An architecture model for multiple disease management information systems
Journal
Journal of Medical Systems
Journal Volume
37
Journal Issue
2
Pages
9931
Date Issued
2013
Author(s)
Chen, L.
Yu, H.-C.
Li, H.-C.
Wang, Y.-V.
Chen, H.-J.
Wang, I.-C.
Wang, C.-S.
Peng, H.-Y.
Hsu, Y.-L.
Chen, C.-H.
Lee, H.-C.
Chung, Y.
Abstract
Disease management is a program which attempts to overcome the fragmentation of healthcare system and improve the quality of care. Many studies have proven the effectiveness of disease management. However, the case managers were spending the majority of time in documentation, coordinating the members of the care team. They need a tool to support them with daily practice and optimizing the inefficient workflow. Several discussions have indicated that information technology plays an important role in the era of disease management. Whereas applications have been developed, it is inefficient to develop information system for each disease management program individually. The aim of this research is to support the work of disease management, reform the inefficient workflow, and propose an architecture model that enhance on the reusability and time saving of information system development. The proposed architecture model had been successfully implemented into two disease management information system, and the result was evaluated through reusability analysis, time consumed analysis, pre- and post-implement workflow analysis, and user questionnaire survey. The reusability of the proposed model was high, less than half of the time was consumed, and the workflow had been improved. The overall user aspect is positive. The supportiveness during daily workflow is high. The system empowers the case managers with better information and leads to better decision making. ? 2013 Springer Science+Business Media New York.
SDGs
Other Subjects
architecture; article; case manager; decision support system; disease management; early intervention; follow up; health care system; human; Human immunodeficiency virus infection; information system; medical documentation; medical record; multiple disease management information system; workflow; adult; case management; computer program; computer system; evaluation study; female; health care quality; information system; male; medical informatics; middle aged; organization and management; questionnaire; system analysis; Adult; Case Management; Computer Systems; Disease Management; Female; Humans; Information Systems; Male; Medical Informatics; Middle Aged; Quality Assurance, Health Care; Questionnaires; Software; Systems Integration
Type
journal article