Professor of General Medicine / Medical Informatics and Dean of Medical Education at Karolinska Institutet.
Visiting professor at the Department of Computer and Systems Sciences at Stockholm University and the Royal Institute of Technology.
My general approach to research in PHC in relation to health informatics research are:
- Our health care system is in desperate need of increasing its use of health information technology.
- From gathering and organising data for public health responsiveness to genomic research applied to clinical medicine and health care – IT will change the face of the health care system.
- The desired outcomes should be: improved public health, better care as perceived by consumers, and affordable costs.
The future research should therefore revolve around the following issues:
- A patient-centred longitudinal health care database is implicit in every vision expressed in health informatics.
- Hence focus on clinical classification and terminologies is essential.
- Electronic patient record (EPR) systems in clinical practice and solutions for decision support systems (CDSS) and interoperability with knowledge systems, and reuse of data to support evidence-based clinical practise.
- Health information technology to support management and education in health care, with focus on issues related to better care as perceived by consumers, improved undergraduate education, and affordable costs.
- Personal health records (PHR), i.e. ‘one patient – one record’, with focus on the role of the PHR.
- Translational bioinformatics, which will focus on the translational issues in genomics and bioinformatics.
- Evaluation, with focus on methodologies and results of scientific evaluations of EPR, PHR, CDSS and bioinformatics applications.
My clinical research in primary health care, and reuse of clinical data to support research and evidence based medicine have been performed or is ongoing in the following areas: atrial fibrillation and Warfarin treatment, quality in drug prescribing, depression, stroke, cultural competence in child health care.
My medical informatics research cover the following areas exampolified with some specified project.
Clinical classification and terminologies:
- International Classification of Functioning – ICF
- Systematized Nomenclature of Medicine Clinical Terms – SNOMED CT
- Adjusted Clinical Groups case-mix system – ACG
Health care databases:
- Health care database in Stockholm
- Health care database in Skövde
- Knowledge Extracting Agent – EPRs from Karolinska Hospital
EPR systems – implementing decision support and knowledge systems:
- Education about management of patients with leg ulcers
- Computerised decision support systems (CDSS) in screening and for chronic heart failure
- Clinical guidelines and knowledge bases in general and in computers
- Implementing DXplain in undergraduate education
- Health information technology in management and education
Translational bioinformatics:
- Translational issues in genomics and bioinformatics that aims to improved clinical care
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One can approach the need for theories or more generally principles within IS subject field, from the need for informing, guiding and educating (upcoming) practitioners. There seems to be plentiful of theories that concerns IS-from-within, but when…
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