Zimmermann Find articles by Wolfram H. Received Apr 16; Accepted Sep
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Abstract Pathology informatics has evolved to varying levels around the world. The history of pathology informatics in different countries is a tale with many dimensions. At first glance, it is the familiar story of individuals solving problems that arise in their clinical practice to enhance efficiency, better manage e.
Under the surface, however, lie powerful resource, regulatory, and societal forces that helped shape our discipline into what it is today. In this monograph, for the first time in the history of our discipline, we collectively perform a global review of the field of pathology informatics.
In doing so, we illustrate how general far-reaching trends such as the advent of computers, the Internet and digital imaging have affected pathology informatics in the world at large. Major drivers in the field included the need for pathologists to comply with national standards for health information technology and telepathology applications to meet the scarcity of pathology services and trained people in certain countries.
Following trials by a multitude of investigators, not all of them successful, it is apparent that innovation alone did not assure the success of many informatics tools and solutions. Common, ongoing barriers to the widespread adoption of informatics devices include poor information technology infrastructure in undeveloped areas, the cost of technology, and regulatory issues.
This review offers a deeper understanding of how pathology informatics historically developed and provides insights into what the promising future might hold.
At first glance, it is the familiar story of individuals solving problems that arise in their clinical practice of medicine. Under the surface, however, lie powerful forces — technical, regulatory, societal and beyond — that have all played their part in molding our discipline into what it is today.
In this monograph, we take — perhaps for the first time in the history of our discipline — a truly global perspective of how the field of pathology informatics has evolved.
In doing so, several large-scale trends are immediately obvious. For example, the advent of computers, the Internet and digital cameras were major disruptive events that advanced the practice of pathology in many countries.
The prevalence of different technologies in different regions was related to both tangible factors e. If we are to be wise stewards of our discipline, it is necessary for us to know where we have been, not only so that we may give our pioneers and discoverers their just recognition, but also so that we can learn from the successes and failures of past decades.
The aim of this collective effort was to record the history of pathology informatics around the world. Pathology informaticists with knowledge about the field, representing virtually all of the continents, were asked to share their experience, literature, publications, archived documents and images, as well as their insights.
Their contributions have been collated and divided up in this monograph by continent and presented below in alphabetical order. While an attempt was made by the authors to comprehensively capture all available detail, we acknowledge that there may be voices and events that were missed.Orientator at educational institutions.
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