A perspective on integration and outreach: Guiding concepts in the evolution of health informatics

IF 3.7 2区医学 Q2 COMPUTER SCIENCE, INFORMATION SYSTEMS International Journal of Medical Informatics Pub Date : 2024-10-02 DOI:10.1016/j.ijmedinf.2024.105638

Marion J. Ball , Gabriela Mustata Wilson , William M. Tierney , Jon Weidanz , Denise Hernandez , George R. Kim , Judith V. Douglas

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Abstract

Background

The National Library of Medicine’s Integrated Academic/Advanced Information Management Systems (IAIMS) initiative played a central role in the evolution of health informatics over the project’s lifetime (1983–2009) and continues to do so.

Aim

Our objective is to demonstrate how IAIMS and two key IAIMS concepts, integration and outreach, have functioned at very different times during this evolutionary process.

Approach

Using a framework drawn from Lorenzi and Stead’s 2021 history of IAIMS, we examine the role of integration and outreach in work at the University of Maryland Baltimore (UMB) in the early 1980s and at the University of Texas Arlington (UTA) in 2020.

Results

Guided by these concepts, UMB implemented a campus-wide information utility, while UTA established a center to accelerate research and innovation.

Conclusions

Outreach and integration have been formative in the evolution of health informatics and will continue to hold their power.

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从整合与推广的角度看问题：卫生信息学发展过程中的指导概念。

背景：目的：我们的目标是展示IAIMS以及IAIMS的两个关键概念--整合与推广--是如何在这一演变过程中的不同时期发挥作用的：方法：我们利用从洛伦兹（Lorenzi）和斯蒂德（Stead）2021 年 IAIMS 历史中提取的框架，研究了 20 世纪 80 年代早期马里兰大学巴尔的摩分校（UMB）和 2020 年德克萨斯大学阿灵顿分校（UTA）的工作中整合和推广的作用：在这些理念的指导下，马里兰大学实施了一项全校范围的信息实用程序，而德克萨斯大学阿灵顿分校则建立了一个中心来加速研究和创新：结论：拓展和整合在卫生信息学的发展过程中起到了决定性作用，并将继续发挥其力量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Medical Informatics 医学-计算机：信息系统

CiteScore

8.90

自引率

4.10%

发文量

217

审稿时长

42 days

期刊介绍： International Journal of Medical Informatics provides an international medium for dissemination of original results and interpretative reviews concerning the field of medical informatics. The Journal emphasizes the evaluation of systems in healthcare settings. The scope of journal covers: Information systems, including national or international registration systems, hospital information systems, departmental and/or physician''s office systems, document handling systems, electronic medical record systems, standardization, systems integration etc.; Computer-aided medical decision support systems using heuristic, algorithmic and/or statistical methods as exemplified in decision theory, protocol development, artificial intelligence, etc. Educational computer based programs pertaining to medical informatics or medicine in general; Organizational, economic, social, clinical impact, ethical and cost-benefit aspects of IT applications in health care.