title: An architecture model for multiple disease management information systems.
abstract: Disease management is a program which attempts to overcome the fragmentation of healthcare system and improve the quality of care. Many studies have proven the effectiveness of disease management. However, the case managers were spending the majority of time in documentation, coordinating the members of the care team. They need a tool to support them with daily practice and optimizing the inefficient workflow. Several discussions have indicated that information technology plays an important role in the era of disease management. Whereas applications have been developed, it is inefficient to develop information system for each disease management program individually. The aim of this research is to support the work of disease management, reform the inefficient workflow, and propose an architecture model that enhance on the reusability and time saving of information system development. The proposed architecture model had been successfully implemented into two disease management information system, and the result was evaluated through reusability analysis, time consumed analysis, pre- and post-implement workflow analysis, and user questionnaire survey. The reusability of the proposed model was high, less than half of the time was consumed, and the workflow had been improved. The overall user aspect is positive. The supportiveness during daily workflow is high. The system empowers the case managers with better information and leads to better decision making.
authors: Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, No. 1, Sec. 4, Roosevelt Road, Taipei, 10617, Taiwan, d98945012@ntu.edu.tw.
authors: Lichin
authors: L
authors: Chen
authors: Hui-Chu
authors: HC
authors: Yu
authors: Hao-Chun
authors: HC
authors: Li
authors: Yi-Van
authors: YV
authors: Wang
authors: Huang-Jen
authors: HJ
authors: Chen
authors: I-Ching
authors: IC
authors: Wang
authors: Chiou-Shiang
authors: CS
authors: Wang
authors: Hui-Yu
authors: HY
authors: Peng
authors: Yu-Ling
authors: YL
authors: Hsu
authors: Chi-Huang
authors: CH
authors: Chen
authors: Lee-Ming
authors: LM
authors: Chuang
authors: Hung-Chang
authors: HC
authors: Lee
authors: Yufang
authors: Y
authors: Chung
authors: Feipei
authors: F
authors: Lai
mesh_terms: D000328:Adult; D019090:Case Management; D003199:Computer Systems; D019468:Disease Management; D005260:Female; D006801:Humans; D007256:Information Systems / Q000458:organization & administration*; D008297:Male; D008490:Medical Informatics; D008875:Middle Aged; D011785:Quality Assurance, Health Care; D012984:Software; D011795:Surveys and Questionnaires; D018511:Systems Integration