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Haux R, Kulikowski CA, Bakken S, de Lusignan S, Kimura M, Koch S, Mantas J, Maojo V, Marschollek M, Martin-Sanchez F, Moen A, Park HA, Sarkar IN, Leong TY, McCray AT. Research Strategies for Biomedical and Health Informatics. Some Thought-provoking and Critical Proposals to Encourage Scientific Debate on the Nature of Good Research in Medical Informatics. Methods Inf Med 2017; 56:e1-e10. [PMID: 28119991 PMCID: PMC5388922 DOI: 10.3414/me16-01-0125] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2016] [Accepted: 11/17/2016] [Indexed: 02/02/2023]
Abstract
BACKGROUND Medical informatics, or biomedical and health informatics (BMHI), has become an established scientific discipline. In all such disciplines there is a certain inertia to persist in focusing on well-established research areas and to hold on to well-known research methodologies rather than adopting new ones, which may be more appropriate. OBJECTIVES To search for answers to the following questions: What are research fields in informatics, which are not being currently adequately addressed, and which methodological approaches might be insufficiently used? Do we know about reasons? What could be consequences of change for research and for education? METHODS Outstanding informatics scientists were invited to three panel sessions on this topic in leading international conferences (MIE 2015, Medinfo 2015, HEC 2016) in order to get their answers to these questions. RESULTS A variety of themes emerged in the set of answers provided by the panellists. Some panellists took the theoretical foundations of the field for granted, while several questioned whether the field was actually grounded in a strong theoretical foundation. Panellists proposed a range of suggestions for new or improved approaches, methodologies, and techniques to enhance the BMHI research agenda. CONCLUSIONS The field of BMHI is on the one hand maturing as an academic community and intellectual endeavour. On the other hand vendor-supplied solutions may be too readily and uncritically accepted in health care practice. There is a high chance that BMHI will continue to flourish as an important discipline; its innovative interventions might then reach the original objectives of advancing science and improving health care outcomes.
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Affiliation(s)
- Reinhold Haux
- Peter L. Reichertz Institute for Medical Informatics, University of Braunschweig and Hannover Medical School, Germany
| | - Casimir A. Kulikowski
- Department of Computer Science, Rutgers – The State University of New Jersey, NJ, USA
| | - Suzanne Bakken
- School of Nursing and Department of Biomedical Informatics, Columbia University, New York, NY, USA
| | - Simon de Lusignan
- Department of Clinical and Experimental Medicine, University of Surrey, Guildford, UK
| | - Michio Kimura
- Medical Informatics Department, School of Medicine, Hamamatsu University, Shizuoka, Japan
| | - Sabine Koch
- Department of Learning, Informatics, Management and Ethics, Health Informatics Centre, Karolinska Institutet, Stockholm, Sweden
| | - John Mantas
- Health Informatics Laboratory, National and Kapodistrian University of Athens, Athens, Greece
| | - Victor Maojo
- Biomedical Informatics Group, Artificial Intelligence Department, Universidad Politecnica de Madrid, Madrid, Spain
| | - Michael Marschollek
- Peter L. Reichertz Institute for Medical Informatics, University of Braunschweig and Hannover Medical School, Germany
| | - Fernando Martin-Sanchez
- Department of Healthcare Policy and Research, Division of Health Informatics, Weill Cornell Medicine, New York, NY, USA
| | - Anne Moen
- Institute for Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway
- Institute for Health Sciences, University College of South East Norway, Drammen, Norway
| | - Hyeoun-Ae Park
- College of Nursing and Systems Biomedical Informatics Research Center, Seoul National University, Seoul, Republic of Korea
| | - Indra Neil Sarkar
- Center for Biomedical Informatics, Brown University, Providence, RI, USA
| | - Tze Yun Leong
- Medical Computing Laboratory, School of Computing, National University of Singapore, Singapore
- School of Information Systems, Singapore Management University, Singapore
| | - Alexa T. McCray
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA
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Gray K. Public Health Platforms: An Emerging Informatics Approach to Health Professional Learning and Development. J Public Health Res 2016; 5:665. [PMID: 27190977 PMCID: PMC4856869 DOI: 10.4081/jphr.2016.665] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2015] [Accepted: 01/31/2015] [Indexed: 12/02/2022] Open
Abstract
Health informatics has a major role to play in optimising the management and use of data, information and knowledge in health systems. As health systems undergo digital transformation, it is important to consider informatics approaches not only to curriculum content but also to the design of learning environments and learning activities for health professional learning and development. An example of such an informatics approach is the use of large-scale, integrated public health platforms on the Internet as part of health professional learning and development. This article describes selected examples of such platforms, with a focus on how they may influence the direction of health professional learning and development. Significance for public health The landscape of healthcare systems, public health systems, health research systems and professional education systems is fragmented, with many gaps and silos. More sophistication in the management of health data, information, and knowledge, based on public health informatics expertise, is needed to tackle key issues of prevention, promotion and policy-making. Platform technologies represent an emerging large-scale, highly integrated informatics approach to public health, combining the technologies of Internet, the web, the cloud, social technologies, remote sensing and/or mobile apps into an online infrastructure that can allow more synergies in work within and across these systems. Health professional curricula need updating so that the health workforce has a deep and critical understanding of the way that platform technologies are becoming the foundation of the health sector.
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Affiliation(s)
- Kathleen Gray
- Health and Biomedical Informatics Centre, The University of Melbourne , Australia
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