Health Informatics 3.0 and other Increasingly Dispersed Technologies Require Even Greater Trust: Promoting Safe Evidence-based Health Informatics

M. Rigby; E. Ammenwerth; J. Talmon; P. Nykänen; J. Brender; N. de Keizer

doi:10.1055/s-0038-1638747

Yearbook of Medical Informatics, Table of Contents

Yearb Med Inform 2011; 20(01): 105-111
DOI: 10.1055/s-0038-1638747

Working Group Contributions

Georg Thieme Verlag KG Stuttgart

Health Informatics 3.0 and other Increasingly Dispersed Technologies Require Even Greater Trust: Promoting Safe Evidence-based Health Informatics

Contribution of the IMIA Working Group on Technology Assessment & Quality Development in Health Informatics

Authors

M. Rigby

¹Keele University, School of Public Policy and Professional Practice, Keele, United Kingdom
E. Ammenwerth

²UMIT, University for Health Sciences, Medical Informatics and Technology, Hall in Tyrol, Austria
J. Talmon

³Maastricht University, School for Public Health and Primary Care: Caphri, Maastricht, The Netherlands
P. Nykänen

⁴University of Tampere, Department of Computer Sciences, eHealth Research, Tampere, Finland
J. Brender

⁵Aalborg University, Department of Health Science and Technology, and Virtual Center for Health Informatics, Aalborg, Denmark
N. de Keizer

⁶IMIA Working Group on Technology Assessment & Quality Development in Health Informatics Chair, Academic Medical Center, Department of Medical Informatics, Amsterdam, The Netherlands

Abstract

Summary

Background

Healthinformaticsisgenerallylesscommittedtoascientific evidence-basedapproach than any other area of health science, which is an unsound position. Introducing the new Web 3.0 paradigms into health IT applications can unleash a further great potential, able to integrate and distribute data from multiple sources. The counter sideisthatitmakestheuserandthepatientevermoredependentonthe

‘blackbox’ of the system, and the re-use of the data remote from the author and initial context. Thus anticipatory consideration of uses, and proactive analysis of evidenceof effects,are imperative,as only when a clinical technology can be proven to be trustworthy and safe should it be implementedwidely as is the case with other health technologies.

Objectives

Toargueforpromotingevidence-basedhealthinformatics assystemsbecomemorepowerfulandpro-activeyetmoredispersed andremote;andevaluationasthemeansofgeneratingthenecessaryscientific evidencebase.TopresentongoingIMIAandEFMIinitiativesinthisfield.

Methods

Critical overview of recent developments in health informatics evaluation, alongside the precedents of other health technologies, summarising current initiatives and the new challenges presented by Health Informatics 3.0.

Results

Web3.0should betaken asanopportunitytomovehealth informatics from being largely unaccountable to one of being an ethical andresponsiblescience-baseddomain.Recentandplannedactivities ofthe EFMIandIMIAworkinggroupshavesignificantlyprogressedkeyinitiatives.

Conclusions

Concurrent with the emergence of Web 3.0 as a means of new-generation diffuse health information systems comes an increasing need for an evidence-based culture in health informatics.

Keywords

Health informatics - evaluation - Web 3.0 - risk - business ethics

Full Text

References

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