Dorodny V S
Health PRO Worldwide Inc., USA.
Physician Exec. 1998 May-Jun;24(3):32-7.
Adopting and developing the new generation of information systems will be essential to remain competitive in a quality conscious health care environment. These systems enable physicians to document patient encounters and aggregate the information from the population they treat, while capturing detailed data on chronic medical conditions, medications, treatment plans, risk factors, severity of conditions, and health care resource utilization and management. Today, the knowledge-based information systems should offer instant, around-the-clock access for the provider, support simple order entry, facilitate data capture and retrieval, and provide eligibility verification, electronic authentication, prescription writing, security, and reporting that benchmarks outcomes management based upon clinical/financial decisions and treatment plans. It is an integral part of any information system to incorporate and integrate transactional (financial/administrative) information, as well as analytical (clinical/medical) data in a user-friendly, readily accessible, and secure form. This article explores the technical, financial, logistical, and behavioral obstacles on the way to the Promised Land.
采用和开发新一代信息系统对于在注重质量的医疗保健环境中保持竞争力至关重要。这些系统使医生能够记录患者就诊情况，并汇总他们所治疗人群的信息，同时收集有关慢性疾病、药物治疗、治疗计划、风险因素、病情严重程度以及医疗资源利用和管理的详细数据。如今，基于知识的信息系统应为提供者提供即时的全天候访问，支持简单的订单录入，便于数据采集和检索，并提供资格验证、电子认证、处方书写、安全保障以及基于临床/财务决策和治疗计划对结果管理进行基准评估的报告。将交易性（财务/行政）信息以及分析性（临床/医疗）数据以用户友好、易于获取且安全的形式纳入并整合到任何信息系统中，这都是其不可或缺的一部分。本文探讨了通往理想境界途中的技术、财务、后勤和行为障碍。
