Biswas Rakesh, Martin Carmel M, Sturmberg Joachim, Shanker Ravi, Umakanth Shashikiran, Shanker Shiv, Kasturi A S
Department of Medicine, Manipal University, Melaka, Malaysia.
J Eval Clin Pract. 2008 Oct;14(5):742-9. doi: 10.1111/j.1365-2753.2008.00998.x.
Evidence based on average patient data, which occupies most of our present day information databases, does not fulfil the needs of individual patient-centred health care. In spite of the unprecedented expansion in medical information we still do not have the types of information required to allow us to tailor optimal care for a given individual patient. As our current information is chiefly provided in disconnected silos, we need an information system that can seamlessly integrate different types of information to meet diverse user group needs. Groups of certain individual medical learners namely patients, medical students and health professionals share the patient's need to increasingly interact with and seek knowledge and solutions offered by others (individual medical learners) who have the lived experiences that they would benefit to access and learn from. A web-based user-driven learning solution may be a stepping-stone to address the present problem of information oversupply in medicine that mostly remains underutilized, as it doesn't meet the needs of the individual patient and health professional user. The key to its success would be to relax central control and make local trust and strategic health workers feel more engaged in the project such that it is truly user-driven.
基于平均患者数据的证据占据了我们当今大多数信息数据库，但它无法满足以个体患者为中心的医疗保健需求。尽管医学信息空前扩展，但我们仍缺乏为特定个体患者量身定制最佳护理所需的信息类型。由于我们当前的信息主要以孤立的形式提供，我们需要一个能够无缝集成不同类型信息以满足不同用户群体需求的信息系统。某些个体医学学习者群体，即患者、医学生和卫生专业人员，都有与其他有生活经验可供获取和学习的个体医学学习者（个体医学学习者）互动并寻求其提供的知识和解决方案的需求。基于网络的用户驱动学习解决方案可能是解决当前医学信息供应过剩问题的垫脚石，因为这些信息大多未得到充分利用，因为它无法满足个体患者和卫生专业用户的需求。其成功的关键在于放松中央控制，让地方信任和战略卫生工作者更积极参与该项目，使其真正由用户驱动。
