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1、醫(yī)院信息化建設(shè)的思考MajorBiologicalAdvancesNewapproachesenabledbyadvancedtechnologiesandbetterunderstanding決定未來醫(yī)院形式的三大驅(qū)動力.ImprovedDiagnosticsNewtechnologiesenabledetectionofdiseaseatearlierstage,increasingnumberofpatientrequiringtreatmentPopulationGrowthIncreaseinpopulationacrossdecadeexpandsmarketforhe
2、althcareservicesTechnologyPervasiveincreaseininternetandtechnologyuseCrowdedPCPPanelsLargepanelslimittimelyaccesstophysicians,hinderingpreventioneffortsandencouragingEDuseforprimarycareservicesLessRestrictiveProductsRelaxationofreferralauthorization,prevalenceofPPOproductswithlowco-paysfacilit
3、ateaccesstoprovidersandservicesGrayingPopulationAgingofpopulace,particularlybabyboomers,increasespopulationsegmentmostlikelytoutilizehealthcareservicesHeightenedConsumerExpectations“Educated”consumersmorelikelytodemandfullrangeofdiagnosticandtherapeutictechnologiesLessInvasiveTherapiesAdvances
4、inproceduraltechniquesminimizeriskandrecoverytime,expandingthepotentialpatientbase人群結(jié)構(gòu)新技術(shù)不斷提高的就醫(yī)體驗Page2醫(yī)院未來發(fā)展，對集成、分析、和管理有很高的要求.AccesstoDiverseHeterogeneousDistributedDataExpressionArraysPersonalgenomics,SNPsCAT,MRI,X-Rays,etc.ClinicalRecordAnalysis,labnotesHospitaltransactionevents1.LivingWill
5、2.Resume3.Qualifications…“Whendidmypatientfirstvisitaclinicianandhaveradiologicalscansandlaboratorytestsperformedtodiagnosehercondition?Whatweretheresultsofthetreatmentsshereceived?Whatfutureactionissuggestedtoimproveherconditiongivenherallergies,currentresearchfindings,herfamily’smedicalhisto
6、ry,hertreatmentregimen,andherinsurancecoverage?”EKG,EEG,etc.Page3一個醫(yī)院中會包括6到10個獨立的系統(tǒng)實驗室結(jié)果（實時傳輸、返回臨床、要達到治療的濃度）腎功能報警血小板計數(shù)報警血藥濃度報警護理系統(tǒng)病人主述監(jiān)護報警藥物反應(yīng)報警住院人數(shù)提示藥房系統(tǒng)藥物之間的相互反應(yīng)（配伍禁忌）治療的替代ADE劑量范圍的提示臨床數(shù)據(jù)存儲CPOE工作站藥物之間的相互反應(yīng)劑量范圍的提示飲食系統(tǒng)（營養(yǎng)科）藥物-食物相互反應(yīng)IV到PO的報警提示應(yīng)用間互通新增系統(tǒng)或功能不同科室對系統(tǒng)的要求不同，單一系統(tǒng)無法滿足整體要求（護理站系統(tǒng)、醫(yī)生工作站系統(tǒng)）：
7、孤島的產(chǎn)生有其必然性發(fā)展階段性ICU：重癥監(jiān)控病房醫(yī)保系統(tǒng)接入未來的醫(yī)院將會更集成化，有效的集成平臺變得日益重要.Page4集成化是醫(yī)療衛(wèi)生信息化建設(shè)成功的關(guān)鍵一環(huán).AnIntegratedInformationEnvironment…supportedbyanondemandinfrastructure…andimprovementsinprocessefficiencyandeffectiveness…leadto…QualityCost1423Page5國內(nèi)醫(yī)院
