[Show abstract][Hide abstract] ABSTRACT: This paper presents an overview of the healthcare systems in Southeast Asia, with a focus on the healthcare informatics development and deployment in seven countries, namely, Singapore, Cambodia, Malaysia, Thailand, Laos, the Philippines and Vietnam. Brief geographic and demographic information is provided for each country, followed by a historical review of the national strategies for healthcare informatics development. An analysis of the state-of-the-art healthcare infrastructure is also given, along with a critical appraisal of national healthcare provisions.
International Journal of Electronic Healthcare 02/2008; 4(2):184-207. DOI:10.1504/IJEH.2008.019792
[Show abstract][Hide abstract] ABSTRACT: An integrated Lifetime Health Record (LHR) is fundamental for achieving seamless and continuous access to patient medical information and for the continuum of care. However, the aim has not yet been fully realised. The efforts are actively progressing around the globe. Every stage of the development of the LHR initiatives had presented peculiar challenges. The best lessons in life are those of someone else's experiences. This paper presents an overview of the development approaches undertaken by four East Asian countries in implementing a national Electronic Health Record (EHR) in the public health system. The major challenges elicited from the review including integration efforts, process reengineering, funding, people, and law and regulation will be presented, compared, discussed and used as lessons learned for the further development of the Malaysian integrated LHR.
International Journal of Electronic Healthcare 02/2008; 4(1):78-104. DOI:10.1504/IJEH.2008.018922
[Show abstract][Hide abstract] ABSTRACT: Seamless access to a patientpsilas lifetime health records is crucial for helping doctors in making decision for providing accurate treatment and continuous care. It is equally crucial in the situation where patients freely visit any healthcare facility for the same medical problem, and can be referred to the appropriate hospital anywhere in the country. Without seamless and continuous capability, the patient health records cannot be accessed timely, accurately and completely. Patients may have to perform repetitive tests and exams even though they may have historically suffered from the same disease. This paper proposes flexible front-end framework to upkeep a patientpsilas health records continuously and seamlessly using portable devices such as laptops and mobile phones and the Global System for Mobile and Short Message Service.
[Show abstract][Hide abstract] ABSTRACT: The lifetime health record, which correlates each episode of care of an individual into a continuous health record, is the central key delivery of the Malaysian integrated telehealth application. A lifetime health record for an individual is the integration on his/her life timeline of all his/her electronic health records from healthcare centres he/she has been to since birth. The electronic medical records to be collected that form the lifetime health record, can be gathered from various spectrums of health information systems and healthcare levels, implying the necessity to handle diverse communications and information technology infrastructures. Most important consideration, however, is that the lifetime health record should contain not only longitudinal health summary information, but also the possibility of on-line retrieval of all patient health history whenever required, even during computer system downtime and unavailability of landline telecommunication network. It is only with such comprehensiveness of health records that the risk of inappropriate delivery of care may be reduced, and most of all the true continuum of care may be achieved. This paper proposes the first draft of a flexible framework for an integrated and distributed telemedicine system in Malaysia, intended to cope with these requirements. Brief overview on the high-level framework is provided, followed by a concise description of the three major components of the framework.
Learning from the past & charting the future of the discipline. 14th Americas Conference on Information Systems, AMCIS 2008, Toronto, Ontario, Canada, August 14-17, 2008; 01/2008