Health information system for community-based multiple screening in Keelung, Taiwan (Keelung Community-based Integrated Screening No. 3)
International journal of medical informatics, 75 (5):
369-383 (May 2006)M3: Article; Accession Number: 20527463; Chiu, Yueh-Hsia 1,2 Chen, Li-Sheng 1 Chan, Chang-Chuan 3 Liou, Der-Ming 1 Wu, Shiao-Chi 4 Kuo, Hsu-Sung 1 Chang, Hong-Jen 5 Chen, Tony Hsiu-Hsi 6; Email Address: stony@episerv.cph.ntu.edu.tw; Affiliation: 1: Institute of Public Health and Institute of Health Informatics and Decision Making, National Yang-Ming University, Taipei, Taiwan 2: Health Bureau of Keelung City, Keelung City, Taiwan 3: Institute of Occupational Medicine and Industrial Hygiene, College of Public Health, National Taiwan University, Taipei, Taiwan 4: Institute of Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan 5: Department of Health (DOH), Executive Yuan, Taiwan 6: Institute of Preventive Medicine, College of Public Health, National Taiwan University, Room 207, 2F No. 19, XuZhou Road, Taipei 100, Taiwan; Source Info: May2006, Vol. 75 Issue 5, p369; Subject Term: MEDICAL screening; Subject Term: MEDICAL informatics; Subject Term: CANCER; Subject Term: CHRONIC diseases; Subject Term: COST effectiveness; Subject Term: ELECTRONIC information resources; NAICS/Industry Codes: 621999 All Other Miscellaneous Ambulatory Health Care Services; Number of Pages: 15p; Document Type: Article.Abstract
Summary: Background: Community-based multiple screening for common cancers and chronic diseases has increasingly gained attention. However, as infrastructure and evaluation system are more diversified and complicated compared with single screening, the development of a novel health information system is paramount. Methods: The main goal of our health information system was to support the multiple screening program not only from technical aspect but also from a broad range of perspectives including quality assurance system, organized features appertaining to screening, economic evaluation (cost-effectiveness or cost-utility analysis), epidemiological applications, behavior risk factor surveillance system, and social impact due to the introduction of the Keelung Community-Based Integrated Screening (KCIS) program. Results: Health information system was designed and programmed on the basis of the demand derived from KCIS within which five cancers and three chronic diseases were included. In addition to the detailed description of infrastructure and process, design, relevant database and security involved in health information system, an innovative and extensive evaluation system in accordance with the main goals was included in our health information system. Conclusion: Our information system proposed several aspects regarding organized screening system that has never been addressed in computerized system supporting for single screening. These included quality assurance system, organization features, co-morbidity profiles, epidemiological applications and social and economic considerations. Copyright 2006 Elsevier; Copyright of International Journal of Medical Informatics is the property of Elsevier Science Publishing Company, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts)
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