Information systems can help prevent a public health crisis. To do so, systems integration is necessary. As we can see from our textbook, BioSense can summarize and present analytical results by source,day,and syndrome for each zip code,state,and metropolitan area using maps,graphs,and tables. Registered state and local public health agencies as well as hospitals and health care providers are allowed to access data.
In case of Korea there can be difficulties we can think of.
The first one is standardization. We must also integrate systems among small-sized clinics, medium-sized clinics and large general hospitals. But who can be willing to participate in the transition process that would be burdensome and time-consuming without any benefits? Furthermore,we should consider herb doctor’s offices as well as western-style hospitals.There are many differences such as terminologies,concept,
prescription between the two.
The second one is systemization itself. But some individual doctors still have their medical records as a form of paper. I have visited an ENT doctor two years ago in Seoul. There were three to four nurses who are busy in doing something like supporting the doctor, looking for medical reords, and answering questions. A nurse asked me my resident registration number, and then started to look for my medical record from the piles of paper files.The doctor and CEO of a small clinic seemed not to need any help or support. What can the central government give them while he just wants staus quo?
The third one is privacy. Even in any cases and situations,it is inevitable that privacy problems may occur. What we should do to prevent moral hazard of insiders and invasion of outsiders is just to do our best to bulid firewall, educate and punish evil-doers.
If these problems were solved, I think IS will be able to prevent a public health crisis.
But we have a long way to go.
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