Haux Reinhold, Ammenwerth Elske, Herzog Werner, Knaup Petra
Institute for Health Information Systems, University for Health Informatics and Technology Tyrol, Innrain 98, A-6020, Innsbruck, Austria.
Int J Med Inform. 2002 Nov 20;66(1-3):3-21. doi: 10.1016/s1386-5056(02)00030-8.
Our society is increasingly influenced by modern information and communication technology (ICT). Health care has profited greatly by this development. How could health care provision look in the near future, in 10 years, or more precisely, in the year 2013? What measures must be undertaken by political and self-governing health institutions, and by medical informatics research, to ensure an efficient, medically advanced and yet affordable future health care system? Three factors will greatly influence the further development of information processing in health care within the near future: the development of the population, medical advances, and advances in informatics. These factors have motivated us to set up 30 theses for health care provision in the year 2013. The theses cover areas of health care, such as its people, its information systems, and its ICT tools. Three major goals requiring achievement have been identified: patient-centered recording and use of medical data for cooperative care, process-integrated decision support through current medical knowledge, comprehensive use of patient data for research and health care reporting. In consequence, political institutions should provide a framework for networked, patient-centered health care. They are called on to regulate the storage and exchange of health care data and of appropriate information system architectures. Finally, the health care institutions themselves must emphasize professional information management more strongly. Relevant research topics in medical informatics are: comprehensive electronic patient records, modern health information system architectures, architectures for medical knowledge centers, specific data processing methods ('medical data mining'), and multi-functional, mobile ICT tools.
我们的社会越来越受到现代信息通信技术（ICT）的影响。医疗保健行业已从这一发展中受益匪浅。那么，在不久的将来，也就是10年后，更确切地说是2013年，医疗保健服务会是什么样子呢？政治和自治卫生机构以及医学信息学研究必须采取哪些措施，以确保未来的医疗保健系统高效、医学先进且价格合理呢？在不久的将来，有三个因素将极大地影响医疗保健领域信息处理的进一步发展：人口发展、医学进步和信息学进步。这些因素促使我们提出了2013年医疗保健服务的30条论点。这些论点涵盖了医疗保健的各个领域，比如其人员、信息系统及其ICT工具。已确定了三个需要实现的主要目标：以患者为中心记录和使用医疗数据以进行协作护理、通过当前医学知识进行流程整合的决策支持、全面利用患者数据进行研究和医疗保健报告。因此，政治机构应为网络化、以患者为中心的医疗保健提供框架。它们被要求规范医疗保健数据和适当信息系统架构的存储与交换。最后，医疗保健机构自身必须更加强调专业信息管理。医学信息学的相关研究主题包括：全面的电子病历、现代健康信息系统架构、医学知识中心架构、特定数据处理方法（“医学数据挖掘”）以及多功能移动ICT工具。
