استخراج معماری فناوری اطلاعات بیمارستان با رویکرد قابلیت پیاده سازی در ایران
محورهای موضوعی : عمومى
حسین بوبرشاد
1
(هیات علمی)
عاطفه السادات حقیقت حسینی
2
(دانشجو)
هادی زارع
3
(-)
کلید واژه: بیمارستان‌های نسل آینده, معماری فناوری اطلاعات, معماری توگف,
چکیده مقاله :
امروزه ارائه خدمات هوشمند و سریع به بیماران و حرکت به سمت بیمارستان‌های نسل آینده، از ضروریات حوزه سلامت است. تهیه معماری اطلاعات برای بیمارستان‌ها مقدمه دستیابی به خدمات هوشمند و به تبع آن ارایه خدمات با سرعت و کیفیت بسیار بالاتر نسبت به سیستم‌های سنتی است. در این مقاله هدف ارایه یک معماری اطلاعات بومی مبتنی بر معیارها و شاخص‌های مهم در بیمارستان‌های ایران بوده است. در این مقاله از معماری فناوری اطلاعات TOGAF استفاده و سپس این معماری متناسب با شرایط بومی ایران برای بیمارستان شریعتی بومی سازی شده است. برای این کار از نظر خبرگان و ابزار پرسشنامه 134 سوالی بهره گرفته شده و بر اساس آزمون‌های مناسب آماری مورد تحلیل قرار گرفته است. در این مقاله معماری فناوری اطلاعات در قالب یک مدل مفهومی دارای چهار ورودی و چهار لایه زیرساختی طراحی شد. نتایج نشان داد از میان 134 جزء معماری فناوری اطلاعات توگف، تعداد 104 جزء، توسط خبرگان برای کاربرد در بیمارستان مورد تایید قرار گرفت. این چارچوب اختصاصی‌سازی شده، معماری فناوری اطلاعات بیمارستان نامیده شد. معماری پیشنهادی که در هشت لایه و یازده جزء ترسیم شد و می‌تواند به عنوان یک معماری مرجع بومی برای اجرای معماری اطلاعات در بیمارستان‌های ایران مورد استفاده قرار گیرد.
Today, providing smart and fast services to patients and moving towards next generation hospitals is one of the necessities of the health field. Preparing information architecture for hospitals is a prelude to obtaining intelligent services and, as a result, providing services with much higher speed and quality than traditional systems. In this article, the aim was to provide a native information architecture based on important criteria and indicators in Iranian hospitals. In this article, TOGAF information technology architecture is used and then this architecture is localized according to the local conditions of Iran for Shariati Hospital. For this purpose, a 134-question questionnaire was used from the experts' point of view and it was analyzed based on appropriate statistical tests. In this article, information technology architecture was designed in the form of a conceptual model with four inputs and four infrastructure layers. The results showed that among the 134 components of TOGF information technology architecture, 104 components were approved by experts for use in the hospital. This customized framework was called Hospital Information Technology Architecture. The proposed architecture was drawn in eight layers and eleven components and can be used as a local reference architecture for the implementation of information architecture in Iranian hospitals.
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13.Rijo, R., Martinho, R., and Ermida, D., “Developing an Enterprise Architecture Proof of Concept in a Portuguese Hospital,” Procedia Comput. Sci., 2015, Vol. 64, pp. 1217–1225.
14.Walsh, M. T., Dublin, B. A., Ishigami, E. M., and Shebaro, I. A., “The architecture of a shared leadership model for health systems strengthening initiatives led by a US-based academic hospital,” Ann. Glob. Health, 2015, Vol. 81, No. 1, p. 186.
15.Haghighathoseini, A., Boubarshad, H., Saghafi, F. “Identifying the best organizational architecture framework for hospitals for implementation in Iran,” Journal of Medical Council of Islamic Republic of Iran, 2016, Vol. 34, No. 1, pp. xx. under publication, [in Persian]
16.Tang A, Han J, Chen P. A comparative analysis of architecture frameworks. InSoftware Engineering Conference, 2004. 11th Asia-Pacific 2004 Nov 30 (pp. 640-647). IEEE.
