Adams William G, Fuhlbrigge Anne L, Miller Charles W, Panek Celeste G, Gi Yangsoon, Loane Kathleen C, Madden Nancy E, Plunkett Anne M, Friedman Robert H
Boston University School of Medicine/Boston Medical Center, MA, USA.
AMIA Annu Symp Proc. 2003;2003:1-5.
A great deal of successful work has been done in the area of EMR development, implementation, and evaluation. Less work has been done in the area of automated systems for patients. Efforts to link data at multiple levels - the patient, the case manager, and the clinician have been rudimentary to-date. In this paper we present a model information system that integrates patient health information across multiple domains to support the monitoring and care of children with persistent asthma. The system has been developed for use in a multi-specialty group practice and includes three primary components: 1) a patient-centered telephone-linked communication system; 2) a web-based alert reporting and nurse case-management system; and 3) EMR-based provider communication to support clinical decision making at the point-of-care. The system offers a model for a new level of connectivity for health information that supports customized monitoring, IT-enabled nurse case-managers, and the delivery of longitudinal data to clinicians to support the care of children with persistent asthma. Systems like the one described are well-suited, perhaps essential, technologies for the care of children and adults with chronic conditions such as asthma.
在电子病历（EMR）的开发、实施和评估领域已经取得了大量成功的工作成果。在患者自动化系统方面所做的工作较少。到目前为止，在多个层面（患者、病例管理员和临床医生）链接数据的努力还很初步。在本文中，我们提出了一个模型信息系统，该系统整合了跨多个领域的患者健康信息，以支持对持续性哮喘儿童的监测和护理。该系统已开发用于多专科联合诊所，包括三个主要组件：1）以患者为中心的电话链接通信系统；2）基于网络的警报报告和护士病例管理系统；3）基于电子病历的医疗服务提供者通信，以支持即时医疗点的临床决策。该系统为健康信息的新连接水平提供了一个模型，支持定制化监测、信息技术支持的护士病例管理员以及向临床医生提供纵向数据，以支持对持续性哮喘儿童的护理。像所描述的这样的系统非常适合，甚至可能是护理患有哮喘等慢性病的儿童和成人必不可少的技术。
