Healthcare and Distributed Systems Technology
Francesco FEDELE
Marketing Manager
GESI Srl
Via Rodi, 32 00124 Rome - ITALY Tel. + 39 6 3725278 - 3729675 Fax + 39 6 3252336 eMail: mc0077@mclink.it
Cambridge - UK 3 April 1995
The Hospital Information System
The healthcare organisational structure in all European countries is naturally distributed, being a geographical spread of centres at different levels of complexity: from the general hospitals down to individual GPs. The ultimate objective of such a structure is to build a network of complementary centres (hospitals, laboratories, ambulatories, co-ordination centres, etc.) spread over the territory, to meet effectively the social needs in the area. Despite the fact that each individual centre is autonomous and devoted to the delivery of a particular set of services, they are mutually inter-dependent and interworking to ensure the effectiveness of the activities, in terms of prevention, caring and costs. Furthermore, the on-going modifications in the social context, due to the ageing of the European population, anticipate an increase in such decentralisation approach for the health care services in the coming years. The importance of home-care, ambulatory care and long term nursing care will also increase with respect to the role of the hospitals, which tend to be high-qualified centres, for short specialised treatment. Also the structure of the hospital itself is evolving from a vertical, aggregated organisation, towards the integration of a set of specialised departments, each of them with its own logistic, organisational and administrative requirements.
Central government level
Elementary and aggregated data, structured according to standard criteria
Territorial level
Epidemiological and planning activities Epidemiological centres
coordination centres
Elementary and aggregated data, structured according to standard criteria
Patient caring level
Elder