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Methods Inf Med 1995; 34(03): 244-252
DOI: 10.1055/s-0038-1634600
Original Article
Schattauer GmbH

Communication in Health Care

P. J. Branger
1   Department of Medical Informatics, Faculty of Medicine and Health Sciences, Erasmus University, Rotterdam, The Netherlands
2   Department of General Practice, Faculty of Medicine and Health Sciences, Erasmus University, Rotterdam, The Netherlands
,
J. S. Duisterhout
1   Department of Medical Informatics, Faculty of Medicine and Health Sciences, Erasmus University, Rotterdam, The Netherlands
› Author Affiliations
Further Information

Publication History

Publication Date:
16 February 2018 (online)

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Abstract:

For routine communication, care providers still mainly rely on paper documents and paper mail. Evidence exists, however, that this communication can be improved, both by a better content of information exchange and by a more timely deliverance of this information. At present, several alternatives to paper-based communication are available, such as the Fax, the Smart Card, electronic mail, and electronic data interchange. This paper describes existing communication problems, and examines the current state of development and research aimed at improving this communication using electronic communication techniques that are gradually replacing paper-based communication. Applicability and shortcomings of these new techniques are also discussed.

Keywords:

Communication - Telemedicine - Networking - HL-7 - EDI - EDIFACT - PACS
 

  • References

  • 1 Long A, Atkins JB. Communication between general practitioners and consultants. BMJ 1972; iv: 456-9.
    PubMedSearch in Google Scholar
  • 2 Penney TM. Delayed communication between hospitals and general practitioners: where does the problem lie?. BMJ 1988; 297: 28-9
    PubMedSearch in Google Scholar
  • 3 Tuloch AJ, Fowler GH, McMullan JJ, Spence JM. Hospital discharge reports: contents and design. BMJ 1975; 4: 443-6.
    CrossrefPubMedSearch in Google Scholar
  • 4 Newton J, Eccles M, Hutchinson A. Communication between general practitioners and consultants: what should their letters contain?. BMJ 1992; 304: 821-4.
    CrossrefPubMedSearch in Google Scholar
  • 5 Inada H, Horio H, Sekita Y, Ishikawa K, Yoshida M. A study on a home care support information system. In: Lun KC, Degoulet P, Piemme TE, Rienhoff O. eds. MEDINFO 1992. Amsterdam: North-Holland Publ Comp; 1992: 349-53.
    Search in Google Scholar
  • 6 Harrison PV, Hall PJI. Fax and communication. BMJ 1989; 298: 748-9.
    PubMedSearch in Google Scholar
  • 7 Terae S, Miyasaka K, Irie G. Telephone line transfer using a local filing system in Hokkaido. Comput Meth Progr Biomed 1991; 36: 151-6.
    CrossrefPubMedSearch in Google Scholar
  • 8 Van Casteren V, Leurquin P. Eurosentinel: development of an international sentinel network of general practitioners. Meth Inform Med 1992; 31: 147-52.
    PubMedSearch in Google Scholar
  • 9 Yasnoff WA. US HealthLink: a national information resource for health care professionals. J Med Syst 1992; 16: 95-100.
    CrossrefPubMedSearch in Google Scholar
  • 10 Buckingham MS. Use electronic mail. BMJ 1987; 295: 1323-4.
    CrossrefPubMedSearch in Google Scholar
  • 11 Grundner TM, Garrett RE. Interactive medical telecomputing. An alternative approach to community health education. N Eng J Med 1986; 314: 982-5.
