Health information system for community-based multiple screening in Keelung, Taiwan (Keelung Community-based Integrated Screening No. 3).
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.


CONCLUSIONS
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.
Chiu
Yueh-Hsia
YH
Institute of Public Health and Institute of Health Informatics and Decision Making, National Yang-Ming University, Taipei, Taiwan.
Chen
Li-Sheng
LS
Chan
Chang-Chuan
CC
Liou
Der-Ming
DM
Wu
Shiao-Chi
SC
Kuo
Hsu-Sung
HS
Chang
Hong-Jen
HJ
Chen
Tony Hsiu-Hsi
TH
D003153:Community Health Services / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006751:Hospital Information Systems / Q000458:organization & administration*; D008403:Mass Screening / Q000379:methods / Q000458:organization & administration*; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D011159:Population Surveillance / Q000379:methods*; D013624:Taiwan