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Information Systems and Healthcare XX: Toward Seamless Healthcare with Software Agents

机译：信息系统和医疗保健XX：通过软件代理实现无缝医疗保健

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摘要

Healthcare processes are frequently fragmented and often badly supported with IT. Inter- and intra-organizational communication and media frictions complicate the continuous provision of information according to the principle of information logistics. Based on extensive literature review, we present the vision of seamless healthcare with horizontally and vertically integrated healthcare processes enabled by seamless IT support. Its implementation requires the establishment of a communication infrastructure and the deployment of adequate standards in healthcare. There are already comprehensive approaches for dealing with integrating heterogeneous information systems. However, they lack a common communication infrastructure and do not support proactivity and flexibility which are dominant characteristics in healthcare. We propose a software agent-based approach for realizing the vision of seamless healthcare. We present a corresponding implementation for integrating heterogeneous information systems in the context of the German Health Telematics Infrastructure. Based on the concept and the implementation, we show that the modular approach is capable of supporting a wide range of different applications. We furthermore outline which facets of an agent-based solution could be implemented in an operative real-world environment. In closing we derive implications for IT decision makers in healthcare and show directions for future approaches for reducing information logistics related deficits in healthcare.
机译：医疗保健流程经常是零散的，而且IT常常无法很好地支持它。组织间和组织内的沟通以及媒体的摩擦使根据信息物流的原则不断提供信息变得复杂。基于广泛的文献综述，我们提出了无缝医疗的愿景，其中包括通过无缝IT支持而实现的水平和垂直整合的医疗流程。其实施需要建立通信基础设施并在医疗保健中部署适当的标准。已经有用于集成异构信息系统的综合方法。但是，它们缺乏通用的通信基础结构，并且不支持主动性和灵活性，而主动性和灵活性是医疗保健的主要特征。我们提出了一种基于软件代理的方法，以实现无缝医疗保健的愿景。我们提出了在德国卫生远程信息处理基础架构中集成异构信息系统的相应实现。基于概念和实现，我们表明模块化方法能够支持各种不同的应用程序。我们进一步概述了可以在实际的操作环境中实现基于代理的解决方案的哪些方面。最后，我们得出了对医疗保健IT决策者的影响，并为减少医疗保健中与信息物流相关的缺陷的未来方法指明了方向。

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