    CrossrefPubMedSearch in Google Scholar
  • 12 Vance Esler W. Interactive medical telecomputing (Letter). N Eng J Med 1986; 314: 899.
    PubMedSearch in Google Scholar
  • 13 Cowie JF. Use of electronic mail for patient record transmission. BMJ 1985; 291: 1439-40.
    CrossrefPubMedSearch in Google Scholar
  • 14 Gaunt PN. Use of electronic mail for patient record transmission (Letter). BMJ 1985; 291: 1724.
    PubMedSearch in Google Scholar
  • 15 Walker RJ. First steps in EDI: Proceedings of COMPAT ’89. Munich: Blenheim Online; 1989
    Search in Google Scholar
  • 16 Sedor P. EDI: Electronic management is almost a reality. Hospitals 1989; 63: 65-8.
    PubMedSearch in Google Scholar
  • 17 Shafarman MJ, Meeks-Johnson J, Jones T, McCoy J, Van Valkenburg T. Implementing a record-oriented clinical lab interface using HL7 version 2.1 at Indiana University Hospital. In: Clayton PD. ed. Fifteenth Annual Symposium on Computer Applications in Medical Care. New York: McGraw-Hill; 1991: 511-5.
    Search in Google Scholar
  • 18 Cahill BP, Holmen JR, Bartleson PL. Mayo Foundation electronic results inquiry, The HL7 Connection. In: Clayton PD. ed. Fifteenth Annual Symposium on Computer Applications in Medical Care. New York: McGraw-Hill; 1991: 516-20.
    Search in Google Scholar
  • 19 Branger PJ, Van der Wouden JC, Schudel BR. et al. Electronic communication between providers of primary and secondary care. BMJ 1992; 305: 1068-70.
    CrossrefPubMedSearch in Google Scholar
  • 20 Jenkinson S. Medical credit cards could contain a patient’s entire medical record. BMJ 1989; 299: 472.
    CrossrefPubMedSearch in Google Scholar
  • 21 Beuscart RI, Paradinas PC. Smart cards for health care. In: Duisterhout JS, Hasman A, Salamon R. eds. Telematics in Medicine. Amsterdam: Elsevier Science Publ; 1991: 357-66.
    Search in Google Scholar
  • 22 Benson T. Health Cards-The Move Towards Standards. J Med Syst 1990; 14: 147-50.
    PubMedSearch in Google Scholar
  • 23 Hopkins RJ. The Exeter Care Card: A CP8-based global health care record for the United Kingdom’s National Health Service. J Med Syst 1990; 14: 150-4.
    PubMedSearch in Google Scholar
  • 24 Chisholm J. The Read clinical classification. BMJ 1990; 300: 1092.
    CrossrefPubMedSearch in Google Scholar
  • 25 Hopkins RI. The Exeter Care Card. A CP8-based global health care record for the United Kingdom’s National Health Service. In: Duisterhout JS, Hasman A, Salamon R. eds. Telematics in Medicine. Amsterdam: Elsevier Science Publ; 1991: 367-85.
    Search in Google Scholar
  • 26 Smith J. Smart Cards: wayward patients. BMJ 1991; 302: 200.
    PubMedSearch in Google Scholar
  • 27 Warren L. Smart Card, dumb idea?. Br J Health Comp 1991; 9: 18.
    PubMedSearch in Google Scholar
  • 28 Regan BC. Computerised information exchange in health care. Med J Aus 1991; 154: 140-4.
    PubMedSearch in Google Scholar
  • 29 Orthner HF, Scherrer JR, Dahlen R. Sharing and communicating health care information: summary and recommendations. Int J Biomed Comput 1994; 34: 303-18.
    CrossrefPubMedSearch in Google Scholar
  • 30 Orthner HF. New communications technologies for hospital information systems. In: Bakker AR. ed. Towards New Hospital Information Systems. Amsterdam: North-Holland; 1988: 203-12.
    Search in Google Scholar
