Kaplan J G
Blue Cross/Blue Shield of Western New York, Buffalo.
Physician Exec. 1994 Oct;20(10):11-4.
The only logical way to avoid unnecessary future costs and improve quality is to analyze the past, providing input for the present. The informational management strategies are ready. There is continuous quality improvement, profiling with case-mix adjustment, and other techniques that will help us manage care and caring. But these strategies all rely on the customer being empowered to make truly informed decisions (the ethical principle of autonomy) and for us to advocate for patients (beneficence). Translating relevant data into information is the concentration of medical informatics. Virtually everyone in medical management can attest to the fact that, competitive forces notwithstanding, it is time for us to recognize not only that we are in the information business, but also that this information belongs to a larger community. Clearly, it is time to collaborate!
避免未来不必要成本并提高质量的唯一合理方法是分析过去，为当下提供依据。信息管理策略已准备就绪。有持续质量改进、病例组合调整分析及其他有助于我们管理医疗服务与关怀的技术。但这些策略都依赖于患者能够做出真正明智的决策（自主这一伦理原则）以及我们为患者代言（行善原则）。将相关数据转化为信息是医学信息学的核心。几乎每个医疗管理领域的人都能证明，尽管存在竞争压力，但现在我们不仅要认识到自己从事的是信息业务，而且这些信息属于一个更大的群体。显然，是时候开展合作了！
