Leonard K, Tan J K, Pink G
Department of Health Administration, Faculty of Medicine, University of Toronto, Ontario.
Top Health Inf Manage. 1998 Aug;19(1):19-30.
A critical step in evolving an integrated delivery system (IDS) is planning, designing, and technologically realizing an efficient, appropriate, and effective infrastructure for developing an integrated network of information systems. The key to meeting this objective philosophically, logically, and physically in the face of rapid advances in computing technology and communication trends is often poorly understood by health providers and managers. The article discusses the concept of a total quality management information system model and illustrates how this sort of thinking can be applied to guide the critical steps that must be undertaken to plan, design, and develop a networked infrastructure of health care information systems that can facilitate information exchange and sharing among multiple health care providers within an IDS.
发展综合医疗服务体系（IDS）的关键一步是规划、设计并从技术上实现一个高效、恰当且有效的基础设施，以构建信息系统的综合网络。面对计算技术的飞速发展和通信趋势，要在理念、逻辑和实际层面实现这一目标的关键，往往未被医疗服务提供者和管理者充分理解。本文讨论了全面质量管理信息系统模型的概念，并举例说明这种思维方式如何应用于指导规划、设计和开发医疗保健信息系统网络基础设施时必须采取的关键步骤，该基础设施能够促进IDS内多个医疗服务提供者之间的信息交换与共享。
