Yee Kwang Chien
eHealth Services and Research Group, University of Tasmania, Tasmania, Australia.
Arch Pathol Lab Med. 2009 Jun;133(6):938-41. doi: 10.5858/133.6.938.
The health care system is extremely complex and it is currently undergoing a massive transformation with rapid advances in technology. Pathology services have been leading the technology adaptation process and will continue to evolve rapidly with the introduction of "omics" technology. Future pathology informatics systems (PIS) will need to meet the needs of pathologists, clinicians, organizations, community services as well as the expectations of patients, especially given the complexity of "omics" technology. Technology advances, however, often progress at a pace faster than socio-cultural adaptation. A major question therefore arises, "Are we ready?" This article explores the socio-cultural-technical issues and provides a conceptual framework for future discussion about socio-cultural integration in the use of technology to provide a seamless delivery of patient-centered care. It discusses system requirements of future PIS in the context of rapid evolution of medical care. Finally, this article proposes some strategies for the design and implementation of future PIS to achieve socio-cultural-technical harmony in the "omics" era.
医疗保健系统极其复杂，目前正随着技术的快速进步而经历大规模变革。病理学服务一直在引领技术适应过程，并将随着“组学”技术的引入而继续快速发展。未来的病理信息学系统（PIS）将需要满足病理学家、临床医生、组织、社区服务的需求以及患者的期望，特别是考虑到“组学”技术的复杂性。然而，技术进步的速度往往比社会文化适应的速度更快。因此，一个主要问题出现了：“我们准备好了吗？”本文探讨了社会文化技术问题，并为未来关于在使用技术时进行社会文化整合以提供无缝的以患者为中心的护理的讨论提供了一个概念框架。它在医疗保健快速发展的背景下讨论了未来PIS的系统要求。最后，本文提出了一些未来PIS设计和实施的策略，以在“组学”时代实现社会文化技术的和谐。