17.Lim N, Lee TG, Park SG. A comparative analysis of enterprise architecture frameworks based on EA quality attributes. InSoftware Engineering, Artificial Intelligences, Networking and Parallel/Distributed Computing, 2009. SNPD'09. 10th ACIS International Conference on 2009 May 27 (pp. 283-288). IEEE.
18.A. Ishizaka and A. Labib, “Analytic Hierarchy Process and Expert Choice: Benefits and limitations,” Insight, 2009, Vol. 22, No. 4, pp. 201–220.
19.Haren, V., TOGAF Version 9.1, 10th ed. Van Haren Publishing, 2011.
20.Weisman, R., “An Overview of TOGAF® Version 9.1,” 2011.
21.McKean, S.C., Ross, J.J., Dressler, D.D., Brotman, J.J. and Ginsberg, J.S., Principles and Practice of Hospital Medicine, 1 edition.
New York: McGraw-Hill Medical, 2012.
22.U. S. N. and W. Report, Best Hospitals 2015. U.S. News and World Report, 2014.
23.Jonkers H, van Burren R, Arbab F, De Boer F, Bonsangue M, Bosma H, Ter Doest H, Groenewegen L, Scholten JG, Hoppenbrouwers S, Iacob ME. Towards a language for coherent enterprise architecture descriptions. In Enterprise Distributed Object Computing Conference, 2003. Proceedings. Seventh IEEE International 2003 Sep 16 (pp. 28-37). IEEE.
24.R. Harrison, TOGAF® 9 Foundation Study Guide. Van Haren, 2013.
25.Van de Velde, R., Hospital Information Systems - The Next Generation, Softcover reprint of the original 1st ed. 1992 edition. Place of publication not identified: Springer, 2013.
26.Van. de Velde, R. and Degoulet, P., Clinical Information Systems: A Component-Based Approach, 2003 edition. New York: Springer, 2003.
27.Wager, K. A., Lee, F. W., and Glaser, J. P., Health Care Information Systems: A Practical Approach for Health Care Management, 2 edition. Jossey-Bass, 2009.
Minoli, D., Enterprise architecture A to Z: frameworks, business process modeling, SOA, and infrastructure technology. CRC Press, 2008.
2.Spewak, S. H. and Hill, S. C., Enterprise Architecture Planning: Developing a Blueprint for Data, Applications and Technology. Wellesley, MA, USA: QED Information Sciences, Inc., 1993.
3.Inmon, W. H., Zachman, J. A. and Geiger, J. G.; Data Stores, Data Warehousing and the Zachman Framework: Managing Enterprise Knowledge, 1st ed. New York, NY, USA: McGraw-Hill, Inc., 1997.
4.Zachman, J. A., “A framework for information systems architecture,” IBM Syst. J., 1987, Vol. 26, No. 3, pp. 276–292.
5.Sowa and J. F. Zachman, J. A., “Extending and formalizing the framework for information systems architecture,” IBM Syst. J., 1992, Vol. 31, No. 3, pp. 590–616.
6.Ji, W.and Xia, A., “Federal enterprise architecture framework,” Comput. Integr. Manuf. Syst.-BEIJING-, 2007, Vol. 13, No. 1, p. 57.
7.Blevins, T. J., Spencer, J., and Waskiewicz, F., “TOGAF ADM and MDA,” Open Group OMG, 2004.
8.Levis, A. H. and Wagenhals, L. W., “C4ISR architectures: I. Developing a process for C4ISR architecture design,” Syst. Eng., 2000, Vol. 3, No. 4, pp. 225–247.
9.Fradinho, Jorge Miguel dos Santos. Towards high performing hospital enterprise architectures: elevating hospitals to lean enterprise thinking. Diss. Massachusetts Institute of Technology, 2011.
