Clinical informatics: a workforce priority for 21st century healthcare.

This paper identifies the contribution of health and clinical informatics in the support of healthcare in the 21st century. Although little is known about the health and clinical informatics workforce, there is widespread recognition that the health informatics workforce will require significant expansion to support national eHealth work agendas. Workforce issues including discipline definition and self-identification, formal professionalisation, weaknesses in training and education, multidisciplinarity and interprofessional tensions, career structure, managerial support, and financial allocation play a critical role in facilitating or hindering the development of a workforce that is capable of realising the benefits to be gained from eHealth in general and clinical informatics in particular. As well as the national coordination of higher level policies, local support of training and allocation of sufficient position hours in appropriately defined roles by executive and clinical managers is essential to develop the health and clinical informatics workforce and achieve the anticipated results from evolving eHealth initiatives.

[1]  黄亚明.  MedScape , 2009 .

[2]  Adam Wright,et al.  What Workforce is Needed to Implement the Health Information Technology Agenda? Analysis from the HIMSS Analytics™ Database , 2008, AMIA.

[3]  R M Gardner,et al.  Impact of CPOE on Mortality Rates – Contradictory Findings, Important Messages , 2006, Methods of Information in Medicine.

[4]  Gunther Eysenbach,et al.  Consumer health informatics , 2000, BMJ : British Medical Journal.

[5]  H. Yeatman,et al.  Paving Pathways: shaping the Public Health workforce through tertiary education , 2010, Australia and New Zealand health policy.

[6]  William R. Hersh,et al.  Viewpoint Paper: Who are the Informaticians? What We Know and Should Know , 2006, J. Am. Medical Informatics Assoc..

[7]  Don Stewart,et al.  Executive management and IT innovation in health: identifying the barriers to adoption , 2007, Health Informatics J..

[8]  R. Reeve,et al.  The role of top management in supporting the use of information technology in Australian hospitals. , 1999, Australian health review : a publication of the Australian Hospital Association.

[9]  Brian T. Austin,et al.  Improving chronic illness care: translating evidence into action. , 2001, Health affairs.

[10]  Alexander S. Young,et al.  Information Technology to Support Improved Care For Chronic Illness , 2007, Journal of General Internal Medicine.

[11]  C. E. Tapie Rohm,et al.  Clinical Informatics: A New Paradigm for Advances in Biomedical Informatics , 2007 .

[12]  David F. Lobach,et al.  Clinical Informatics: Supporting the Use of Evidence in Practice and Relevance to Physical Therapy Education , 2004 .

[13]  William R. Hersh,et al.  BMC Medical Informatics and Decision Making , 2009 .

[14]  Sowmya R. Rao,et al.  Use of electronic health records in U.S. hospitals. , 2009, The New England journal of medicine.

[15]  Nadine A Mallock,et al.  Public health job vacancies--who wants what, where? , 2005, Australian health review : a publication of the Australian Hospital Association.

[16]  D. Sackett.  Clinical epidemiology. what, who, and whither. , 2002, Journal of clinical epidemiology.

[17]  J. Epping-Jordan,et al.  Preparing the 21st century global healthcare workforce , 2005, BMJ : British Medical Journal.

[18]  Suzanne Bakken,et al.  Defining interdisciplinary research: conclusions from a critical review of the literature. , 2007, Health services research.