Discussion of “Representation of People’s Decisions in Health Information Systems: A Complementary Approach for Understanding Health Care Systems and Population Health”

Al-Shorbaji, Najeeb; Borycki, Elizabeth M.; Kimura, Michio; Lehmann, Christoph U.; Lorenzi, Nancy M.; Moura, Luís Mauro; Winter, Alfred

doi:10.3414/me16-15-0001

Cited by 3 publications

(3 citation statements)

References 31 publications

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“…In both cases, travel plans must take all of these services into account. HIS developments should consider that health care related services may have to be orchestrated jointly with other services, which is certainly a challenge [61], [62], [63] (pp. e27-e28).…”

Section: δ1: Life Situations Related To Health Carementioning

confidence: 99%

Health Information Systems: Past, Present, Future – Revisited

Haux

2022

Studies in Health Technology and Informatics

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Background: Health information systems (HIS) represent an essential part of the infrastructure for the delivery of good health care. Objectives: To present the author’s personal views on HIS developments over the last decades and on the opportunities and priorities for future HIS developments. Methods: Reflecting on his views, the author identified relevant semantic dimensions, which are denoted as development paths, and searched for appropriate periods to characterize HIS development leaps. Results: HIS developments were divided into the periods past (1961–2016), present (2017–2022), and future (the next decades). Eight development paths for HIS were considered as being relevant to presenting the author’s views: life situations related to health care, entities for health care, health care facilities, settings of health care, data to be processed, features for functions, architectures of HIS, and management of HIS. For each of these paths, the past and present states as well as challenges and opportunities for future HIS developments were outlined. Discussion and Conclusions: The presented views on HIS developments and the selected development paths and periods are by nature subjective ‘avant la lettre‘. The views were, however, formed over almost half a century during which the author has been engaged with HIS developments, and thus may be worth reporting and discussion. If past is prologue, the tremendous HIS developments in the past and in the present may predict a similar development intensity in the future. Present HIS are significantly better than HIS of the past, however they leave room for continued improvement with an end of HIS developments far from sight.

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Section: δ1: Life Situations Related To Health Carementioning

confidence: 99%

Health Information Systems: Past, Present, Future – Revisited

Haux

2022

Studies in Health Technology and Informatics

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“…Discussing "highly original and relevant research fields for biomedical and health informatics" 11 and stimulating "multidisciplinary communication on research that is devoted to high-quality, efficient health care" 12 is one of the major goals of Methods of Information in Medicine. 6,[13][14][15][16][17][18][19][20] New forms of team-machine interaction in health care with robotic systems in operating theaters are an example of highly original and relevant human-machine interaction.…”

Section: Objective and Structurementioning

confidence: 99%

Robotic Systems in Operating Theaters: New Forms of Team–Machine Interaction in Health Care

et al. 2019

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Background Health information systems have developed rapidly and considerably during the last decades, taking advantage of many new technologies. Robots used in operating theaters represent an exceptional example of this trend. Yet, the more these systems are designed to act autonomously and intelligently, the more complex and ethical questions arise about serious implications of how future hybrid clinical team–machine interactions ought to be envisioned, in situations where actions and their decision-making are continuously shared between humans and machines. Objectives To discuss the many different viewpoints—from surgery, robotics, medical informatics, law, and ethics—that the challenges of novel team–machine interactions raise, together with potential consequences for health information systems, in particular on how to adequately consider what hybrid actions can be specified, and in which sense these do imply a sharing of autonomous decisions between (teams of) humans and machines, with robotic systems in operating theaters as an example. Results Team–machine interaction and hybrid action of humans and intelligent machines, as is now becoming feasible, will lead to fundamental changes in a wide range of applications, not only in the context of robotic systems in surgical operating theaters. Collaboration of surgical teams in operating theaters as well as the roles, competencies, and responsibilities of humans (health care professionals) and machines (robotic systems) need to be reconsidered. Hospital information systems will in future not only have humans as users, but also provide the ground for actions of intelligent machines. Conclusions The expected significant changes in the relationship of humans and machines can only be appropriately analyzed and considered by inter- and multidisciplinary collaboration. Fundamentally new approaches are needed to construct the reasonable concepts surrounding hybrid action that will take into account the ascription of responsibility to the radically different types of human versus nonhuman intelligent agents involved.

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“…preferences and beliefs) that affect their decision-making. Unfortunately, neither they nor any of those commenting on this article [ 3 ] offer concrete suggestions on how HIS might capture, store, and use these data. For example, nutrition advice given to a single mother with three children could be informed by knowing that she has little money, no automobile, and lives four blocks from the nearest bus station and four miles from the nearest grocery store selling fresh fruit and vegetables.…”

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confidence: 99%