Berg Marc
Institute of Health Policy and Management, Erasmus University Medical Center, PO Box 1738, DR 3000, Rotterdam, The Netherlands.
Int J Med Inform. 2002 Nov 20;66(1-3):31-7. doi: 10.1016/s1386-5056(02)00033-3.
This commentary of Haux' prognosis of the state of affairs in health care and information technology in the year 2013 argues the importance of standing up against the many high-tech, utopian dreams that are often associated with ICT in health care. Discussing many of the themes that Haux brings up, three issues are particularly focused upon: the importance of 'patient-centered' care, the changing position of the professional in current health care, and the nature of health care information. In all these issues, cliches threaten to hide several real and possibly painful issues, which, if unaddressed, will hamper any real progress. In all these issues, moreover, medical informatics plays an important role, and is a core actor in the future shaping of our health care systems. This responsibility should not be taken lightly.
豪克斯对2013年医疗保健和信息技术状况的这一评论认为,抵制许多常与医疗保健领域信息通信技术相关联的高科技乌托邦式梦想至关重要。在讨论豪克斯提出的诸多主题时,特别关注了三个问题:“以患者为中心”的护理的重要性、专业人员在当前医疗保健中不断变化的地位以及医疗保健信息的性质。在所有这些问题中,陈词滥调可能掩盖一些真实且可能棘手的问题,若不加以解决,将阻碍任何实质性进展。此外,在所有这些问题中,医学信息学都发挥着重要作用,并且是未来塑造我们医疗保健系统的核心力量。这项责任不可轻忽。