Ognjanović Ivana, Zoulias Emmanouil, Mantas John
Faculty for Information Systems and Technologies, University of Donja Gorica, 81000 Podgorica, Montenegro.
European Federation for Medical Informatics, CH-1052 Le Mont-sur-Lausanne, Switzerland.
Healthcare (Basel). 2024 Oct 15;12(20):2041. doi: 10.3390/healthcare12202041.
The biomedical and health informatics (BMHI) fields have been advancing rapidly, a trend particularly emphasised during the recent COVID-19 pandemic, introducing innovations in BMHI. Over nearly 50 years since its establishment as a scientific discipline, BMHI has encountered several challenges, such as mishaps, delays, failures, and moments of enthusiastic expectations and notable successes. This paper focuses on reviewing the progress made in the BMHI discipline, evaluating key milestones, and discussing future challenges.
To, Structured, step-by-step qualitative methodology was developed and applied, centred on gathering expert opinions and analysing trends from the literature to provide a comprehensive assessment. Experts and pioneers in the BMHI field were assigned thematic tasks based on the research question, providing critical inputs for the thematic analysis. This led to the identification of five key dimensions used to present the findings in the paper: informatics in biomedicine and healthcare, health data in Informatics, nurses in informatics, education and accreditation in health informatics, and ethical, legal, social, and security issues.
Each dimension is examined through recently emerging innovations, linking them directly to the future of healthcare, like the role of artificial intelligence, innovative digital health tools, the expansion of telemedicine, and the use of mobile health apps and wearable devices. The new approach of BMHI covers newly introduced clinical needs and approaches like patient-centric, remote monitoring, and precision medicine clinical approaches.
These insights offer clear recommendations for improving education and developing experts to advance future innovations. Notably, this narrative review presents a body of knowledge essential for a deep understanding of the BMHI field from a human-centric perspective and, as such, could serve as a reference point for prospective analysis and innovation development.
生物医学与健康信息学（BMHI）领域发展迅速，这一趋势在近期的新冠疫情期间尤为突出，为BMHI带来了创新。自作为一门科学学科确立近50年来，BMHI面临了诸多挑战，如事故、延误、失败以及充满热情的期待和显著成功的时刻。本文着重回顾BMHI学科所取得的进展，评估关键里程碑，并探讨未来挑战。
开发并应用了结构化的逐步定性方法，该方法以收集专家意见和分析文献趋势为核心，以提供全面评估。根据研究问题，为BMHI领域的专家和先驱分配了主题任务，为主题分析提供关键投入。这导致确定了五个关键维度，用于在本文中呈现研究结果：生物医学与医疗保健中的信息学、信息学中的健康数据、信息学中的护士、健康信息学中的教育与认证以及伦理、法律、社会和安全问题。
通过最近出现的创新对每个维度进行了审视，将它们直接与医疗保健的未来联系起来，如人工智能的作用、创新的数字健康工具、远程医疗的扩展以及移动健康应用程序和可穿戴设备的使用。BMHI的新方法涵盖了新出现的临床需求和方法，如以患者为中心、远程监测和精准医学临床方法。
这些见解为改进教育和培养专家以推动未来创新提供了明确建议。值得注意的是，这篇叙述性综述从以人为本的角度呈现了深入理解BMHI领域必不可少的知识体系，因此可作为前瞻性分析和创新发展的参考点。
