Over the past several decades, healthcare and information technology have undergone a period of dramatic change caused by a multitude of pressures and opportunities, many of which continue to persist and evolve today. In the Journal of American Health Information Management Association, Paul Wing and Edward Salsberg (2002), describe several significant factors that have and will continue to dramatically influence healthcare systems and the discipline of health informatics. These trends and factors include:
Ongoing Cost Control Pressure – Cost containment will further current trends toward flatter organizations and substitution of lower-paid workers in both clinical and administrative positions. Driven primarily by concerns about escalating costs, provider organizations will continue to “re-engineer” the work force to deliver services more efficiently.
Growing Use of Data Systems to Monitor Programs and Services – Continued concerns about the quality and outcomes of care will drive the introduction of bigger and faster computers and more sophisticated software to track patients and the care they receive. This is likely to have major impacts on HIM workers in a variety of settings.
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