Noone J, Warren J, Brittain M
Health Informatics Research Group, School of Computer and Information Science, University of South Australia, Australia.
Stud Health Technol Inform. 1998;52 Pt 2:1287-91.
Recent developments in health data networks, the health sector and information systems, have created an overload of information available to the General Practitioner. The implementation of viable Health Data Networks within hospitals and subsequent connection to the GP's desktop PC enables increased access to patient records, decision-support and communication with experts around the world To address the high usage of expensive health services and lengthy waiting lists health services around the world are embracing programs such as Community, Coordinated, Shared and Managed care. This focus on coordination of care and increased emphasis on evidenced-based medicine is greatly enhanced through the advent of viable health data networks. Other resources such as databases, best-practice guidelines, the web, email, telemedicine and a range of commercial programs that provide further services has created an overload of resources available to the GP. Current human-computer interface guidelines are not adequate for prescribing design solutions to deal with the information overload facing GPs. The challenge for the near future is to present the vast array of information sources to the GP in an acceptable and useable information system interface. Part of the solution may revolve around the development of standards for Electronic Health Record systems for GPs, as is being done currently in Australia; but we suspect that less mainstream interface technologies will be required to exploit the wealth of available healthcare information.
健康数据网络、卫生部门和信息系统的最新发展，导致全科医生可获取的信息过载。在医院内部实施可行的健康数据网络，并随后连接到全科医生的台式个人电脑，使得获取患者记录、决策支持以及与世界各地专家沟通变得更加便捷。为了解决昂贵医疗服务的高使用率和漫长的等候名单问题，世界各地的医疗服务机构都在采用诸如社区、协调、共享和管理式医疗等项目。可行的健康数据网络的出现极大地加强了对医疗协调的关注，并进一步强调了循证医学。其他资源，如数据库、最佳实践指南、网络、电子邮件、远程医疗以及一系列提供更多服务的商业项目，也使得全科医生可获取的资源过载。当前的人机界面指南不足以规定设计解决方案来应对全科医生面临的信息过载问题。在不久的将来，挑战在于以可接受且可用的信息系统界面将大量信息源呈现给全科医生。部分解决方案可能围绕为全科医生开发电子健康记录系统标准展开，澳大利亚目前正在这样做；但我们怀疑，需要采用不太主流的界面技术来利用丰富的可用医疗保健信息。
