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CC BY-NC-ND 4.0 · Yearb Med Inform 2023; 32(01): 055-064
DOI: 10.1055/s-0043-1768725
Special Section: Informatics for One Health
Working Group Contributions

Integrated Management Systems (IMS) to Support and Sustain Quality One Health Services: International Lessons from the COVID-19 Pandemic by the IMIA Primary Care Working Group

Jitendra Jonnagaddala   *
1   School of Population Health, UNSW Sydney, Australia
,
Uy Hoang   *
2   Nuffield Department of Primary Care Health Sciences, University of Oxford, UK
,
Knut-Arne Wensaas
3   Norwegian Research Centre (NORCE), Bergen, Norway
,
Karen Tu
4   Department of Family & Community Medicine, University of Toronto, Ontario, Canada
,
Angela Ortigoza
4   Department of Family & Community Medicine, University of Toronto, Ontario, Canada
,
Javier Silva-Valencia
5   Center for Research in Primary Health Care (CINAPS), School of Medicine, Universidad Peruana Cayetano Heredia, Peru
,
María Sofía Cuba-Fuentes
5   Center for Research in Primary Health Care (CINAPS), School of Medicine, Universidad Peruana Cayetano Heredia, Peru
,
Myron Anthony Godinho
1   School of Population Health, UNSW Sydney, Australia
,
Simon de Lusignan   #
2   Nuffield Department of Primary Care Health Sciences, University of Oxford, UK
,
Siaw-Teng Liaw   #
1   School of Population Health, UNSW Sydney, Australia
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Summary

Objectives: One Health considers human, animal and environment health as a continuum. The COVID-19 pandemic started with the leap of a virus from animals to humans. Integrated management systems (IMS) should provide a coherent management framework, to meet reporting requirements and support care delivery. We report IMS deployment during, and retention post the COVID-19 pandemic, and exemplar One Health use cases.

Methods: Six volunteer members of the International Medical Association’s (IMIA) Primary Care Working Group provided data about any IMS and One Health use to support the COVID-19 pandemic initiatives. We explored how IMS were: (1) Integrated with organisational strategy; (2) Utilised standardised processes, and (3) Met reporting requirements, including public health. Selected contributors provided Unified Modelling Language (UML) use case diagram for a One Health exemplar.

Results: There was weak evidence of synergy between IMS and health system strategy to the COVID-19 pandemic. However, there were rapid pragmatic responses to COVID-19, not citing IMS. All health systems implemented IMS to link COVID test results, vaccine uptake and outcomes, particularly mortality and to provide patients access to test results and vaccination certification. Neither proportion of gross domestic product alone, nor vaccine uptake determined outcome. One Health exemplars demonstrated that animal, human and environmental specialists could collaborate.

Conclusions: IMS use improved the pandemic response. However, IMS use was pragmatic rather than utilising an international standard, with some of their benefits lost post-pandemic. Health systems should incorporate IMS that enables One Health approaches as part of their post COVID-19 pandemic preparedness.

Keywords

Primary care - Electronic Health Records - Integrated Advanced Information Management Systems - One Health - Public Health

* Joint first authors


# Joint senior authors




Publication History

Article published online:
06 July 2023

© 2023. IMIA and Thieme. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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