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MANAJEMEN SISTEM INFORMASI UNTUK PENAPISAN TEKNOLOGI

Bambang Udji Djoko Rianto

TUJUAN
Memahami

peranan sistem informasi untuk penapisan teknologi kesehatan Memahami konsep-konsep sistem informasi dalam menunjang penapisan, pemanfaatan, dan penyebaran teknologi kesehatan Melakukan analisis kritis terhadap sistem informasi untuk kajian teknologi kesehatan

Pendahuluan
Judgement

Kedokteran/kesehatan
Action Memfasilitasi management medical record Complete & relevant data Akses ke update informasi via berbagai databases

Sistem informasi

Mengapa diperlukan
Akselerasi perkembangan informasi

Temuan-2 baru di bidang kedokteran


preventive diagnostics therapeutics

New direction for health care

CEA CBA CUA

New direction for health care


Capping of health-care expenditures monitoring of resource utilization productivity improvements measuring outcomes identifying clinical efficacy

KRITERIA FAIR HEALTH INFORMATION


Openness

Limitation of collections
Limitation of disclosure

Limitation of use
Security

Access

Komunikasi informasi medik


Communication with literature

Increased awareness of the existence of available resources wider use of computers unification of health care terminologies improved searching programs educational programs which improve user interpretation of the literature

Komunikasi informasi medik

Communication between provider


Provider must use computers The terminology used by each providers: consistent and universally understood Agree as to what will be transmitted An adequate communications network Each network node should adhere to standardised message protocols Adequate security, confidentiality & integrity Up-to-date information resources: standardised form & computer understandable

Integrated clinical system & information


Clinical system Clinical information Query construction Query construction Topic selection

Source selection

Medline

Online Textbook

Expert system

Bagaimana sistem informasi berfungsi


IAIMS (Integrated Advanced Information Management System)

NLM (National Library of Medicines

UMLS (Unified Medical Language System)

MeSH (Medical Subject Headings)

Pemanfaatan sistem informasi


Clinical application

Cross check
Clinical decision making

Medical/health policy

Pemanfaatan sistem informasi


Fungsi

audit Patient care management Preventive care management Doctor education

Informasi untuk menilai teknologi


Standard Operating Procedure Clinical Decision Making Process Utilization:

drugs devices procedure

Data set

Utilisasi Occupancy Morbidity Efficacy Effectiveness Mortality Disability

Adverse effect Discomfort Complication Economic parameters Social parameters

Contoh
Hemodialisis

Utilisasi Mortality Disability Economic impact Social impact Life years saved

Akurasi diagnostik Prosedur awal Severity Previous treatment Present status Provider

Sectio caesarea

Data apa yang diperlukan untuk menilai teknologi SC? Apa sumber-sumber informasi yang ada? Faktor-faktor apa yang berpengaruh terhadap validitas data? Bagaimana pemanfaatan data tersebut untuk pengambilan kebijakan

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