Information Systems in Healthcare – State and Steps towards Sustainability

• DOI: 10.1055/s-0038-1638640
• Publication Date: 2018-03-20T14:51:13Z
• Authors: R. Lenz
• Keywords: System Integration; Healthcare system

Summary Objectives To identify core challenges and first steps on the way to sustainable information systems in healthcare. Methods Recent articles healthcare technology related from Medical Informatics Computer Science were reviewed analyzed. Core that couldn’t be solved over years are identified. Results The two problem areas process integration, meaning effectively embed IT-systems into routine workflows, reduce effort for interconnecting independently developed IT-components. Standards integration have improved a lot, but their usefulness is limited where system evolution needed. Conclusions Sustainable Healthcare Information Systems should based architectures support avoid costly replacements every five ten years. Some basic principles design of such separation concerns, loose coupling, deferred design, service oriented architectures.