  • 31 Ehlers Th. Communication in a Hospital based on ISDN. In: Duisterhout JS, Hasman A, Salamon R. eds. Telematics in Medicine. Amsterdam: North-Holland; 1991: 91-101.
    Search in Google Scholar
  • 32 Lear J, Manco-Johnson M, Feyerabend A, Anderson G, Robinson D. Ultra-high-speed teleradiology with ISDN technology. Radiology 1989; 171: 862-3.
    CrossrefPubMedSearch in Google Scholar
  • 33 Banifatemi A. Telemedicine: European database for medical follow up. In: Lun KC, Degoulet P, Piemme TE, Rienhoff O. eds. MEDINFO 1992. Amsterdam: North-Holland Publ Comp; 1992: 1596.
    Search in Google Scholar
  • 34 McDaniel JG, Möhr JR, Müller HA. Health Link – A pragmatic approach to wide area telemedicine in Canada. In: Lun KC, Degoulet P, Piemme TE, Rienhoff O. eds. MEDINFO 1992. Amsterdam: North-Holland Publ Comp; 1992: 78-83.
    Search in Google Scholar
  • 35 Bean NH, Martin SM, Bradford H. PHLIS: an electronic system for reporting public health data from remote sites. Am J Public Health 1992; 82: 1273-6.
    CrossrefPubMedSearch in Google Scholar
  • 36 Salamon R, Maurice-Tison S, Marlat P, Palmer G, Tilly B. A telematics network for epidemiological surveillance by general practitioners. In: Duisterhout JS, Hasman A, Salamon R. eds. Telematics in Medicine. Amsterdam: North-Holland; 1991: 185-91.
    Search in Google Scholar
  • 37 Valleron AJ, Garnerin Ph, Menares J. The French National Communicable Diseases Network: an overview. In: Duisterhout JS, Hasman A, Salamon R. eds. Telematics in Medicine. Amsterdam: North-Holland; 1991: 193-203.
    Search in Google Scholar
  • 38 Parker MC. Consider the fax. Br J Hosp Med 1990; 44: 385.
    PubMedSearch in Google Scholar
  • 39 Neal TA, Whiteman J, Swenson JP. Electronic data interchange for pharmacy control. Am J Hosp Pharm 1990; 47: 2483-7.
    PubMedSearch in Google Scholar
  • 40 Mahoney CD. Restructuring pharmacy services to reduce expenses without eliminating services. Am J Hosp Ph arm 1990; 47: 579-84.
    PubMedSearch in Google Scholar
  • 41 Klein MS, Vantoll Ross F, Adams DL, Gilbert CM. Effect of online literature searching on length of stay and patient care costs. Acad Med 1994; 69: 489-5.
    CrossrefPubMedSearch in Google Scholar
  • 42 Clayton PD. Integrated advanced medical information systems. In: Van Bemmel JH, McCray AT. eds. 1994 IMIA Yearbook of Medical Informatics. Stuttgart: Schattauer Verlag; 1994: 53-60.
    Search in Google Scholar
  • 43 Sengupta S, Clayton PD, Molholt P, Sideli RV, Cimino JJ, Hripsack G, Johnson SB, Allen B, McCormack M, Hill E. IAIMS and sharing. Int J Biomed Comput 1994; 34: 339-48.
    CrossrefPubMedSearch in Google Scholar
  • 44 Glowniak JV, Bushway MK. Computer networks as a medical resource. JAMA 1994; 271: 1934-9.
    CrossrefPubMedSearch in Google Scholar
  • 45 Buhle EL, Goldwein JW, Benjamin I. Onco-Link: A multimedia oncology information resource on the Internet. Eighteenth Annual Symposium on Computer Applications in Medical Care. Philadelphia: Hanley & Belfus; 1994: 103-7.
    Search in Google Scholar
  • 46 Levine B, Mun SK. Image management and communication systems: a new challenge in radiology. Med Prog Tech 1989; 15: 199-216.
    PubMedSearch in Google Scholar
  • 47 Paakkala T, Aalto J, Kähärä V, Seppänen S. Diagnostic performance of teleradiology system in primary health care. Comp Meth Progr Biomed 1991; 36: 157-60.
    CrossrefPubMedSearch in Google Scholar
