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In my opinion, the number of health informatics workforce is rising, but still not enough. I think the real challenges are
– Health informatics is new to the Thai health care sector. Many health care personnel does not fully understand the role and the benefits of informaticians.
– High workload of health care services in Thailand obstructs changes in the system. Implementing new methods using health informatics often need changes and adaptation, which many organization avoids and tends to stick with traditional methods due to a high number of patients and they cannot waste time to adapt to a newer system. -
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Since the beginning of the introduction of electronic medical records, the role of medical informatics has become more and more important in Japan.
However, it seems that the role of informatics is still vague and not widely understood.
Although there is a certification system, it is not a national certification, and there are no prerequisites for taking the examination.
Traditionally, the employment system in medical organisations is based on academic background and traditional medical professions, or generalist clerks.
Therefore, in order for medical informatics to be widely recognised, it is important to develop a standardised nation-wide education and training program. -
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The health informatics workforce in Indonesia is good, seen from the availability of personnel and education for medical informatics, but the problem is in the structure of job arrangements in the health environment for civil servants in the health environment. Functional positions for medical recorders in health facilities are included in the list, but the position of health information system designer at MoH is not yet available. This is one of the reasons why the health information system in Indonesia is not good. EHR is still segmented, and there is no EHR system that is used nationally.
Medical recorders in hospitals and health facilities are also not considered an important division, because EHR and health surveillance, including diseases in Indonesia have not been integrated, so that many applications must be used by health facilities. This causes the medical informatics workload to be overloaded. There should be a medical record division to record EHR and a public health division to record the data needed by public health surveillance of health programs.
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I am agreeing with Fajar’s answers here. I think the most challenging issue for health informatics in Indonesia is data integration and interoperability. There are many data collected for different databases but there is no way to integrate between the data. While there is a rising awareness about the importance of health informatics, the number of health informaticians in each of the health departments is still lacking. So, there is still a gap and different understanding between the stakeholders, healthcare professionals, and IT professionals.
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To my knowledge, only one institution in the Philippines offers the health informatics track. Given this, this limits the number of health informaticians in the country on an annual basis. I haven’t heard distinguished informaticians in our country as well, nor job callings on informaticians.
However, due to the emerging nature of health informatics, I strongly believe that there will be an increase in the interest of taking this track. Informaticians act as the liaison in between IT and healthcare professionals. As the Philippines is beginning to shift to digital/electronic platforms, extensive planning of enterprise architecture must be panned out to be able to build a strong foundation in this transition. Private institutions may have implemented their own versions of EHRs but in the public setting, I believe that there’s much to be improved. There is also a disconnect of healthcare when traversing from public to private care and vice versa. Similar with Fajar and Karina’s experience in Indonesia, integration and interoperability remain the biggest hurdle in the Philippine healthcare setting and as long as informaticians aren’t recognize, this may be a looming problem in the long run.
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In my experience,most of the developing countries are still behind in the implementation of health informatics knowledge and skills among the workforce.In Nepal some of the private hospitals and few government sectors have introduced the health informatics in their Organizations.However, lot of challenges have been seen as most of the workforce needs proper training and don’t like the change management.Data security, confidentiality are also some challenges arsing as there were lack of proper protocols to monitor these problems.
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In my opinion, health informatics workforce in Thailand still be in the developing process. Values of health informatics do not fully emphasize. There is lacking of health informatics professional to balance the workload between IT personnel and healthcare personnel. Moreover, the roles and responsibilities of health informatician may be unclear. The challenges including how to apply the multidisciplinary knowledge and personnel to solve the health informatics issue and also how to allocate the necessary resources such as manpower, money, equipment, etc. to use in the healthcare setting.
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I agree with Auswin and Ashara that Health informatics is still new in Thailand; therefore, several organizations didn’t understand the roles and responsibilities of health informatics workforce clearly. Although the accessibility of health IT systems is a gap and it is not fully adopted in some hospitals/areas, the shortage of health informatics workforce is still presented compared with the workload and emerging of health informatics systems, in my opinion.
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Similar to other Thai students opinion, I think that Thailand lacks of health informatics workforce.
These should be some challenges.– There is always a gap between healthcare professionals and IT professionals. Although there are a lot of people talented in both field, to communicate between them is quite difficult to clearly understand. We need people who have knowledge in both field to fill the gap.
– Health informatics is very new in Thailand. Technical knowledge, such as health data standard, health information exchange, and reference information model, is not well-known yet in Thailand. This could be a big challenge to have more professionals who expertise in the knowledge.
– Other than people who expertise in health informatics, every healthcare people should has some basic knowledge about health informatics to raise awareness about importance of health informatics. -
In my point of view, the informatician in Thailand is still lacking as everyone said. The challenge regarding this issue might be. The recognition from the organization, most health care organizations did not recognize the importance of informaticians as it should be, because organizations had both healthcare professionals and IT professionals and they assumed that this should be enough for developing the system, but it isn’t, the informatician is the key to communicating between these two professionals. Another issue is the implementation of the electronic system instead of the previous system is very challenging and really needs high effort. Many organizations do not adopt the new system, so the development of the health informatics workforce is lacking.
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I think everyone agrees that people play important part of improving health system. And people I mean both top to down level, we need good workforce that have good knowledge, attitude toward changes and training. We also need policy decision makers and governors that see the importance of this and are willing to go through the changing process. Good communication between different groups is also essential.
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For me, I really agree with all classmates’s opinions. Even though institutes develop the health informaticians. Thailand’s situation in health informatics workforce are still lacking. Theses may be a result from increasing of demand on health informatics in health care organization as well as health information’s focus of the organization executives. However, Thailand government is not fully support health informatics workforce on career progression of their works, resulting in migrating of health informaticians into other related public health position. These phenomenon may demonstrated relatively decline of health informatics workforce in Thailand.
Taksin U.
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