Journal of Medical Systems

, 37:9931 | Cite as

An Architecture Model for Multiple Disease Management Information Systems

  • Lichin Chen
  • Hui-Chu Yu
  • Hao-Chun Li
  • Yi-Van Wang
  • Huang-Jen Chen
  • I-Ching Wang
  • Chiou-Shiang Wang
  • Hui-Yu Peng
  • Yu-Ling Hsu
  • Chi-Huang Chen
  • Lee-Ming Chuang
  • Hung-Chang Lee
  • Yufang Chung
  • Feipei Lai
Original Paper


Disease management is a program which attempts to overcome the fragmentation of healthcare system and improve the quality of care. Many studies have proven the effectiveness of disease management. However, the case managers were spending the majority of time in documentation, coordinating the members of the care team. They need a tool to support them with daily practice and optimizing the inefficient workflow. Several discussions have indicated that information technology plays an important role in the era of disease management. Whereas applications have been developed, it is inefficient to develop information system for each disease management program individually. The aim of this research is to support the work of disease management, reform the inefficient workflow, and propose an architecture model that enhance on the reusability and time saving of information system development. The proposed architecture model had been successfully implemented into two disease management information system, and the result was evaluated through reusability analysis, time consumed analysis, pre- and post-implement workflow analysis, and user questionnaire survey. The reusability of the proposed model was high, less than half of the time was consumed, and the workflow had been improved. The overall user aspect is positive. The supportiveness during daily workflow is high. The system empowers the case managers with better information and leads to better decision making.


Disease management Case manager Workflow Information system System architecture 



The project was sponsored by the National Science Council (NSC 99-2219-E-002-023), and cooperated with the Information Systems Office, National Taiwan University Hospital. The initial concept of this paper has been accepted and published as “Workflow-Structured Modelling for HIV Disease Control and Management Information System” in 2nd Annual AMA-IEEE Medical Technology Conference, 2011.

Conflict of interest

No competing financial interests exist.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Lichin Chen
    • 1
  • Hui-Chu Yu
    • 2
  • Hao-Chun Li
    • 3
  • Yi-Van Wang
    • 1
  • Huang-Jen Chen
    • 3
  • I-Ching Wang
    • 2
  • Chiou-Shiang Wang
    • 2
  • Hui-Yu Peng
    • 4
  • Yu-Ling Hsu
    • 2
  • Chi-Huang Chen
    • 5
  • Lee-Ming Chuang
    • 6
  • Hung-Chang Lee
    • 7
  • Yufang Chung
    • 8
  • Feipei Lai
    • 1
    • 3
    • 9
  1. 1.Graduate Institute of Biomedical Electronics and BioinformaticsNational Taiwan UniversityTaipeiTaiwan
  2. 2.Department of Nursing, National Taiwan University HospitalNational Taiwan UniversityTaipeiTaiwan
  3. 3.Department of Computer Science and Information EngineeringNational Taiwan UniversityTaipeiTaiwan
  4. 4.Department of Dietetics, National Taiwan University HospitalNational Taiwan UniversityTaipeiTaiwan
  5. 5.Computer and Information Networking CenterNational Taiwan UniversityTaipeiTaiwan
  6. 6.Department of Internal Medicine, National Taiwan University HospitalNational Taiwan UniversityTaipeiTaiwan
  7. 7.Department of Information ManagementTamkang UniversityTapeiTaiwan
  8. 8.Department of Electrical EngineeringTunghai UniversityTaichungTaiwan
  9. 9.Department of Electrical EngineeringNational Taiwan UniversityTaipeiTaiwan

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