10.Akiyama, M. “Migration of the Japanese healthcare enterprise from a financial to integrated management: strategy and architecture,” Stud. Health Technol. Inform., 2001, No. 1, pp. 715–718.
11.Lu, X.; Duan, H., Li, H., Zhao, C., and An, J., “The architecture of enterprise hospital information system,” in Engineering in Medicine and Biology Society, 2005. IEEE-EMBS 2005. 27th Annual International Conference of the, 2006, pp. 6957–6960.
12.Ahsan, Kamran, Hanifa Shah, and Paul Kingston. "Healthcare Modelling through Enterprise Architecture: A Hospital Case." Information Technology: New Generations (ITNG), 2010 Seventh International Conference on. IEEE, 2010, pp. 460–465.
13.Rijo, R., Martinho, R., and Ermida, D., “Developing an Enterprise Architecture Proof of Concept in a Portuguese Hospital,” Procedia Comput. Sci., 2015, Vol. 64, pp. 1217–1225.
14.Walsh, M. T., Dublin, B. A., Ishigami, E. M., and Shebaro, I. A., “The architecture of a shared leadership model for health systems strengthening initiatives led by a US-based academic hospital,” Ann. Glob. Health, 2015, Vol. 81, No. 1, p. 186.
15.Haghighathoseini, A., Boubarshad, H., Saghafi, F. “Identifying the best organizational architecture framework for hospitals for implementation in Iran,” Journal of Medical Council of Islamic Republic of Iran, 2016, Vol. 34, No. 1, pp. xx. under publication, [in Persian]
16.Tang A, Han J, Chen P. A comparative analysis of architecture frameworks. InSoftware Engineering Conference, 2004. 11th Asia-Pacific 2004 Nov 30 (pp. 640-647). IEEE.
17.Lim N, Lee TG, Park SG. A comparative analysis of enterprise architecture frameworks based on EA quality attributes. InSoftware Engineering, Artificial Intelligences, Networking and Parallel/Distributed Computing, 2009. SNPD'09. 10th ACIS International Conference on 2009 May 27 (pp. 283-288). IEEE.
18.A. Ishizaka and A. Labib, “Analytic Hierarchy Process and Expert Choice: Benefits and limitations,” Insight, 2009, Vol. 22, No. 4, pp. 201–220.
19.Haren, V., TOGAF Version 9.1, 10th ed. Van Haren Publishing, 2011.
20.Weisman, R., “An Overview of TOGAF® Version 9.1,” 2011.
21.McKean, S.C., Ross, J.J., Dressler, D.D., Brotman, J.J. and Ginsberg, J.S., Principles and Practice of Hospital Medicine, 1 edition.
New York: McGraw-Hill Medical, 2012.
22.U. S. N. and W. Report, Best Hospitals 2015. U.S. News and World Report, 2014.
23.Jonkers H, van Burren R, Arbab F, De Boer F, Bonsangue M, Bosma H, Ter Doest H, Groenewegen L, Scholten JG, Hoppenbrouwers S, Iacob ME. Towards a language for coherent enterprise architecture descriptions. In Enterprise Distributed Object Computing Conference, 2003. Proceedings. Seventh IEEE International 2003 Sep 16 (pp. 28-37). IEEE.
24.R. Harrison, TOGAF® 9 Foundation Study Guide. Van Haren, 2013.
25.Van de Velde, R., Hospital Information Systems - The Next Generation, Softcover reprint of the original 1st ed. 1992 edition. Place of publication not identified: Springer, 2013.
26.Van. de Velde, R. and Degoulet, P., Clinical Information Systems: A Component-Based Approach, 2003 edition. New York: Springer, 2003.
27.Wager, K. A., Lee, F. W., and Glaser, J. P., Health Care Information Systems: A Practical Approach for Health Care Management, 2 edition. Jossey-Bass, 2009.