为复杂综合医疗服务体系提供服务的临床实验室所面临的信息系统问题。

Information system issues facing clinical laboratories serving complex integrated delivery systems.

作者信息

Henricks W H

出版信息

J Healthc Inf Manag. 2000 Fall;14(3):55-67.

Abstract

Laboratory information systems (LISs) have evolved into complex applications to meet the specialized needs of laboratories. As integrated delivery systems (IDSs) continue to emerge as a dominant model for healthcare delivery, clinical laboratories serving them face two imperatives that affect IS decisions. First, laboratories in IDSs must consolidate to reduce costs and duplication yet deliver service across a region in both inpatient and outpatient settings. Second, laboratories that successfully perform reference laboratory testing will increase revenue, generate referrals, and leverage excess capacity, and may provide a competitive advantage for the IDS. This article examines laboratory information management in complex IDSs, presents options for IS support of consolidating or integrating laboratory operations, and reviews functionality requirements for laboratory outreach activities.

摘要

实验室信息系统（LIS）已发展成为复杂的应用程序，以满足实验室的特殊需求。随着综合交付系统（IDS）不断成为医疗保健交付的主导模式，为其服务的临床实验室面临着影响信息系统决策的两大要务。首先，IDS中的实验室必须进行整合，以降低成本和避免重复工作，同时在住院和门诊环境中为整个地区提供服务。其次，成功开展参考实验室检测的实验室将增加收入、产生转诊并利用过剩产能，还可能为IDS提供竞争优势。本文探讨了复杂IDS中的实验室信息管理，提出了信息系统支持实验室操作整合或集成的选项，并审视了实验室外展活动的功能要求。