Stead W W
Information Systems Department, Duke University Medical Center, Durham, NC 27710.
MD Comput. 1991 Mar-Apr;8(2):103-4, 106-10.
Analysis of the requirements for information management in the various segments of the health care delivery system indicates that the needs of the various user groups overlap, arguing that an integrated information system should be shared between groups. Trends in health care policy suggest that the health care database should be global in scope, not limited to one health care facility. The design of an integrated health care information system that permits local autonomy requires a new approach to systems architecture.
对医疗保健服务系统各部分信息管理需求的分析表明，不同用户群体的需求存在重叠，这表明各群体之间应共享一个综合信息系统。医疗保健政策的趋势表明，医疗保健数据库应具有全球范围，而不仅限于一个医疗保健机构。设计一个允许地方自治的综合医疗保健信息系统需要一种新的系统架构方法。
