F.1 Informatics history Flashcards
Relate the history of health informatics to the current and future health environment.
What is the definition of medical informatics according to Greenes & Shortliffe (1990)?
Medical informatics is the field that concerns itself with the cognitive, information processing, and communication tasks of medical practice, education, and research, including the information science and the technology to support these tasks.
This definition reflects the primary medical orientation of informatics at that time.
What term replaced ‘medical informatics’ in the 1990s?
‘Biomedical informatics’ replaced ‘medical informatics’ in the 1990s.
Biomedical refers to biological, medical, and physical science.
How did the definition of health informatics change by 2009?
Health Informatics became defined as the interdisciplinary study of the design, development, adoption and application of IT-based innovations in healthcare services delivery, management and planning.
This reflects a shift from a purely medical focus to a broader health perspective.
What is the definition of biomedical informatics adopted by AMIA in 2012?
The interdisciplinary field that studies and pursues the effective uses of biomedical data, information, and knowledge for scientific inquiry, problem-solving and decision making, motivated by efforts to improve human health.
This definition emphasizes the importance of effective use of data in improving health.
What societal expectation regarding health was recognized in 2022?
Health embraces the WHO definition of health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
This highlights a comprehensive understanding of health beyond just physical conditions.
When did health informatics begin to develop a formal history?
Health informatics began to develop a formal history around the mid-1950s.
The field is still relatively young compared to other health disciplines.
What significant development in healthcare occurred in 1959?
Ledley and Lusted produced a landmark paper on diagnostic decision-making.
This work laid the foundation for computer-based medical decision support.
What was a notable requirement imposed by the US Congress in 1965?
The amendment of the Social Security Act to include Medicare and Medicaid required nurses to provide data to document care delivered for reimbursement.
This requirement stimulated the development of nursing informatics.
What system did Dr. Lawrence Weed develop in 1968?
PROMIS - the PRoblem Oriented Medical Information System.
It was an early attempt to create an integrated system for healthcare.
When was the first MedInfo Conference held?
The first MedInfo Conference was held in 1974.
This marked the formal recognition of medical informatics as a discipline.
What major shift occurred in the 1990s regarding health systems?
A shift from retrospective, process-oriented health systems towards more patient-centred, outcome-oriented systems.
This shift emphasized the quality of patient care and the importance of data capture at the point of care.
What is the role of IMIA?
IMIA serves as the world body for health and biomedical informatics, promoting informatics in healthcare and advancing international cooperation.
It includes Member Societies, Institutional Members, and Honorary Fellows.
What is the purpose of the Health Information Management Association of Australia Limited (HIMAA)?
To support Australians working in e-health and health informatics through education, professional development, and certification.
HIMAA was established in its current form in 1996.
What is the focus of the Australasian Institute of Digital Health (AIDH)?
The vision is ‘healthier lives, digitally enabled’, reflecting a shift towards patient-centric health and welfare.
AIDH was formed in February 2020 from the merger of HISA and ACHI.
What themes dominated health informatics literature from 1974 to 2018?
- Utilisation of computer science in healthcare
- Impact of health informatics on patient safety and quality of healthcare
- Decision support systems
These themes reflect the foundational focus areas in health informatics.
Fill in the blank: The focus of health and medical informatics has shifted to ______ healthcare systems since around 2016.
[predictive, preventative, personalised, and participatory]
What future themes may emerge in health informatics according to Saheb & Saheb (2019)?
- Patient-generated health data
- Deep learning algorithms
- Quantified self and self-tracking tools
- Internet of Things based decision support systems
These themes illustrate the evolving nature of health informatics.
