「EBITが死因」：高価なFHIRインターフェースが医療デジタル化を阻む

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Cause of Death EBIT: “Expensive interfaces block healthcare digitalization” | heise online heise+ entdecken Abo Alle Magazine im Browser lesen Anzeige Special: Collaboration im KI-Zeitalter Newsletter heise-Bot Push -Nachrichten ${lead} ${lead} ${content} Anzeige Special: Collaboration im KI-Zeitalter Advertisement Jochen Werner, former Medical Director and CEO of the University Hospital Essen, left the German healthcare system with a memorable statement: “Death by data protection.” He refers to the bitter reality that doctors treat their patients without knowing their data because data protection, often misused as a blanket excuse, prevents access to the obvious. This costs time, money, and, in doubt, lives. Continue after ad Werner is right. But he only describes one half of the problem. What happens when the data is available but withheld from medical staff by artificial barriers? There is a second mechanism that systematically stifles the digitalization of hospitals. It wears no ethical cloak, but a business one. Let's call it Cause of Death: EBIT. Bastian Stockhausen is the managing director of KH-IT Service GmbH. The Power of Interfaces In far too many institutions, progress is no longer decided by the best solution but by the price of an interface – the technical bridge over which two systems exchange their data. Large, monolithic providers drive these prices to levels that have nothing to do with the actual costs of development and operation. The reason is rarely technical, almost always strategic: an expensive interface siphons off profit where no added value is created, and it keeps competitors out. Videos by heise c't 3003 heise & ct Peertube It regularly becomes particularly expensive when a competing product could displace one's own. Suddenly, switching is no longer financially viable. The better product loses not in competition but on an invoice line item. A Practical Example Continue after ad How this looks in practice can be shown by a process that speaks for itself. A large provider was supposed to submit an offer for its patient portal and a FHIR server – the standardized interface through which modern applications access clinical data. However, the hospital opted for a competitor's patient portal and only wanted the FHIR server from the large provider. The result: the large provider demanded more money for the FHIR server alone than it had previously offered for the combination of the FHIR server and its own patient portal. The partial s