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跨越大西洋合作应对电子健康和卫生信息技术方面的国际挑战:朝着共同目标努力管理。

Across the Atlantic cooperation to address international challenges in eHealth and health IT: managing toward a common goal.

机构信息

Office of the National Coordinator for Health Information Technology, Suite 729D, Washington, DC 20201, USA.

出版信息

Int J Med Inform. 2009 Nov;78(11):778-84. doi: 10.1016/j.ijmedinf.2009.07.004. Epub 2009 Sep 5.

DOI:10.1016/j.ijmedinf.2009.07.004
PMID:19734085
Abstract

PURPOSE

Countries on both sides of the Atlantic Ocean have invested in health information and communication technologies. Since eHealth challenges cross borders a European Union-United States of America conference on public policies relating to health IT and eHealth was held October 20-21, 2008 in Paris, France.

PROCESS

The conference was organized around the four themes: (1) privacy and security, (2) health IT interoperability, (3) deployment and adoption of health IT, and (4) Public Private Collaborative Governance. The four key themes framed the discussion over the two days of plenary sessions and workshops.

RESULTS

Key findings of the conference were organized along the four themes. (1) Privacy and security: Patients' access to their own data and key elements of a patient identification management framework were discussed. (2) Health IT interoperability: Three significant and common interoperability challenges emerged: (a) the need to establish common or compatible standards and clear guidelines for their implementation, (b) the desirability for shared certification criteria and (c) the need for greater awareness of the importance of interoperability. (3) Deployment and adoption of health IT: Three major areas of need emerged: (a) a shared knowledge base and assessment framework, (b) public-private collaboration and (c) and effective organizational change strategies. (4) Public Private Collaborative Governance: Sharing and communication are central to success in this area. Nations can learn from one another about ways to develop harmonious, effective partnerships.

CONCLUSIONS

Three areas that were identified as highest priority for collaboration included: (1) health data security, (2) developing effective strategies to ensure healthcare professionals' acceptance of health IT tools, and (3) interoperability.

摘要

目的

大西洋两岸的国家都投资于卫生信息和通信技术。由于电子卫生跨越国界,2008 年 10 月 20 日至 21 日在法国巴黎举行了一次关于与卫生信息技术和电子卫生有关的公共政策的欧盟-美国会议。

过程

会议围绕以下四个主题组织:(1)隐私和安全,(2)卫生信息技术互操作性,(3)卫生信息技术的部署和采用,以及(4)公私协作治理。这四个主要主题构成了为期两天的全体会议和研讨会的讨论框架。

结果

会议的主要结论按照这四个主题组织。(1)隐私和安全:讨论了患者访问自己的数据和患者身份管理框架的关键要素。(2)卫生信息技术互操作性:出现了三个重大和共同的互操作性挑战:(a)需要建立共同或兼容的标准以及明确的实施准则,(b)需要共享认证标准,(c)需要进一步认识到互操作性的重要性。(3)卫生信息技术的部署和采用:出现了三个主要需求领域:(a)共享知识库和评估框架,(b)公私合作,以及(c)有效的组织变革战略。(4)公私协作治理:共享和沟通是这一领域取得成功的关键。各国可以相互学习,了解如何建立和谐、有效的伙伴关系。

结论

确定为合作的最高优先事项的三个领域包括:(1)卫生数据安全,(2)制定有效战略,确保医疗保健专业人员接受卫生信息技术工具,以及(3)互操作性。

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