Evaluation of the computer-based dispatching system for emergency medical dispatch.

The work makes an evaluation of the benefits brought by the system to the Ambulance Service of the City of Bucharest (ASCB) as well as to those who are using it, and of the conditions that permitted the bringing into operation of the system and made possible work with this system 7 days per week, 24 hours out of 24 for over 4 years. Also, the problems are presented that appeared with this system during exploitation--hardware, software, in the work with people.

Emergency Health Care Information System for Bucharest-Romania.

The Emergency Health Care Information System (EHCIS) in Bucharest provides information about the whole activity of Dispatch Emergency Ambulance Service and Emergency Receiving Room of the 7 Hospitals, providing emergency health care in Bucharest over a MAN (Metropolitan Area Network). In each of these places a local network is located, containing a database server ORACLE. The link among LANs is made via switched lines. The Hospitals collect information only about emergency cases. The microstation represents station for emergency teams of Emergency Ambulance Service of Bucharest (EASB), distributed in all 6 districts of Bucharest. The system is structured accordingly with the working-groups existing in Dispatch, microstations and hospitals: registration operators (phone-operators) for administer the emergency requests/calls; a location for the medical coordinator which must to choose, in few seconds, the emergency team, accordingly with the case emergency degree; radio-operators which communicate with the teams in the field; a location for the manager of Dispatch, in order to provide a full-set of real-time medical and resources information; a registration operator at each microstation; a registration operator at each hospital. The data are registered in the ORACLE database on the central server. The client/server architecture assures the real time communication among all these locations. The system works 7 days/week, 24 hours/day.

A new approach for assessment of IT programs in health care.

The efficiency of health care programs, on the level of a community, results not only from reducing hospitalization or drugs costs but also from the number of days of health and life gained. This gain can be estimated in monetary terms if we accept that, at least partially, the Gross Domestic Product results from the human activity. In the Center for Health Information and Statistics, Ministry of Health Bucharest. Romania, a methodology based on these premises was developed and non-officially used in assessment of several health programs. In this paper, the core of this methodology, as well as some applications are shown.