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MANAJEMEN SISTEM

INFORMASI UNTUK

PENAPISAN TEKNOLOGI

Bambang Udji Djoko Rianto

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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 terhadapsistem informasi untuk kajian teknologi

kesehatan

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Pendahuluan

Kedokteran/kesehatan

Judgement

Action

Sistem informasi

Complete & relevantdata

Akses ke update informasivia berbagai databases

Memfasilitasi management

medical record

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Mengapa diperlukan

Akselerasi perkembangan informasi

Temuan-2 baru di bidang kedokteran

preventive diagnostics therapeutics

New direction for health careCEA

CBA

CUA

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New direction for health care

Capping of health-care expenditures

monitoring of resource utilization

productivity improvements measuring outcomes

identifying clinical efficacy

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KRITERIA FAIRHEALTH

INFORMATION

Openness

Limitation of collections

Limitation of disclosure

Limitation of use

Security

Access

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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

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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

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Integrated clinical system & information

Clinical system

Clinicalinformation

Topic selection

Source selectionQuery construction

Query construction

Medline Online Textbook Expert system

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Bagaimana sistem informasi berfungsi

IAIMS (Integrated Advanced Information

Management System)

NLM (National Library of Medicines

UMLS (Unified Medical Language System)

MeSH (Medical Subject Headings)

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Pemanfaatan sistem informasi

Clinical decision making

Medical/health policy

Clinical application

Cross check

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Fungsi audit

Patient care management

Preventive care managementDoctor education

Pemanfaatan sistem informasi

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Informasi untuk menilai teknologi

Standard Operating Procedure

Clinical Decision Making

Process Utilization:

drugs

devices

procedure

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Data set

Utilisasi

Occupancy

Morbidity Efficacy

Effectiveness

Mortality Disability

Adverse effect

Discomfort

Complication Economic

parameters

Socialparameters

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Contoh

Hemodialisis

Utilisasi Mortality

Disability

Economic impact Social impact

Life years saved

Akurasi diagnostik Prosedur awal

Severity

Previous treatment Present status

Provider

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Sectio caesarea

Data apa yang diperlukan untuk

menilai teknologi SC?

Apa sumber-sumber informasi yangada?

Faktor-faktor apa yang berpengaruh

terhadap validitas data?

Bagaimana pemanfaatan data tersebut

untuk pengambilan kebijakan