Pitty D, Reeves P, Rickards A
Royal Brompton Hospital, London.
Stud Health Technol Inform. 1995;16:145-56.
In the new market-oriented UK National Health Service, hospitals succeed or fail on the quality of service they provide to their customers. It is therefore important that institutions like the Royal Brompton Hospital can meet the information and communication needs of General Practitioners and hospitals who use their services so that co-ordination between healthcare professionals involved in the co-operative care of individual patients can be ensured. One method of improving the relationship between healthcare professionals is by the use of consensus-based clinical protocols which define "best practice' co-operative care for a particular condition. The Royal Brompton Hospital has been a clinical partner in the AIM project DILEMMA which has been examining technology and methodologies for applying clinical protocols supported by telematics to general practice and shared care. A detailed requirements analysis has been carried out to look at the problems of shared care in cardiology and this has resulted in a demonstration system being developed to show how protocol-directed shared care and its supporting technology could be implemented to solve real clinical problems. Conclusions have been drawn that concern the use of protocols and information technology generally in routine clinical care.
在以市场为导向的英国国民医疗服务体系中，医院的成败取决于其为客户提供的服务质量。因此，像皇家布朗普顿医院这样的机构能够满足使用其服务的全科医生和医院的信息与沟通需求非常重要，这样才能确保参与个体患者合作护理的医疗专业人员之间的协调。改善医疗专业人员之间关系的一种方法是使用基于共识的临床协议，这些协议定义了针对特定病症的“最佳实践”合作护理。皇家布朗普顿医院一直是AIM项目DILEMMA的临床合作伙伴，该项目一直在研究将由远程信息处理支持的临床协议应用于全科医疗和共享护理的技术与方法。已经进行了详细的需求分析，以研究心脏病学共享护理中的问题，这导致开发了一个示范系统，以展示如何实施协议导向的共享护理及其支持技术来解决实际临床问题。得出了关于在常规临床护理中普遍使用协议和信息技术的结论。
