Rigby Michael
Centre for Health Planning and Management, Keele University, Darwin Building, Keele, Staffordshire ST5 5BG, UK.
Int J Med Inform. 2004 Mar 18;73(2):151-6. doi: 10.1016/j.ijmedinf.2003.11.016.
The effectiveness and quality of health informatics systems' support to healthcare delivery are largely determined by two factors-the suitability of the system installed, and the competence of the users. However, the profile of users of large-scale clinical health systems is significantly different from the profile of end-users in other enterprises such as the finance sector, insurance, travel or retail sales. Work with a mental health provider in Ireland, who was introducing a customized electronic patient record (EPR) system, identified the strong legal and ethical importance of adequately skills for the health professionals and others, who would be the system users. The experience identified the need for a clear and comprehensive generic user qualification at a basic but robust level. The European computer driving license (ECDL) has gained wide recognition as a basic generic qualification for users of computer systems. However, health systems and data have a series of characteristics that differentiate them from other data systems. The logical conclusion was the recognition of a need for an additional domain-specific qualification-an "ECDL Health Supplement". Development of this is now being progressed.
健康信息系统对医疗服务提供的支持效果和质量在很大程度上取决于两个因素——所安装系统的适用性以及用户的能力。然而，大规模临床健康系统的用户特征与金融、保险、旅游或零售等其他企业的终端用户特征存在显著差异。与爱尔兰一家引入定制电子病历（EPR）系统的心理健康服务提供商合作，发现具备足够技能对卫生专业人员及其他系统用户具有很强的法律和伦理重要性。该经验表明需要一个清晰、全面且基础但可靠的通用用户资质。欧洲计算机驾驶执照（ECDL）已作为计算机系统用户的基本通用资质获得广泛认可。然而，健康系统和数据具有一系列使其有别于其他数据系统的特征。合乎逻辑的结论是认识到需要一个额外的特定领域资质——“ECDL健康补充证书”。目前正在推进其开发工作。
