Varga Sinisa, Stevanovic Ranko, Mauher Mladen
Dubrava University Hospital, Croatia.
Acta Med Croatica. 2005;59(3):191-9.
Information systems, either computer or paper based, are the key to business effectiveness and efficiency of healthcare organizations. The rationale of starting a large healthcare informatics project by the Ministry of Health and Welfare may be argued by two needs: (1) the need of medical data transformation into the information required for public health policy decision-making; and (2) measures in the field of health and pharmacoeconomics, i.e. systematic surveillance of healthcare costs that define the prospects for savings without lowering the level of service (estimated at 20%-30% of potential savings), along with the need of transparency and adoption of European Union directives and standards. Implementation of the proposed system results in two groups of fundamental functions: (1) the creation of a central public health information system which facilitates real-time tracking of primary healthcare cost generators, which in turn are used for creating health economics policy, and (2) to automatize the process of generating a consolidated national health budget including the Croatian Institute of Health Insurance and hospitals as well as consolidated financial reports for all those involved in the healthcare system. The model of the National Health Information System of the Republic of Croatia is described.
信息系统，无论是基于计算机的还是纸质的，都是医疗保健组织业务有效性和效率的关键。卫生和福利部启动大型医疗信息学项目的基本原理可能源于两个需求：（1）将医疗数据转化为公共卫生政策决策所需信息的需求；（2）卫生和药物经济学领域的措施，即对医疗保健成本进行系统监测，在不降低服务水平的情况下确定节约前景（估计潜在节约率为20%-30%），以及透明度需求和采用欧盟指令与标准的需求。所提议系统的实施产生了两组基本功能：（1）创建一个中央公共卫生信息系统，便于实时跟踪初级医疗保健成本产生源，进而用于制定卫生经济政策；（2）使生成包括克罗地亚健康保险研究所和医院在内的综合国家卫生预算以及为医疗保健系统所有相关方生成综合财务报告的过程自动化。文中描述了克罗地亚共和国国家卫生信息系统的模型。