  • 48 Meyer-Ebrecht D. Digital image communication. Eur J Rad 1993; 17: 47-55.
    CrossrefPubMedSearch in Google Scholar
  • 49 Mattheus R. European standardization efforts: an important framework for medical imaging. Eur J Rad 1993; 17: 28-37.
    CrossrefPubMedSearch in Google Scholar
  • 50 Harrington JJ. Framework model for health care IT. In: Duisterhout JS, Hasman A, Salamon R. eds. Telematics in Medicine. Amsterdam: North-Holland; 1991: 281-6.
    Search in Google Scholar
  • 51 Mattheus R, Noothoven van Goor JM. The European Community standardization in medical informatics and imaging. Comput Meth Progr Biomed 1992; 37: 333-41.
    CrossrefPubMedSearch in Google Scholar
  • 52 AIM – TRILOGY project, Healthcare Telematics Services Implementation Framework. Document Id: A2055/DTB/DEL1/001/1.0 1994
    PubMedSearch in Google Scholar
  • 53 Harrington JJ, Benson TJR, Spector AL. IEEE P1157 Medical Data Interchange (MEDIX) Committee Overview and Status Report. In: Miller RA. ed. Fourteenth Annual Symposium on Computer Applications in Medical Care. New York: IEEE Computer Society Press; 1991: 230-4.
    Search in Google Scholar
  • 54 Schultz S. Communication standards in medicine. In: Duisterhout JS, Hasman A, Salamon R. eds. Telematics in Medicine. Amsterdam: North-Holland; 1991: 247-52.
    Search in Google Scholar
  • 55 ISO 9735. Electronic Data Interchange for Administration, Commerce and Transport (ED IFACT) – Application Level Syntax Rules. Geneva: United Nations Economic Commission for Europe – Trade Division; 1988
    Search in Google Scholar
  • 56 National Electrical Manufacturing Association. ACR-NEMA Digital Imaging and Communication Standard. NEMA 1989, Publication 300-1988, 2101 LNW; Washington, DC 20037.:
  • 57 McDonald CJ, Hammond WE. Standard formats for electronic transfer of clinical data. Ann Int Med 1989; 110: 333-5.
    CrossrefPubMedSearch in Google Scholar
  • 58 De Moor GJE. A standard solution for the exchange of clinical laboratory data EUCLIDES. In: Duisterhout JS, Hasman A, Salamon R. eds. Telematics in Medicine. Amsterdam: North-Holland; 1991: 259-80.
    Search in Google Scholar
  • 59 Policy statement. The use of facsimile machines and electronic data transfer in the emergency department. Ann Emerg Med 1993; 22: 148.
    PubMedSearch in Google Scholar
  • 60 Clark SL, Devore GR, Sabey P, Jolley KN. Fetal heart rate transmission with the facsimile telecopier in rural areas. Am J Obstet Gynecol 1989; 160: 1040-2.
    CrossrefPubMedSearch in Google Scholar
  • 61 Powell J. Shared care. Practitioner 1991; 235: 761-2.
    PubMedSearch in Google Scholar
  • 62 Constantino M, Hoskins PL, Fowler PM. et al. Interaction between diabetic patients, their general practitioners and a hospital diabetic clinic. Med J Aus 1991; 155: 515-8.6
    PubMedSearch in Google Scholar
  • 63 De Moor GJE. Standardization in Medical Informatics. In: Van Bemmel JH, McCray AT. eds. 1993 IMIA Yearbook of Medical Informatics. Stuttgart: Schattauer Verlag; 1993: 61-6.
    Search in Google Scholar
  • 64 Srivastava AC, Pinching AJ, Adler MW, Robertson R, Higgs R. Identity cards for patients infected with HIV?. BMJ 1987; 294: 495-6.
    CrossrefPubMedSearch in Google Scholar
  • 65 Bakker AR. Security in Medical Information Systems. In: Van Bemmel JH, McCray AT. eds. 1993 IMIA Yearbook of Medical Informatics. Stuttgart: Schattauer Verlag; 1993: 52-60.
    Search in Google Scholar