Lagoe Ronald J, Westert Gert P
Hospital Executive Council, Syracuse, New York, USA.
BMC Med Inform Decis Mak. 2006 Mar 20;6:17. doi: 10.1186/1472-6947-6-17.
In recent years, the use of digital technology has supported widespread sharing of electronic health care data. Although this approach holds considerable promise, it promises to be a complicated and expensive undertaking. This study described the development and implementation of a community wide system for electronic sharing of summary health care utilization data.
The development of the community wide data system focused on the following objectives: ongoing monitoring of the health care system, evaluation of community wide individual provider initiatives, identification and development of new initiatives. The system focused on the sharing of data related to hospital acute care, emergency medical services, long term care, and mental health. It was based on the daily distribution of reports among all health care providers related to these services.
The development of the summary reports concerning health care utilization produced a system wide view of health care in Syracuse, New York on a daily basis. It was not possible to isolate the results of these reports because of the impact of specific projects and other factors. At the same time, the reports were associated with reduction of hospital inpatient stays, improvement of access to hospital emergency departments, reductions in stays for patients discharged to nursing homes, and increased access of mental health patients to hospital inpatient units.
The implementation of the system demonstrated that summary electronic utilization data could provide daily information that would support the improvement of health care outcomes and efficiency. This approach could be implemented in a simple, direct manner with minimal expenses.
近年来，数字技术的应用推动了电子医疗数据的广泛共享。尽管这种方法前景广阔，但它有望成为一项复杂且昂贵的任务。本研究描述了一个用于社区范围内共享综合医疗利用数据的系统的开发与实施。
社区范围数据系统的开发侧重于以下目标：持续监测医疗系统、评估社区范围内个体医疗服务提供者的举措、识别和开发新举措。该系统侧重于共享与医院急性护理、紧急医疗服务、长期护理和心理健康相关的数据。它基于所有医疗服务提供者之间每日分发的与这些服务相关的报告。
关于医疗利用的总结报告的编制每天都能呈现纽约州锡拉丘兹市医疗系统的全景。由于特定项目和其他因素的影响，无法孤立这些报告的结果。同时，这些报告与减少医院住院天数、改善医院急诊科的就医机会、减少转入疗养院患者的住院天数以及增加精神科患者入住医院病房的机会相关。
该系统的实施表明，综合电子利用数据可以提供日常信息，支持改善医疗结果和效率。这种方法可以以简单、直接的方式实施，成本最低。
