Intute: Health and Life Sciences. Health Informatics J 2010; 16 (Suppl. 01) 5-14.
    CrossrefPubMedGoogle Scholar
  • 34 Wolfe BA, Mamlin BW, Biondich PG. et al. The OpenMRS system: collaborating toward an open source EMR for developing countries. AMIA Annu Symp Proc 2006 p 1146
    PubMedGoogle Scholar
  • 35 Mamlin BW, Biondich PG, Wolfe BA. et al. Cooking up an open source EMR for developing countries: OpenMRS – a recipe for successful collaboration. AMIA Annu Symp Proc 2006 pp 529-533.
    PubMedGoogle Scholar
  • 36 Li JS, Zhou TS, Chu J, Araki K, Yoshihara H. Design and development of an international clinical data exchange system: the international layer function of the Dolphin Project. J Am Med Inform Assoc 2011
    PubMedGoogle Scholar
  • 37 Naik AD, Singh H. Electronic health records to coordinate decision making for complex patients: what can we learn from wiki?. Med Decis Making 2010; 30 (Suppl. 06) 722-731.
    CrossrefPubMedGoogle Scholar
  • 38 Meessen B, Kouanda S, Musango L, Richard F, Ridde V, Soucat A. Communities of practice: the missing link for knowledge management on implementation issues in low-income countries?. Trop Med Int Health 2011 May 12
    PubMedGoogle Scholar
  • 39 Huss 3rd JW, Lindenbaum P, Martone M. et al. The Gene Wiki: community intelligence applied to human gene annotation. Nucleic Acids Res 2010; 38 Database issue D633-639.
    CrossrefPubMedGoogle Scholar
  • 40 Laurent MR, Vickers TJ. Seeking health information online: does Wikipedia matter?. J Am Med Inform Assoc 2009; 16 (Suppl. 04) 471-479.
    CrossrefPubMedGoogle Scholar
  • 41 Cordero C, Delino R, Jeyaseelan L. et al. Funding agencies in low-and middle-income countries: support for knowledge translation. Bull World Health Organ 2008; 86 (Suppl. 07) 524-534.
    CrossrefPubMedGoogle Scholar
  • 42 Chretien KC, Azar J, Kind T. Physicians on Twitter. JAMA 2011; 305 (Suppl. 06) 566-568.
    CrossrefPubMedGoogle Scholar
  • 43 Merchant RM, Elmer S, Lurie N. Integrating social media into emergency-preparedness efforts. N Engl J Med 2011; 365 (Suppl. 04) 289-291.
    CrossrefPubMedGoogle Scholar
  • 44 Thaker SI, Nowacki AS, Mehta NB, Edwards AR. How U. S. hospitals use social media. Ann Intern Med 2011; 154 (Suppl. 10) 707-708.
    CrossrefPubMedGoogle Scholar
  • 45 McNab C. What social media offers to health professionals and citizens. Bull World Health Organ 2009; 87 (Suppl. 08) 566.
    CrossrefPubMedGoogle Scholar
  • 46 Casaleggio Associati.. The Evolution of Internet of Things. 2011 Available from http://www.casaleggio.it/internet_of_things Last accessed: July 31, 2011
    PubMedGoogle Scholar
  • 47 Kamel Boulos MN, Wheeler S. The emerging Web 2.0 social software: an enabling suite of sociable technologies in health and health care education. Health Information & Libraries Journal 2007; 24 (Suppl. 01) 2-23.
    CrossrefPubMedGoogle Scholar
  • 48 Murray PJ. Web 2.0 and social technologies: what might they offer for the future of health informatics?. Health Care and Informatics Review Online 2008. Available from http://www.hinz.org.nz/journal/2008/06/-Web-2–0-and-socialtechnologies–what-might-they-offer-for-the-future-of-health-informatics/986 Last accessed: July 31, 2011
    PubMedGoogle Scholar
  • 49 Murray PJ, Cabrer M, Hansen M, Paton C, Elkin PL, Erdley WS. Towards addressing the opportunities and challenges of Web 2.0 for health and informatics. In: Geissbuhler A, Haux R, Kulikowski C. (eds.). IMIA Yearbook of Medical Informatics 2008. Methods Inf Med 2008; 47 (Suppl. 01) 44-51.
