Shapiro Jason S, Kannry Joseph, Lipton Mark, Goldberg Eric, Conocenti Paul, Stuard Susan, Wyatt Brian M, Kuperman Gilad
Department of Emergency Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA.
Ann Emerg Med. 2006 Oct;48(4):426-32. doi: 10.1016/j.annemergmed.2006.03.032. Epub 2006 Jun 6.
Regional health information organizations and electronic health information exchange may have an important impact on the practice of emergency medicine in the United States. Regional health information organizations are local or regional information-sharing networks that enable electronic data interchange among stakeholders in a given geographic area. These stakeholders may include hospitals, skilled nursing facilities, clinics, private physicians' offices, pharmacies, laboratories, radiology facilities, health departments, payers, and possibly the patients themselves. Regional health information organizations are being formed across the country to improve the safety and efficiency of clinical care; improve public health efforts, biosurveillance, and disaster management response; and potentially create large databases of deidentified aggregate data for research. Because of the unique need for rapid access to information and the acuity of the clinical environment, few areas of the health care delivery system stand to change and benefit more from health information exchange than our nation's emergency departments. This article will explain the motivation for the development of regional health information organizations, identify some of the important issues in their formation, and discuss how their development might affect the practice of emergency medicine.
区域卫生信息组织和电子健康信息交换可能会对美国的急诊医学实践产生重要影响。区域卫生信息组织是地方或区域信息共享网络，可实现特定地理区域内各利益相关方之间的电子数据交换。这些利益相关方可能包括医院、专业护理机构、诊所、私人医生办公室、药房、实验室、放射科设施、卫生部门、支付方，甚至可能包括患者自身。全国各地都在组建区域卫生信息组织，以提高临床护理的安全性和效率；加强公共卫生工作、生物监测和灾害管理应对能力；并有可能创建用于研究的大量去标识化汇总数据数据库。由于对快速获取信息有独特需求，且临床环境要求紧急，在医疗保健提供系统中，很少有领域比我国的急诊科更有可能因健康信息交换而发生变革并从中受益。本文将解释区域卫生信息组织发展的动机，确定其组建过程中的一些重要问题，并讨论其发展可能如何影响急诊医学实践。
