Health information system for community-based multiple screening in Keelung, Taiwan (Keelung Community-based Integrated Screening No. 3)

Yueh Hsia Chiu, Li Sheng Chen, Chang Chuan Chan, Der Ming Liou, Shiao Chi Wu, Hsu Sung Kuo, Hong Jen Chang, Tony Hsiu Hsi Chen

Research output: Contribution to journalArticlepeer-review

37 Citations (Scopus)


Background: Community-based multiple screening for common cancers and chronic diseases has increasingly gained attention. However, as infrastructure and evaluation system are more diversified and complicated compared with single screening, the development of a novel health information system is paramount. Methods: The main goal of our health information system was to support the multiple screening program not only from technical aspect but also from a broad range of perspectives including quality assurance system, organized features appertaining to screening, economic evaluation (cost-effectiveness or cost-utility analysis), epidemiological applications, behavior risk factor surveillance system, and social impact due to the introduction of the Keelung Community-Based Integrated Screening (KCIS) program. Results: Health information system was designed and programmed on the basis of the demand derived from KCIS within which five cancers and three chronic diseases were included. In addition to the detailed description of infrastructure and process, design, relevant database and security involved in health information system, an innovative and extensive evaluation system in accordance with the main goals was included in our health information system. Conclusion:: Our information system proposed several aspects regarding organized screening system that has never been addressed in computerized system supporting for single screening. These included quality assurance system, organization features, co-morbidity profiles, epidemiological applications and social and economic considerations.

Original languageEnglish
Pages (from-to)369-383
Number of pages15
JournalInternational Journal of Medical Informatics
Issue number5
Publication statusPublished - May 2006
Externally publishedYes


  • Community health service
  • Community-based integrated screening
  • Health information system
  • Multiple disease screening

ASJC Scopus subject areas

  • Health Informatics


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