HIIM Health informatics information management 1 3 Informatics

HIIM Health informatics & information management 1

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Informatics 정보학 • 데이터와 정보를 관리하고 의사결정을 지원하는데 컴퓨터를 이용 • Information과 Computer를 포함 • Science of computer information systems • 과학, 기술, 공학의 제반 영역을 포괄하는 학문 • the practice of information processing, and the engineering of information systems • Structure, algorithms, behaviour, and interactions of natural and artificial systems which store, process, access, and communicate information. Source: wikipedia 6

Health Informatics 유사용어 • Health care/healthcare informatics • Medical/Biomedical informatics • Clinical informatics • Nursing informatics • Translational Bioinformatics (중개 의료정보학) • 중개/질병 이행성 연구: 기초연구와 임상연구를 연계 유전체정보 맞춤의학 • Molecular bioinformatics and clinical informatics 7

Health Informatics Tools • Computers • Clinical guidelines 임상지침 • Formal medical terminologies 의료용어체계 • Information and communication systems 정보통신시스템 UK Council of Health Informatics Professions 8

Health Informatics의 정의* • Discipline at the intersection of information science, computer science, and health care. • Deals with Resources자원, Devices장비, and Methods방법론 required to optimize the acquisition, storage, retrieval, and use of information in health and biomedicine. [wikipedia] • The field concerned with the management and use of information in health care • Hersh WR. Medical informatics: improving health care through information, JAMA, 2002, 288: 1955 -1958 9

• The scientific field that deals with biomedical information, data, and knowledge - their storage, retrieval, and optimal use for problem solving and decision-making. • Shortliffe EH, Perreault LE. (eds) Medical Informatics: Computer Applications in Health Care and Biomedicine. New York: Springer. Verlag, 2000. 10

• Health care is an information-based science. • Much of clinical practice involves gathering, synthesizing, and acting on information - Hersh, 2002 13

왜 의료정보학이 필요한가? * • Medicine is fundamentally an information science • Clinicians and researchers spend a great deal of time acquiring and analyzing it • There is evidence it is not used optimally • e. g. , misuse of services, medical errors, etc. • There are scientific ways to determine how to use information better 14

의료정보학의 기본정리 * Fundamental Theorem of Medical Informatics, Friedman(2009) such that an intelligent person (practitioner) working in combination with information resources/technology is “better” than the person without such support. Creating an environment of “supported practice” Adapted from Hersh WR. Health/Medical/Biomedical Informatics: A general Introduction. 2003 15

Medical Injuries v As many as 48, 000 to 98, 000 Americans die each year from medical errors n More people die from medical injuries than from breast cancer or AIDS or motor vehicle accidents v Direct health care costs totaling $9 - 15 billion per year v A systems approach utilizing information technology is needed http: //www. nap. edu/catalog /9728. html 16

Informatician 정보사 • Informatician: 아직 미확립된 용어 (25년 이상 소요? ) • Graduate ‘Titles’ do matter in health care • Medicine – biomedical/medical informaticians • Nursing – nursing informatics specialist • HIM (health information management) professionals/professions • The 3, 500 or 4, 000 biomedical and health informaticians are essentially ‘hybrid experts’ bridging a clinical discipline with knowledge and skills in ICT applied to health. • 관련 대학 • University of Utah 의료정보학과 (1968, Homer R. Warner) • American College of Medical Informatics Abdelhak M, Grostick S, Hanken MA, Jacobs E. Health information: Management of a strategic resource. Third edition. Philadelphia: Saunders; 2007, p. 686 -688. 18

Eight Key Constituencies within the domain - UK Council of Health Informatics Professions (UKCHIP) • Information management • Knowledge management • Portfolio/programme/project management • ICT • Education and research • Clinical informatics • Health records (service and business-related) • Health informatics service management 21

A Larger View of Medical Informatics (Shortleliffe, 2006; Hersh, 2003; Kukafka, 2001) Informatics Social Informatics Applied Science Bioinformatics Cell and biomolecules Basic Science = Core Themes Medical Informatics Imaging Informatics Organ Chemical Informatics Clinical Informatics People Public Health Informatics Population • Standards and vocabulary Decision-making • Usability Implementation and evaluation (Adapted from Hersh WR. Health/Medical/Biomedical Informatics A general Introduction. 2003) 23

건강정보 HEALTH DATA, INFROMATION 36

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Whole Genome Sequencing Virtual Health Assistants 랩온어칩 착용형-바 이오센서 랩인더바 디 인간 GIS Retail Clinic DIY Care Bloodstream embedded biosensor 모바일스 캔 OMICS X-ray USG MRI 스마트약 상자 Health Span Genomics 44

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