This paper outlines the roles of health informatics in modern health planning and delivery and defines the key challenges and opportunities for promoting high-quality and cost-effective care. It describes the main information management and technology drivers that improve the generation, use and flow of health information, categorizing these drivers under the headings of healthcare complexity, policy and priorities, clinical support and technology. The discussion draw attention to the ethical and legal issues associated with the drivers and summarizes the general features of these issues as they arise from computer-mediated medicine.
Goodman K W (ed.). Ethics, computing, and medicine: informatics and the transformation of health care. Cambridge, 1998.
11.
Collins T, Bicknell D.Crash. Sydney: Simon and Schuster, 1998.
12.
Hammer M, Champy J.Re-engineering the corporation. London: Brearley, 1993.
13.
Poirer C C, Bauer M J.E-supply chain: using the internet to revolutionize your business. San Francisco: Berrett-Koehler, 2000.
14.
Vering M, Norris G, Barth P, Hurley J R, MacKay B, Duray D J.The e-business workplace: discovering the power of enterprise portals. New York: Wiley, 2001.
15.
Hamel G, Prahalad C K.Competing for the future. Boston, MA: Harvard Business School Press, 1994.
16.
Robson W.Strategic management and information systems. 2nd edn.London: Pitman, 1997.
17.
Coddington D C, Moore K D, Fischer E A.Strategies for the new health care market place: managing the convergence of consumerism and technology. New York: Wiley, 2001.
18.
Ministry of Health. The New Zealand health strategy. Wellington: Ministry of Health, 2000.
19.
Richards T. Partnership with patients. BMJ1998; 316, 85-86.
20.
Charles C, Whelan T, Gafni A.What do we mean by partnership in making decisions about treatment?BMJ1999; 319, 780-782.
21.
Winker M A, Flanagin A, Chi-Lum Bet al. Guidelines for medical and health information sites on the internet. Journal American Medical Association2000; 283(12); 1600-1606.
22.
Meinhardt R A.New ‘e-sign’ law enables electronic prescriptions. Drug Benefit Trends2000; 12(9): 23-24.
23.
Wootton R, Craig J (eds). Introduction to telemedicine. London: Royal Society of Medicine, 1999.
24.
Norris A C.Essentials of telemedicine and telecare. Chichester: Wiley, 2002.
25.
Chute C G, Cohn S P, Campbell J R.A framework for comprehensive health terminology systems in the United States: development guidelines, criteria for selection, and public policy implementations. Journal of the American Medical Informatics Association1998; 5: 503-510.
26.
Slee V N, Slee D A, Schimdt H J.The endangered medical record: ensuring its integrity in the age of informatics. St Paul: Tringa Press, 2000.
27.
Computer Science and Telecommunications Board Commission on Physical Sciences. For the record: protecting electronic health information. Washington: National Academy Press, 1997.
28.
Witten I H, Moffat A, Bell T C.Managing gigabytes: compressing and indexing documents and images. 2nd edn.San Francisco: Morgan Kaufmann, 1999.
29.
Shortliffe E H (ed.). Medical informatics: computer applications in health care and biomedicine health informatics. 2nd edn.New York: Springer-Verlag, 2000.
30.
Berner E S, Ball M J (eds). Clinical decision support systems: theory and practice. New York: Springer-Verlag, 2000.
31.
Johnson S (ed.). Pathways of care. Oxford: Blackwell, 1997.
32.
Tachakra S, Mullett S T H, Freij R, Sivakumar A.Confidentiality and ethics in telemedicine. Journal of Telemedicine and Telecare1996; 2: 68-71.
33.
Hjelm M.Benefits and drawbacks of telemedicine. In: Reference 23, Chapter 10.
34.
Allen A, Stein S.Cost effectiveness of telemedicine. In: Telemedicine Today1998; 6: 10-12, 14-15.
35.
Norris A C.The strategic support of telemedicine and telecare. Health Informatics Journal2001; 7(2): 80-88.
36.
Stanberry B A.The legal and ethical aspects of telemedicine. London: Royal Society of Medicine, 1998.
37.
Healthcare Informatics online. See the Website at http://www.healthcare-informatics.com
38.
Held G.Data over wireless networks. Berkeley: Osborne/McGraw-Hill, 2000.
39.
Bray J, Sturman C F.Bluetooth: connect without cables. Upper Saddle River: Prentice Hall, 2000.
40.
US Food and Drug Administration press release: FDA clears camera pill to graph small intestine. See the Website at http://www.fda.gov/bbs/topics/ANSWERS/2001/ANS01094.html
41.
Komesaroff P A.Is the hospital obsolete? Medical Journal of Australia1997; 166: 17-19.
42.
Rosenthal D Fet al. A voice-enabled, structured medical reporting system. Journal of the American Medical Informatics Association1998; 4(6): 436-441.