    PubMedGoogle Scholar
  • 50 McNab C. What social media offers to health professionals and citizens. 2009 Bulletin of the World Health Organization, Volume 87, Number 8, August 2009 pp. 565-644 Available from http://www.who.int/bulletin/volumes/87/8/09–066712/en/ Last accessed: July 31 2011
    PubMedGoogle Scholar
  • 51 Hawker MD. Social Networking in the National Health Service in England: A Quantitative Analysis of the Online Identities of 152 Primary Care Trusts. In: Safran C, Reti S, Marin HF. (eds). MEDINFO 2010 – Proceedings of the 13th World Congress on Medical Informatics. Studies in Health Technology and Informatics, Volume 160, 2010. Amsterdam: IOS Press; 2010. pp 356-360.
    Google Scholar
  • 52 Bender JL, Jimenez-Marroquin MC, Jadad AR. Seeking Support on Facebook: A Content Analysis of Breast Cancer Groups. J Med Internet Res 2011; 13 (Suppl. 01) e16 Available from http://www.jmir.org/2011/1/e16/ Last accessed: July 31, 2011.
    CrossrefPubMedGoogle Scholar
  • 53 Chew C, Eysenbach G. Pandemics in the Age of Twitter: Content Analysis of Tweets during the 2009 H1N1 Outbreak. PLoS ONE 5(11): e14118.doi:10.1371/journal.pone.0014118
    PubMedGoogle Scholar
  • 54 Paton C. et al. Five Case Studies of Social Media Use in Medical and Health Education. In: Geissbuhler A, Haux R, Kulikowski C, (eds.). IMIA Yearbook of Medical Informatics 2011
    PubMedGoogle Scholar
  • 55 Warren D, Paton C, Pollock M. Development of a Web 2.0 Health Innovation Exchange for New Zealand. In: Hansen D, Schaper L, Rowlands D, (eds). HIC 2010: Proceedings; 18th Annual Health Informatics Conference: Informing the Business of Healthcare, 24-26 August 2010, Melbourne Convention and Exhibition Centre. Brunswick East, Vic.: Health Informatics Society of Australia; 2010. 131. A.
    Google Scholar
  • 56 Murray PJ. et al. Towards a Research Agenda for Social Media in Healthcare and Academia. Workshop at MIE2011, XXIII International Conference of the European Federation for Medical Informatics, August 2011
    PubMedGoogle Scholar
  • 57 Paton C, Murray PJ, Hansen M, Grajales F. Using social media applications in academic research. Panel at Medicine 2.0’11 conference, September 2011
    PubMedGoogle Scholar
  • 58 Sakraida T, Spotanski A, Skiba D. Web 2.0 Evolves to Research 2.0 Post-Award Management. Online Journal of Nursing Informatics (OJNI) 2010 14. 03 Available from http:ojni.org/14_3/Sakraida.pdf Last accessed: July 31, 2011
    PubMedGoogle Scholar
  • 59 Ryu S, Lee JG, Kim KH. Current state of u-Health and its developmental strategies in Korea. J Korean Med Assoc 2009; 52 (Suppl. 12) 1141-1147.
    CrossrefPubMedGoogle Scholar
  • 60 Lee JY. Trial projects of u-Health in Korea: Trends and implications. Information & Communication Policy 2008; 20: 25-44.
    PubMedGoogle Scholar
  • 61 Miyamoto M, Sako M, Kimura M, Kanno T, Inoue M. et al. Great earthquakes and medical information systems, with special reference to telecommunications. JAMIA 1999; 6 (Suppl. 03) 252-258.
    PubMedGoogle Scholar
  • 62 Royal College of Physicians.. Generic medical record-keeping standards. London: RCP Books.; 2007. Sep. ISBN: 9781860163159.
    Google Scholar
  • 63 Levy G, Blumberg N, Kreiss Y, Ash N, Merin O. Application of information technology within a field hospital deployment following the January 2010 Haiti earthquake disaster. JAMIA 2010; 17 (Suppl. 06) 626-630.
    PubMedGoogle Scholar
  • 64 Weekly Toyo-Keizai. July 23 2011 (In Japanese)
    PubMed
  • 65 Becker MY. Information governance in NHS’s NPfIT: a case for policy specification. Int J Med Inform 2007; 76 (5–6): 432-437.
    CrossrefPubMedGoogle Scholar
  • 66 Jian WS, Hsu CY, Hao TH, Wen HC, Hsu MH, Lee YL, Li YC, Chang P. Building a portable data and information interoperability infrastructure framework for a standard Taiwan Electronic Medical Record Template. Comput Methods Prog Biol 2007; 88 (Suppl. 02) 102-111.
