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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.
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.
A compilation of both landmark historic and contemporary papers, illustrating the inception and evolution of nursing informatics. The authors have assembled the papers into an invaluable source book providing a framework for future developments in the field. Examining the relationship between nursing and information systems, practical applications include administration, practice, research, education, critical care, and community health. An essential tool for nurses seeking to attain credentials as Nursing Informatics Specialists.
You might expect that a person invited to contribute a foreword to a book on the 1 subject of professionalism would himself be a professional of exemplary standing. I am gladdened by that thought, but also disquieted. The disquieting part of it is that if I am a professional, I must be a professional something, but what? As someone who has tried his best for the last thirty years to avoid doing anything twice, I lack one of the most important characteristics of a professional, the dedicated and persistent pursuit of a single direction. For the purposes of this foreword, it would be handy if I could think of myself as a professional abstractor. That would allow me to offer up a few useful abstractions about professionalism, patterns that might illuminate the essays that follow. I shall try to do this by proposing three successively more complex models of professionalism, ending up with one that is discomfortingly soft, but still, the best approximation I can make of what the word means to me. The first of these models I shall designate Model Zero. I intend a pejorative sense to this name, since the attitude represented by Model Zero is retrograde and offensive ... but nonetheless common. In this model, the word "professionalism" is a simple surrogate for compliant uniformity.
C. Amting Directorate General Information Society, European Commission, Brussels th Under the 4 Framework of European Research, the European Systems and Soft ware Initiative (ESSI) was part of the ESPRIT Programme. This initiative funded more than 470 projects in the area of software and system process improvements. The majority of these projects were process improvement experiments carrying out and taking up new development processes, methods and technology within the software development process of a company. In addition, nodes (centres of exper tise), European networks (organisations managing local activities), training and dissemination actions complemented the process improvement experiments. ESSI aimed at improving the software development capabilities of European enterprises. It focused on best practice and helped European companies to develop world class skills and associated technologies to build the increasingly complex and varied systems needed to compete in the marketplace. The dissemination activities were designed to build a forum, at European level, to exchange information and knowledge gained within process improvement ex periments. Their major objective was to spread the message and the results of experiments to a wider audience, through a variety ofdifferent channels. The European Experience Exchange (tUR~X) project has been one ofthese dis semination activities within the European Systems and Software Initiative.~UR~X has collected the results of practitioner reports from numerous workshops in Europe and presents, in this series of books, the results of Best Practice achieve ments in European Companies over the last few years.
Most industries have plunged into data automation, but health care organizations have lagged in moving patients' medical records from paper to computers. In its first edition, this book presented a blueprint for introducing the computer-based patient record (CPR). The revised edition adds new information to the original book. One section describes recent developments, including the creation of a computer-based patient record institute. An international chapter highlights what is new in this still-emerging technology. An expert committee explores the potential of machine-readable CPRs to improve diagnostic and care decisions, provide a database for policymaking, and much more, addressing these key questions: Who uses patient records? What technology is available and what further research is necessary to meet users' needs? What should government, medical organizations, and others do to make the transition to CPRs? The volume also explores such issues as privacy and confidentiality, costs, the need for training, legal barriers to CPRs, and other key topics.