Juzwishin Donald W M
JCI, Alberta.
Healthc Manage Forum. 2009 Winter;22(4):6-16. doi: 10.1016/S0840-4704(10)60136-6.
Achieving effective health informatics interoperability in a fragmented and uncoordinated health system is by definition not possible. Interoperability requires the simultaneous integration of health care processes and information across different types and levels of care (systems thinking). The fundamental argument of this paper is that information system interoperability will remain an unfulfilled hope until health reforms effectively address the governance (accountability), structural and process barriers to interoperability of health care delivery. The ascendency of Web 2.0 and 3.0, although still unproven, signals the opportunity to accelerate patients' access to health information and their health record. Policy suggestions for simultaneously advancing health system delivery and information system interoperability are posited.
在一个分散且缺乏协调的卫生系统中实现有效的健康信息学互操作性，从定义上来说是不可能的。互操作性要求同时整合不同类型和层面医疗服务中的医疗过程与信息（系统思维）。本文的基本观点是，在卫生改革有效解决医疗服务互操作性的治理（问责制）、结构和流程障碍之前，信息系统互操作性仍将是一个无法实现的愿望。Web 2.0和3.0的兴起，尽管尚未得到证实，但预示着加速患者获取健康信息及其健康记录的机会。本文还提出了同时推进卫生系统服务和信息系统互操作性的政策建议。
