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Professor Herzlinger documents how the consumer-driven health caremovement is being implemented and its impact on insurers,providers, new intermediaries, and governments. With additionalcontributions by health care's leading strategists,innovators, regulators and scholars, Consumer-Driven HealthCare presents a compelling vision of a health care system builtto satisfy the people it serves. This comprehensive resource includes the most important thinkingon the topic and compelling case studies of consumer-driven healthcare (CDHC) in action, here and abroad, including newconsumer-driven intermediaries for information and support; typesof insurance plans; focused factories for delivering health care;personalized drugs and devices; and government roles.
We are now entering a world of electronic communications where an increasing amount of contemporary information is created and retained only in electronic form. How will such unstable flows of information be preserved for future historians? Will the future have a past? Will the history of ourcontemporary world be lost to our descendants? History and Electronic Artefacts is the first publication to examine the implications of this revolution for historical research. Historians are used to handling paper and parchment record in archives. These are actual pieces of correspondence which passed between historical actors. They are alsorelatively stable artefacts which can be preserved easily. Two factors introduced by the electronic revolution threaten the existence of paper archives: the dissociation between information content and the media by which it is transmitted ruptures the solidity of the archival object. The ability tostore electronic information anywhere and access it remotely via networks could make the central paper archive redundant. Experts from the fields of information management and technology, data archiving, library science, as well as historians, consider the issues raised in depth. The authors also place a unique emphasis on European developments.
Chapter 1 offers an overview of the basic computer technology. Each succeeding chapter, describes the problems in medicine, followed by a review in chronological sequence of why and how computers were applied to try to meet these problems. Only the technical aspects of computer hardware, software, and communications are discussed as they are necessary to explain how the technology was applied. This approach generally led to defining the objectives for applications of medical informatics. At the end of each chapter, the author summarizes his personal views and interpretations of the chapter contents. Although the concurrent evolution of medical informatics in Canada, Europe, and Japan certainly influenced workers in the United States, the scope of this historical review is limited to the development of medical informatics within the United States. Furthermore, this review is limited to electronic digital computers; it excludes mechanical, analog, and hybrid computers.
This book has been a long time in the making. The computerization activi ties described in these pages began in 1977 at the Department of Veterans Affairs (VA), but we devoted most of our focus and efforts to building and then implementing the extensive hospital information system known as the Decentralized Hospital Computer System (DHCP) throughout VA. Deliv ering the product has been our primary goal. We spent relatively little time documenting or describing our experiences or lessons learned. Except for some presentations at national meetings and a relatively few publications, almost none of which were in the standard trade journals read by Chief Information Officers (CIOs) and equivalent top managers in the private and nonprofit sectors, VA's accomplishments remained a well-kept secret. In 1988, Helly Orthner encouraged VA staff to consider writing a book, but the press of day-to-day activities always seemed to take precedence, and the book languished on the back burner.
This book constitutes the refereed proceedings of the Joint European Conference on Artificial Intelligence in Medicine and Medical Decision Making, AIMDM'99, held in Aalborg, Denmark, in June 1999. The 27 full papers and 19 short papers presented in the book together with four invited papers were selected from 90 submissions. The papers are organized in topical sections on guidelines and protocols; decision support systems, knowledge-based systems, and cooperative systems; model-based systems; neural nets and causal probabilistic networks; knowledge representation; temporal reasoning; machine learning; natural language processing; and image processing and computer aided design.
This is a meticulously detailed chronological record of significant events in the history of medical informatics and their impact on direct patient care and clinical research, offering a representative sampling of published contributions to the field. The History of Medical Informatics in the United States has been restructured within this new edition, reflecting the transformation medical informatics has undergone in the years since 1990. The systems that were once exclusively institutionally driven – hospital, multihospital, and outpatient information systems – are today joined by systems that are driven by clinical subspecialties, nursing, pathology, clinical laboratory, pharmacy, imaging, and more. At the core is the person – not the clinician, not the institution – whose health all these systems are designed to serve. A group of world-renowned authors have joined forces with Dr Marion Ball to bring Dr Collen’s incredible work to press. These recognized leaders in medical informatics, many of whom are recipients of the Morris F. Collen Award in Medical Informatics and were friends of or mentored by Dr Collen, carefully reviewed, editing and updating his draft chapters. This has resulted in the most thorough history of the subject imaginable, and also provides readers with a roadmap for the subject well into later in the century.
New technology always raises compelling ethical questions. As those in medicine increasingly depend on computers and other intelligent machines, the intersection of ethics, computing and the health professions grows much more complex and significant. This book attempts systematically to identify and address the full range of ethical issues that arise when intelligent machines are used in medicine, nursing, psychology, and allied health professions. It maps and explores a variety of important issues and controversies, including ethics and evaluation in computational medicine, patient and provider confidentiality, responsibility for use of computers in medicine, appropriate use of decision support systems, outcomes of research and computational prognosis (including mortality predictions), and computer-based biomedical research - especially meta-analysis. This book is accessible to participants in the fields of bioethics and medical informatics. It is appropriate for physicians, nurses, administrators, ethicists, health attorneys, advanced undergraduates and graduate students.
Comprehensively presents the foundations and leading application research in medical informatics/biomedicine. The concepts and techniques are illustrated with detailed case studies. Authors are widely recognized professors and researchers in Schools of Medicine and Information Systems from the University of Arizona, University of Washington, Columbia University, and Oregon Health & Science University. Related Springer title, Shortliffe: Medical Informatics, has sold over 8000 copies The title will be positioned at the upper division and graduate level Medical Informatics course and a reference work for practitioners in the field.
"Our basic philosophy of medical education must be directed not toward creating a neurosurgeon, a family practitioner, a cardiologist, or a general pediatrician but toward creating an undifferentiated 'stem cell' physician who is so well prepared that he or she is fully capable of taking any career path after medical school. Every indication is that our goal is being met. The new curriculum is preparing students for the demands and responsibilities of a new era of medicine, science, and medical arts." -- from the Foreword, by Michael M. E. Johns, M.D. The curriculum taught in many U.S. medical schools today has been altered little since 1910. Now, spurred in part by the recent sweeping changes in health care delivery, medical schools are re-evaluating their curricula. The goal is to develop a program of medical education that not only reflects the latest scientific advances but also prepares physicians in the fields and specialties society now needs. This book provides an extensive description of the process and outcome of developing a completely new curriculum at the Johns Hopkins University School of Medicine. The book is organized around the subjects and courses taught: basic sciences, physician and society, medical informatics, and clinical medicine. Chapters also consider evaluation and reform of the curriculum. The contributors, Johns Hopkins faculty members who participated in developing the components of the curriculum, discuss differences between the old and new courses and programs, reasons for the changes, and the process used to plan and implement them. Throughout, the material is presented in a way that permits easy generalization and adaptation to other medical schools. Contributors: Catherine D. De Angelis, M.D. Diane M. Becker, Sc.D. Gert H. Brieger, M.D., Ph.D. Leon Gordis, M.D. H. Franklin Herlong, M.D. K. Joseph Hurt Michael M. E. Johns, M.D. Langford Kidd, M.D., F.R.C.P. Michael J. Klag, M.D. Harold P. Lehmann, M.D., Ph.D. Nancy Ryan Lowitt, M.D., Ed.M. Lucy A. Mead, Sc.M. Thomas D. Pollard, M.D. Henry M. Seidel, M.D. John H. Shatzer Jr., Ph.D. Patricia A. Thomas, M.D., F.A.C.P. Victor Velculescu Charles M. Wiener, M.D.