Frisse M
Bernard Becker Medical Library, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Acad Med. 1999 Dec;74(12):1301-6. doi: 10.1097/00001888-199912000-00010.
A decade ago, a "promised land" was envisioned in which the true potential of medical informatics would be realized. A decade later, it is time to assess academic medicine's progress in its journey into this medical informatics promised land. To that end, the author considers how our academic medical centers have been affected by changes in social, financial, and technical forces originating either "inside" or "outside" these institutions. He describes how the Internet and the World Wide Web have brought about an explosion in the availability of biomedical information, eased communication across the globe, made more information available at a lower cost, and changed the pace of everyday work. Although he argues that academic medical centers have not always kept pace with these changes, information systems are improving as the leaders in academic medicine come to appreciate the value of both information technology and the people who understand it. To reach the "promised land" envisioned a decade ago, academic medical centers must treat medical informatics as a central component of their academic mission.
十年前，人们曾设想一个“应许之地”，在那里医学信息学的真正潜力将得以实现。十年后，是时候评估学术医学在迈向这片医学信息学应许之地的征程中所取得的进展了。为此，作者思考了我们的学术医疗中心是如何受到源自这些机构“内部”或“外部”的社会、财务和技术力量变化的影响。他描述了互联网和万维网如何带来了生物医学信息可得性的爆炸式增长，缓解了全球范围内的通信问题，以更低的成本提供了更多信息，并改变了日常工作的节奏。尽管他认为学术医疗中心并非总能跟上这些变化，但随着学术医学领域的领导者开始认识到信息技术以及理解信息技术的人员的价值，信息系统正在不断改进。为了抵达十年前设想的“应许之地”，学术医疗中心必须将医学信息学视为其学术使命的核心组成部分。
