Integration by Distribution — A Contradiction or an Evolutionary Methodology to Develop Multi-Functional Health Information Systems?

  • Karl Sauter
Conference paper
Part of the Lecture Notes in Medical Informatics book series (LNMED, volume 25)


The overall objectives of computer-supported information systems (IS) in the health care field are to raise the quality and relevance of information, and to improve the flow of information within and between the respective organizations. Historically the application of electronic data processing (DP) tended first — for technical and economical reasons towards a centralization of the computing resources yielding in centralized IS. During the last years essential progress in information technology, especially with regard to mini/micro-processors and data communications, allowed for a controlled decentralization of system components and functions by creating distributed information systems (DIS). Their global goal is to improve the organization’s effectiveness and efficiency based on a better matching of information processing and organizational structures.


Information System Health Information System Medical Informatics Loose Coupling Medical Information System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. (01).
    Bracchi, G., Lockemann, P.C. (eds.): Information Systems Methodology. Lecture Notes in Computer Science 65 (Springer, Berlin-Heidelberg-New York, 1978).Google Scholar
  2. (02).
    Champine, G.A.: Distributed Computer Systems — Impact on Management, Design and Analysis (North-Holland, Amsterdam, 1980).Google Scholar
  3. (03).
    Collen, M.F. (eds.): Hospital Computer Systems (John Wiley, New York, 1974).Google Scholar
  4. (04).
    Griesser, G.: Das Klinik-Informationssystem des Klinikums der Christian-Albrechts-Universitat zu Kiel (Kiel KIS). (University Press, Kiel, 1975).Google Scholar
  5. (05).
    Peterson, H.E., Isaksson, A.I.: Communication Networks in Health Care (North-Holland, Amsterdam, 1982).Google Scholar
  6. Reichertz, P.L.: The challenge of medical informatics — Delusions or new perspectives? In: O’Moore, R.R., Barber, B., Reichertz, P.L., Roger, F. (eds.): Medical Informatics Europe 82 (Springer, Berlin-Heidelberg-New York, 1982) 909–924.CrossRefGoogle Scholar
  7. (07).
    Sauter, K.: Information Systems Methodology related to Data Protection. In: Griesser, G., Jardel, J.P., Kenny, D., Sauter, K. (eds.): Data Protection in Health Information Systems — Where do we stand? (North-Holland, Amsterdam, 1983) 91–101.Google Scholar
  8. (08).
    Sauter, K.: Databases in Medical Information Systems. In: Lindberg, D.A.B., Kaihara, S. (eds.): MEDINFO 80 (North-Holland, Amsterdam, 1980) 44–452.Google Scholar
  9. (09).
    Sauter, K.: Distributed Health Information Systems. In: van Bemmel, J.H., Ball, M.J., Wigertz, O. (eds.): MEDINFO 83 (North-Holland, Amsterdam, 1983) 1122–1126.Google Scholar
  10. (10).
    Sauter, K., Hedderich, J.: Methodological Aspects of Information Management with Special Regard to Disease Registries and Hospital Care Statistics. In: van Eimeren, Vi., Engelbrecht, R., Flagle, Ch.D. (eds.): Proc. 3. Int. Conf. on System Science in Health Care (Springer, Berlin-Heidelberg, 1984) 743–746.Google Scholar
  11. (11).
    Spector, M., Elgard, M.–C., Gremy, F.: Project Analysis of a Hospital Information Network: Total or Partial Integration of Existing Applications? In: van Bemmel, J., Ball, M.J., Wigertz, O.: MEDINFO 83 (North-Holland, Amsterdam, 1983) 1147–1150.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1985

Authors and Affiliations

  • Karl Sauter
    • 1
  1. 1.Department of Medical Informatics and StatisticsUniversity Hospital KielGermany

Personalised recommendations