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医学信息学:一门新兴的医学学科。美国医学协会科学事务委员会和长期规划与发展委员会。

Medical informatics: an emerging medical discipline. Council on Scientific Affairs and Council on Long Range Planning and Development of the American Medical Association.

出版信息

J Med Syst. 1990 Aug;14(4):161-79.

PMID:2093736
Abstract

The use of computer technology in medicine is no longer the domain of only a few "gadget" happy high-tech aficionados. The rapid pace of medical progress and the increasing demands on physicians' time mandate that mechanisms be developed to deliver the tools of contemporary information management directly into the hands of all practicing physicians. It is with this intent that the Council on Long-range Planning and Development and the Council on Scientific Affairs of the American Medical Association have developed an informational report on Medical Informatics. The technology for producing information about medicine and patients is well into the information age. However, the technology for managing this information has not kept up, at least to the extent of being available in medical facilities where it is needed. Most users of medical information, physicians included, have not crossed the threshold into the electronic/computer era of information acquisition, distribution, and assimilation. The continuing development of the physician as computer user will create a more efficient work environment for the physician while at the same time improving patient care.

摘要

计算机技术在医学领域的应用已不再只是少数热衷于“小玩意”的高科技爱好者的专利。医学进步的快速步伐以及对医生时间要求的不断提高,使得必须开发相应机制,以便将当代信息管理工具直接交到所有执业医生手中。正是出于这一目的,美国医学协会的长期规划与发展委员会以及科学事务委员会编写了一份关于医学信息学的信息报告。用于生成有关医学和患者信息的技术已全面进入信息时代。然而,管理这些信息的技术却未能跟上步伐,至少在需要的医疗设施中尚未普及到可用的程度。包括医生在内的大多数医学信息使用者尚未迈入信息获取、传播和吸收的电子/计算机时代。医生作为计算机用户的持续发展,将为医生创造更高效的工作环境,同时改善患者护理。

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Voting and priorities in health care decision making, portrayed through a group decision support system, using analytic hierarchy process.通过群体决策支持系统,运用层次分析法描绘医疗保健决策中的投票与优先级。

本文引用的文献

1
Assessing computer links' risks and rewards. Without careful planning, electronic ties to physicians' offices can backfire.评估与医生办公室建立计算机连接的风险与回报。若没有精心规划,与医生办公室的电子连接可能会适得其反。
Mod Healthc. 1989 Nov 24;19(47):20-2, 26, 28-31.
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The 1988 report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure.全国高血压检测、评估与治疗联合委员会1988年报告。
Arch Intern Med. 1988 May;148(5):1023-38.
3
DXplain. An evolving diagnostic decision-support system.DXplain。一个不断发展的诊断决策支持系统。
J Med Syst. 1994 Oct;18(5):267-88. doi: 10.1007/BF00996606.
JAMA. 1987 Jul 3;258(1):67-74. doi: 10.1001/jama.258.1.67.
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Computer-stored medical records. Their future role in medical practice.
JAMA. 1988 Jun 17;259(23):3433-40.
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Computer simulations may change way medical students taught.计算机模拟可能会改变医学生的教学方式。
CMAJ. 1988 Jun 15;138(12):1144-5.
6
Techniques for accessing the medical literature. I. Currently available approaches.获取医学文献的技术。一、当前可用的方法。
J Allergy Clin Immunol. 1988 Oct;82(4):544-50. doi: 10.1016/0091-6749(88)90963-3.
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Are doctors computer-compatible? Are computers physician-friendly?医生与计算机兼容吗?计算机对医生友好吗?
Minn Med. 1989 Mar;72(3):146-50.
8
Standard formats for electronic transfer of clinical data.临床数据电子传输的标准格式。
Ann Intern Med. 1989 Mar 1;110(5):333-5. doi: 10.7326/0003-4819-110-5-333.
9
Biotechnology computing: information science for the era of molecular medicine.生物技术计算:分子医学时代的信息科学。
Acad Med. 1989 Jul;64(7):379-81. doi: 10.1097/00001888-198907000-00005.
10
Medical informatics: glimpses of the promised land.医学信息学:应许之地的一瞥。
Acad Med. 1989 Jan;64(1):13-4. doi: 10.1097/00001888-198901000-00004.