IT support for healthcare processes - premises, challenges, perspectives

被引:250
作者
Lenz, Richard
Reichert, Manfred
机构
[1] Univ Marburg, Inst Med Informat, D-35037 Marburg, Germany
[2] Univ Twente, Informat Syst Grp, Enschede, Netherlands
关键词
healthcare processes; medical guidelines; medical decision support; workflow management; adaptive information systems; CLINICAL DECISION-SUPPORT; ADVERSE EVENTS; GUIDELINE IMPLEMENTATION; WORKFLOW SYSTEM; DYNAMIC CHANGES; COMPUTER; MEDICINE; QUALITY; PERFORMANCE; MANAGEMENT;
D O I
10.1016/j.datak.2006.04.007
中图分类号
TP18 [人工智能理论];
学科分类号
081104 ; 0812 ; 0835 ; 1405 ;
摘要
Healthcare processes require the cooperation of different organizational units and medical disciplines. In such an environment optimal process support becomes crucial. Though healthcare processes frequently change, and therefore the separation of the flow logic from the application code seems to be promising, workflow technology has not yet been broadly used in healthcare environments. In this paper we elaborate both the potential and the essential limitations of IT support for healthcare processes. We identify different levels of process support in healthcare, and distinguish between organizational processes and the medical treatment process. To recognize the limitations of IT support we adopt a broad socio-technical perspective based on scientific literature and personal experience. Despite of the limitations we identified, undeniably, IT has a huge potential to improve healthcare quality which has not been explored by current IT solutions. In particular, we indicate how advanced process management technology can improve IT support for healthcare processes. (c) 2006 Elsevier B.V. All rights reserved.
引用
收藏
页码:39 / 58
页数:20
相关论文
共 89 条
[31]  
KLEIN M, 1998, P CSCW 98 WORKSH SEA
[32]   IntelliGEN: A distributed workflow system for discovering protein-protein interactions [J].
Kochut, K ;
Arnold, J ;
Sheth, A ;
Miller, J ;
Kraemer, E ;
Arpinar, B ;
Cardoso, J .
DISTRIBUTED AND PARALLEL DATABASES, 2003, 13 (01) :43-72
[33]  
Kohn, 2000, ERR IS HUMAN BUILDIN
[34]  
Kolodner Janet, 1993, Case-based reasoning
[35]   Role of computerized physician order entry systems in facilitating medication errors [J].
Koppel, R ;
Metlay, JP ;
Cohen, A ;
Abaluck, B ;
Localio, AR ;
Kimmel, SE ;
Strom, BL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 293 (10) :1197-1203
[36]  
KRADOLFER M, 1998, 9802 U ZUR DEP COMP
[37]   A practical approach to process support in health information systems [J].
Lenz, R ;
Elstner, T ;
Siegele, H ;
Kuhn, KA .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2002, 9 (06) :571-585
[38]   Report of conference track 2: pathways to open architectures [J].
Lenz, R ;
Huff, S ;
Geissbuhler, A .
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2003, 69 (2-3) :297-299
[39]  
LENZ R, 2005, P MED INF EUR, P385
[40]  
LENZ R, 2003, P COOPIS 03, P178