This series is intended for students and practitioners of the health profes sions who are seeking to expand their knowledge of computers in health care. Our editors and authors, experts in their fields, offer their insights into innovations and trends. Each book is practical and easy to use. Since the series began, in 1988, we have seen increasing acceptance of the term "informatics" and of the innovations it brings to health care. Today more than ever we are committed to making this series contribute to the field of healthcare informatics, the discipline "where caring and technology meet. " KATHRYN J. HANNAH MARION J. BALL v Preface Computer technology has transformed health care not only by improving the accuracy and quantity of information available to'clinicians, but also by improving the flow of information among the people who provide, arrange for, and pay for health services. This book is about the new computer networlcs that electronically link people and organizations in the health care field. Its purpose is to explore the impact of new computer networks upon the different organizations in the field, their services to patients, and the way in which organizations collaborate and compete, share information, and guard confidential material. The book explores computer networks primarily from the perspective of public health, discussing the impact that networks have upon communities as well as individuals.
Section I: Core Concepts.- 1 Community-Based Health Care: An Introduction.- 2 CHINs-The Current State.- 3 Enterprise-Wide Clinical Data Integration.- 4 Patient-Computer Dialogue and the Patient’s Right to Decide.- Section II: Linking Organizations.- 5 Information Infrastructure for Health Communities: The Wisconsin Health Information Network.- 6 CHMIS Evolution: The Metamorphosis of a Community Health Information Movement.- 7 CHINs: A Public Health Perspective.- 8 The Target Cities Program: Management Information Systems for Drug Abuse Treatment.- Postscript for Section II.- Section II: Information Networks and the Delivery of Care.- 9 CHESS: The Comprehensive Health Enhancement Support System.- 10 The Alzheimer’s Disease Support Center: Information and Support for Family Caregivers Through Computer-Mediated Communication.- 11 Cancer, Me??: Health Care Advice Goes Online.- 12 Improving Health Through Computer Self-Help Programs: Theory and Practice.- 13 Electronic Communities of Patients: Computer Services Through Telephones.- Section IV: Logistical Issues and Information Networks.- 14 Telemedicine: Building Rural Systems for Today and Tomorrow.- 15 Computer Networks as Environments for Care: Dynamics of the Clinical Encounter.- 16 Privacy, Confidentiality, and CHINs.- 17 Business, Industry, and CHINs.