Methods Inf Med 2001; 40(04): 275-287
DOI: 10.1055/s-0038-1634170
Original Article
Schattauer GmbH

From Hospital Information Systems to Health Information Systems

Problems, Challenges, Perspectives
K. A. Kuhn
1  Institute of Medical Informatics, Philipps-University Marburg, Germany
D. A. Giuse
2  Informatics Center, Vanderbilt University Medical Center, Nashville, TN, USA
› Author Affiliations
Further Information

Publication History

Received 12 December 2000

Accepted 09 March 2001

Publication Date:
08 February 2018 (online)


Objectives: Hospital information systems are evolving towards health information systems. This article aims at identifying both proven benefits and critical issues, and at discussing problems and possible solutions.

Methods: Reports on HIS successes and failures were analyzed, and core challenges were identified. These challenges are discussed against state of the art solutions.

Results: In spite of demonstrated benefits, there are more severe problems than reports on successes suggest. Among today’s core problems are integration, human-computer interaction, socio-technical issues, and support of processes.

Conclusions: Significant efforts of all parties involved in the health care process are needed to improve, implement, and evaluate the concepts described.