    PubMedGoogle Scholar
  • 67 The association for promotion of Public Local Information Communication. “Healthcare, Welfare application working group proposal”. http://www.applic.or.jp/APPLIC/2007/APPLIC-0004–2007 Last accessed onOctober 20, 2011 (In Japanese)
    PubMedGoogle Scholar
  • 68 Kimura M. Disaster Preparedness, Proceeding of the 20th Joint Conference on Medical Informatics. Hamamatsu, Japan: pp 27-29 2000 (In Japanese)
    PubMedGoogle Scholar
  • 69 Shinchi K, Ashida H. Proposal of a model for medical records for international disaster relief operations. Military Medicine 2003; 168 (Suppl. 02) 120-123.
    CrossrefPubMedGoogle Scholar
  • 70 Kulikowski CA. The Micro-Macro Spectrum of Medical Informatics Challenges and Opportunities: From Molecular Medicine to Transforming Health Care in a Globalizing Society. Methods Inf Med 2002; 41 (Suppl. 01) 20-24.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 71 Kuhn KA. et al. Informatics and Medicine: From Molecules to Populations. Methods Inf Med 2008; 47: 283-295.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 72 Kulikowski CA. Methods of Information in the History of Medical Informatics, Methods of Information in Medicine Jubilee Workshop. Heidelberg: June 11 2011
    Google Scholar
  • 73 Lindberg DAB The Computer and Medical Care.. Springfield: Thomas; 1968
  • 74 Blum BI Duncan KA, (editors).. History of Medical Informatics. New York: ACM Press; 1990
    Google Scholar
  • 75 Collen MF A History of Medical Informatics in the United States: 1950 to 1990. Bethesda: American Medical Informatics Association; 1995
    Google Scholar
  • 76 Degoulet P. et al. Francois Gremy and the Birth of IMIA. Methods Inf Med 2005; 44 (Suppl. 03) 349-351.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 77 Peterson HE. From Punched Cards to Computerized Patient Records: A Personal Journey. In: Haux R, Kulikowski CA, (editors). IMIA Yearbook of Medical Informatics 2006. Stuttgart: Schattauer; 2006. pp 174-179
    Google Scholar
  • 78 Ball MJ, Van Bemmel JH, Kaihara S. IMIA Presidential Retrospectives on Medical Informatics. In: Geissbuhler A, Haux R, Kulikowski C, (editors). IMIA Yearbook of Medical Informatics. Stuttgart: Schattauer; 2007. pp 165-167
    Google Scholar
  • 79 Van Bemmel JH. The structure of medical informatics. Med Inform 1984; 9: 175-180.
    PubMedGoogle Scholar
  • 80 Shortliffe EH. The science of biomedical computing. Med Inform 1984; 9: 185-193.
    PubMedGoogle Scholar
  • 81 Van Bemmel JH. Medical Informatics: Art or Science?. Methods Inf Med 1996; 35 (Suppl. 03) 157-172.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 82 Maojo V Kulikowski CA. Medical informatics and bioinformatics: integration or evolution through scientific crises?. Methods Inf Med 2006; 45 (Suppl. 05) 474-482.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 83 Blackmore S. The Meme Machine. Oxford University press; 1999
    PubMedGoogle Scholar
  • 84 Peters F. Consciousness as Recursive, Spatio-Temporal Self-Location. Nature Precedings, October 2008
    PubMedGoogle Scholar
  • 85 Ledley RS, Lusted LB. Reasoning Foundations of Medical Diagnosis. Science 1959; 130 3366 9-21.
    CrossrefPubMedGoogle Scholar
  • 86 Moehr JR. History of Medical Informatics; English Translation of the Minutes of the Invitational Workshop Goals, Contents and Methods for Education in Medical Informatics. In: Haux R, Kulikowski CA editors. Yearbook of Medical Informatics 2004. Stuttgart: Schattauer; 2004. pp 210-216
    Google Scholar
  • 87 Shannon RH. (editor). Hospital information systems: An international perspective on problems and prospects. Proc. IFIP Working Conference on Hospital information Systems. Amsterdam: North-Holland; 1979
    Google Scholar
  • 88 Geissbuhler A, Kulikowski CA. (editors). IMIA Year-book of Medical Informatics: Building Capacity Worldwide. Stuttgart: Schattauer; 2010
    Google Scholar
  • 89 Geissbuhler A, Kulikowski CA. (editors). IMIA Year-book of Medical Informatics: Biomedical Informatics for Sustainable Health Systems. Stuttgart: Schattauer; 2007
    Google Scholar
  • 90 Geissbuhler A, Kulikowski CA. (editors). IMIA Year-book of Medical Informatics: Towards Health Informatics 3.0. Stuttgart: Schattauer; 2011
    Google Scholar