Health information system for community-based multiple screening in Keelung, Taiwan (Keelung Community-based Integrated Screening No. 3)

Chiu, Yueh-Hsia; Chen, Li-Sheng; Chan, Chang-Chuan; Liou, Der-Ming; Wu, Shiao-Chi; Kuo, Hsu-Sung; Chang, Hong-Jen; Chen, Tony Hsiu-Hsi

doi:10.1016/j.ijmedinf.2005.07.033

« Previous Next »International Journal of Medical Informatics
Volume 75, Issue 5 , Pages 369-383, May 2006

Health information system for community-based multiple screening in Keelung, Taiwan (Keelung Community-based Integrated Screening No. 3)

Yueh-Hsia Chiu
- Institute of Public Health and Institute of Health Informatics and Decision Making, National Yang-Ming University, Taipei, Taiwan
- Health Bureau of Keelung City, Keelung City, Taiwan
Li-Sheng Chen
- Institute of Public Health and Institute of Health Informatics and Decision Making, National Yang-Ming University, Taipei, Taiwan
Chang-Chuan Chan
- Institute of Occupational Medicine and Industrial Hygiene, College of Public Health, National Taiwan University, Taipei, Taiwan
Der-Ming Liou
- Institute of Public Health and Institute of Health Informatics and Decision Making, National Yang-Ming University, Taipei, Taiwan
Shiao-Chi Wu
- Institute of Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan
Hsu-Sung Kuo
- Institute of Public Health and Institute of Health Informatics and Decision Making, National Yang-Ming University, Taipei, Taiwan
Hong-Jen Chang
- Department of Health (DOH), Executive Yuan, Taiwan
Tony Hsiu-Hsi Chen
- Institute of Preventive Medicine, College of Public Health, National Taiwan University, Room 207, 2F No. 19, XuZhou Road, Taipei 100, Taiwan
- Corresponding author. Tel.: +886 2 23587620; fax: +886 2 23587707.

Received 29 April 2004; received in revised form 12 July 2005; accepted 13 July 2005.

Summary

Background

Community-based multiple screening for common cancers and chronic diseases has increasingly gained attention. However, as infrastructure and evaluation system are more diversified and complicated compared with single screening, the development of a novel health information system is paramount.

Methods

The main goal of our health information system was to support the multiple screening program not only from technical aspect but also from a broad range of perspectives including quality assurance system, organized features appertaining to screening, economic evaluation (cost-effectiveness or cost-utility analysis), epidemiological applications, behavior risk factor surveillance system, and social impact due to the introduction of the Keelung Community-Based Integrated Screening (KCIS) program.

Results

Health information system was designed and programmed on the basis of the demand derived from KCIS within which five cancers and three chronic diseases were included. In addition to the detailed description of infrastructure and process, design, relevant database and security involved in health information system, an innovative and extensive evaluation system in accordance with the main goals was included in our health information system.

Conclusion

Our information system proposed several aspects regarding organized screening system that has never been addressed in computerized system supporting for single screening. These included quality assurance system, organization features, co-morbidity profiles, epidemiological applications and social and economic considerations.

Keywords: Health information system, Multiple disease screening, Community-based integrated screening, Community health service