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On the choice of centralized vs decentralized systems for EPR in hospitals

Published:01 March 2012Publication History
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Abstract

We consider the problem of information management standardization in health structures and the problem of implementing and using automatic systems for information management. Although national and European directives have been defined, the Health Care system is still mostly focused on the deployment of core services (e.g. medicine, surgery, diagnostics) so other application such as ICT are lacking in many areas of Health Care. The goal of the ongoing study is the analysis of real cases regarding the introduction of ICT solutions for health-care, discussing centralized protocols (i.e. the use of a single information system for all the departments) versus decentralized solutions based on the development of single information systems for each department which is going to be successively integrated through ad-hoc infrastructures [1, 3].

References

  1. Marion J. Ball and Morris F. Collen, Aspects of the computer-based patient record (computers in health care), Springer-Verlag, (1993). Google ScholarGoogle ScholarDigital LibraryDigital Library
  2. Jurgen Stausberg, Dietrich Koch, Josef Ingenerf, and Michael Betzler, Comparing paper-based with electronic patient records: lessons learned during a study on diagnosis and procedure codes., Journal of the American Medical Informatics Association, JAMIA 10, no. 5, 470-477, (2003).Google ScholarGoogle Scholar
  3. E. Vance Wilson, Patient-Centered E-Health (premier reference source), 1st ed., Medical Information Science Reference, September 2008.Google ScholarGoogle Scholar

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