Abstract
Revolutionary advancements in information technology are improving access to medical information, operational efficiency and clinical effectiveness. Health care facilities and agencies are planning to acquire information systems that will affect clinical and administrative functions. Federal and provincial agencies are beginning to define and collect diverse health care data and integrate them in a national database. As the demand for and access to information grows physicians will be key providers and users. They will have increasing access to critical patient data through clinical information systems; however, their practice patterns, clinical outcomes and resource utilization will also be subject to increasing scrutiny. To ensure appropriate use of technology and information systems, careful planning, selection, implementation and management will be needed. Physicians will require training to use the information and systems effectively. They must also recognize the increasing importance of such systems in delivering and managing health care; they must play a pivotal role in resolving management, information and systems issues and in promoting sound information and management strategies; and they must encourage research and education in medical informatics.
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Selected References
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- Brunelle F. W., Protti D. J. The newest member of the senior management team. Leadersh Health Serv. 1992 May-Jun;1(3):38–40. [PubMed] [Google Scholar]
- Friedman B. A., Martin J. B. Hospital information systems. The physician's role. JAMA. 1987 Apr 3;257(13):1792–1792. [PubMed] [Google Scholar]
- Friedman B. A., Martin J. B. The physician as a locus of authority, responsibility, and operational control of medical systems. J Med Syst. 1988 Dec;12(6):389–396. doi: 10.1007/BF00992687. [DOI] [PubMed] [Google Scholar]
- Greenes R. A., Shortliffe E. H. Medical informatics. An emerging academic discipline and institutional priority. JAMA. 1990 Feb 23;263(8):1114–1120. doi: 10.1001/jama.263.8.1114. [DOI] [PubMed] [Google Scholar]
- Haynes R. B., Ramsden M., McKibbon K. A., Walker C. J., Ryan N. C. A review of medical education and medical informatics. Acad Med. 1989 Apr;64(4):207–212. doi: 10.1097/00001888-198904000-00009. [DOI] [PubMed] [Google Scholar]
- Jacobs P., Hall E. M., Lave J. R., Glendining M. Alberta's Acute Care Funding Project. Healthc Manage Forum. 1992 Fall;5(3):4–20. doi: 10.1016/S0840-4704(10)61210-0. [DOI] [PubMed] [Google Scholar]
- Lave J. R., Jacobs P., Markel F. Transitional funding: changing Ontario's global budgeting system. Health Care Financ Rev. 1992 Spring;13(3):77–84. [PMC free article] [PubMed] [Google Scholar]
- McDonald C. J. Medical information systems of the future. MD Comput. 1989 Mar-Apr;6(2):82–87. [PubMed] [Google Scholar]
- Pink G. H., Bolley H. B. Physicians in health care management: 3. Case Mix Groups and Resource Intensity Weights: an overview for physicians. CMAJ. 1994 Mar 15;150(6):889–894. [PMC free article] [PubMed] [Google Scholar]
- Pink G. H., Bolley H. B. Physicians in health care management: 4. Case Mix Groups and Resource Intensity Weights: physicians and hospital funding. CMAJ. 1994 Apr 15;150(8):1255–1261. [PMC free article] [PubMed] [Google Scholar]
- Protti D. J., Carmichael V. The chief information officer in Canadian hospitals: fact or fancy? Healthc Manage Forum. 1992 Summer;5(2):30–33. doi: 10.1016/S0840-4704(10)61203-3. [DOI] [PubMed] [Google Scholar]
- Rootenberg J. D. Physicians and computers: future allies? JAMA. 1990 Apr 4;263(13):1859–1859. doi: 10.1001/jama.263.13.1859. [DOI] [PubMed] [Google Scholar]
- Williams L. S. Microchips versus stethoscopes: Calgary hospital, MDs face off over controversial computer system. CMAJ. 1992 Nov 15;147(10):1534-40, 1543-4, 1547. [PMC free article] [PubMed] [Google Scholar]