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Patricia Hortaliza

on 8 March 2015

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• 1970
• First applications of information technology in healthcare in Asian countries were in:
o Administration
o Billing
o Insurance

Histories of NI varies between Asian countries but governments played a vital role in introducing information technology into healthcare sector.
• 1980s-1990s
• Adoption of informatics in Asian countries began by a group of individuals in the government or a professional organization.

• 1990s- reports of research into NI began to appear in domestic Asian nursing journals.1980, 1989, 1997- The progress in Japan, China, and South Korea has been expedited by the hosting of International Medical Informatics Association (IMIA)
• 1993- Formation of Asia Pacific Medical Informatics Association; hosting of triannual conferences in the Pacific Rim.

• 1999- China, Japan, and Korea Medical Informatics Association organizes conferences, seminars, and workshops once a year and creates forums for the sharing of experience and knowledge among both experts and users in these three countries.
610 hospitals and 175,000 healthcare professionals
Population of 22.5 million
34.3% registered nurses
17.7% licensed practicing nurses
History of Nursing Informatics in Taiwan
NI was first used in Taiwan in 1990
Computers had been usedin nursing education since 1980s
NI was not available until 2001
Elective courses and baccalaureate started in the late 1990s
Nursing Information in Taiwan
in 2002, only 27% of hospitals had implemented nursing info system
9% were developing them
24% were making plans to develop them
40% were not interested on making investments
19% had installed information systems
Nursing Informatics Education
Computer-assisted instruction programs have been developed since 1986
Online courses are available for baccalaureate programs in counseling and long term care
National Yang-Ming University
National Taipei College on Nursing
Taipei Medical University
National Chung-Cheng University
Nursing Informatics Research
NI is at its infancy
40 papers published in domestic nursing journals since 1994-2003
Planning to be set up by early 2005 with strong consensus
Testing for reliability and validity
Nursing Informatics Practice
Computerized care plans are now common in clinical use
Applied for patient assessment
Nursing intervention
Staff workload assignments
Nurses can chart vital signs, input and output other data at the point of care
Access patient laboratory data, medication, or medical history without having to go back to nursing stations
Standardization and the National Health Information Infrastructure
"e-Taiwan" to develop nursing informatics in Taiwan
in 2005, something larger than e-taiwan is expected to be developed.
Nursing Information system can help healthcare organizations to survive the difficult conditions in healthcare services.
Should benefit patients, communities, and society as a whole
Health Informatics Education

-The use of personalized digital assistants (PDAs) in
hospital and home healthcare settings along with the
standardization and the use of Web-based electronic
patient records are current areas of interest.

-Schools are beginning to realize the importance of health informatics education for clinicians.
-The course contents vary a great deal from school to school, and the instructors are mostly self-taught in these subjects.

-Administrative information systems in the healthcare sector
essentially use the Korean Standard Classification of Diseases
(the Koran version of the International Classification for Disease),
while clinician information systems are beginning to use more
concept-oriented terminology such as SNOMED.

Government Initiatives
Technology Trends

-The rapid growth of in the number of mobile telephone
users and the advances in wireless local area network
technology have led to mobile computing in healthcare.
-The need for telemedicine continues to grow

Health Informatics in Korea has grown considerably in recent years with the professional outreach activities of the:
-Korean Society of Medical Informatics (KOSMI)
-With the help of government, private businesses, academic institutions, and medical and nursing organizations.
History of Nursing Informatics in Korea

-The use of computers in South Korean healthcare began in the late 1970s
-The terms health informatics and NI were first introduced in Korea when the KOSMI was founded in 1987.
-The IMIA conference MEDINFO98, held in Seoul, provided an excellent opportunity for Korean nurses to become acquainted with NI.

Use of Information Technology in Clinical Practice

- 100% of teaching hospitals, 96% of general hospitals,
and 75% of private clinics now have hospital information systems.

- A recent study shows that all of the teaching hospitals and about 40%
of general hospitals on Korea are using order communication systems
and about 95% of teaching hospitals and 20% of general hospitals are
equipped with picture archiving and communication systems PACSs)

- A home healthcare systems for community-based clinical practice
was developed by the Home Healthcare Team at the College of Nursing, Seoul National University.

South Korea comprises of:
8 provinces with 7 metropolitan cities and the total populatioin was about 47 million in 2002.

There are currently 190, 720 licensed midwives and nurses

Standardization Activities

-The Korean government has contributes to the development
of health informatics by providing funding or other incentives and guidelines in telemedicine, emergency medical systems, infectious diseases reporting systems and standardization.

Professional Outreach

-Since 1987, the KOSMI has played a very important role
in promoting and developing health informatics.
-The IMIA has contributed significantly to furthering the
knowledge of South Korean healthcare professionals about
worldwide trends in health informatics.


-The Korean healthcare environment is becoming inhospitable due to:
*high costs
*increasing competitions among healthcare organizations
*decreased funding from the government
*customers with more sophisticated demands
-Health informatics and the usage of information technology have seen rapid progress in South Korea.
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