Lide B, Spivack R N
National Institute of Standards and Technology, Gaithersburg, Maryland, USA.
J Am Med Inform Assoc. 2000 Nov-Dec;7(6):559-63. doi: 10.1136/jamia.2000.0070559.
This review examines how a "bottom-up" model of a civilian technology program works by recounting the story of the "genesis" of the Information Infrastructure for Healthcare (IIH) focused program of the Advanced Technology Program. The IIH program began with an exchange of ideas among members of the private and public sectors (through the submission of "white papers" by members of industry, workshops conducted by the ATP, and meetings among persons from both groups) to identify the technologies that are necessary for the development of a national information infrastructure in health care. What the ATP hoped to gain through this process and how the private sector responded are noted. A statistical description of the participants and a discussion of changes in the ATP review and selection process is included.
本综述通过讲述先进技术计划中以医疗保健信息基础设施(IIH)为重点的计划的“起源”故事,审视民用技术计划的“自下而上”模式是如何运作的。IIH计划始于私营和公共部门成员之间的思想交流(通过行业成员提交“白皮书”、ATP举办的研讨会以及两组人员之间的会议),以确定发展国家医疗保健信息基础设施所需的技术。文中指出了ATP希望通过这一过程获得什么以及私营部门的反应。还包括对参与者的统计描述以及对ATP评审和选择过程变化的讨论。