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MEDWISE:创新的公共卫生信息系统基础设施。

MEDWISE: an innovative public health information system infrastructure.

机构信息

Faculty of Engineering and Computer Sciences, Izmir University of Economics, Izmir, Turkey.

出版信息

J Med Syst. 2012 Jun;36(3):1719-29. doi: 10.1007/s10916-010-9632-7. Epub 2010 Nov 26.

DOI:10.1007/s10916-010-9632-7
PMID:21110075
Abstract

In this paper, we present MedWise, a high level design of a medical information infrastructure, and its architecture. The proposed system offers a comprehensive, modular, robust and extensible infrastructure to be used in public health care systems. The system gathers reliable and evidence based health data, which it then classifies, interprets and stores into a particular database. It creates a healthcare ecosystem that aids the medical community by providing for less error prone diagnoses and treatment of diseases. This system will be standards-compliant; therefore it would be complementary to the existing healthcare and clinical information systems. The key objective of the proposed system is to provide as much medical historical and miscellaneous data as possible about the patients with minimal consultation, thus allowing physicians to easily access Patients' Ancillary Data (PAD) such as hereditary, residential, travel, custom, meteorological, biographical and demographical data before the consultation. In addition, the system can help to diminish problems and misdiagnosis situations caused by language barriers-disorders and misinformation. MedWise can assist physicians to shorten time for diagnosis and consultations, therefore dramatically improving quality and quantity of the physical examinations of patients. Furthermore, since it intends to supply a significant amount of data, it may be used to improve skills of students in medical education.

摘要

在本文中,我们提出了 MedWise,这是一个医疗信息基础设施的高级设计及其架构。该提议的系统提供了一个全面的、模块化的、强大的和可扩展的基础设施,用于公共医疗保健系统。该系统收集可靠的和基于证据的健康数据,然后对其进行分类、解释并存储到特定的数据库中。它创建了一个医疗保健生态系统,通过提供较少错误的诊断和疾病治疗来帮助医疗社区。该系统将符合标准;因此,它将与现有的医疗保健和临床信息系统互补。所提议系统的主要目标是提供尽可能多的患者的医疗历史和杂项数据,而只需进行最少的咨询,从而使医生在咨询之前可以轻松访问患者的辅助数据(PAD),例如遗传、居住、旅行、风俗、气象、传记和人口统计数据。此外,该系统可以帮助减少由语言障碍-障碍和错误信息引起的问题和误诊情况。MedWise 可以帮助医生缩短诊断和咨询的时间,从而大大提高患者体检的质量和数量。此外,由于它打算提供大量的数据,它可以用于改善医学教育中学生的技能。

相似文献

1
MEDWISE: an innovative public health information system infrastructure.MEDWISE:创新的公共卫生信息系统基础设施。
J Med Syst. 2012 Jun;36(3):1719-29. doi: 10.1007/s10916-010-9632-7. Epub 2010 Nov 26.
2
The case for integrating public health informatics networks.整合公共卫生信息学网络的理由。
IEEE Eng Med Biol Mag. 2004 Jan-Feb;23(1):81-8. doi: 10.1109/memb.2004.1297178.
3
Developing a reliable medical informatics network.开发一个可靠的医学信息网络。
Healthc Financ Manage. 1999 Jan;53(1):48-9.
4
Integrated Nationwide Electronic Health Records system: Semi-distributed architecture approach.全国综合电子健康记录系统:半分布式架构方法。
Technol Health Care. 2016 Nov 14;24(6):827-842. doi: 10.3233/THC-161231.
5
Implementation of a large-scale hospital information infrastructure for multi-unit health-care services.为多机构医疗服务实施大规模医院信息基础设施。
J Telemed Telecare. 2008;14(3):164-6. doi: 10.1258/jtt.2008.003022.
6
The Healthcare Collaborative Network. Its worth can be calculated in lives saved.医疗协作网络。其价值可以用挽救的生命数量来计算。
Healthc Inform. 2004 Jan;21(1):45-6.
7
Open Source software and social networks: disruptive alternatives for medical imaging.开源软件和社交网络:医学影像的颠覆性选择。
Eur J Radiol. 2011 May;78(2):259-65. doi: 10.1016/j.ejrad.2010.05.004. Epub 2011 Mar 27.
8
Going public with HIEs. With a solid infrastructure and the right people, public health organizations stand to benefit from HIEs.让健康信息交换(HIEs)公开化。凭借坚实的基础设施和合适的人员,公共卫生组织有望从健康信息交换中受益。
Healthc Inform. 2009 Dec;26(12):34.
9
Service-oriented architecture in public health.公共卫生领域的面向服务架构。
J Healthc Inf Manag. 2010 Spring;24(2):45-52.
10
Context-aware infrastructure for personalized healthcare.用于个性化医疗的情境感知基础设施。
Stud Health Technol Inform. 2005;117:154-63.

引用本文的文献

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Traditional vs. Contemporary Management Control Practices for Developing Public Health Policies.制定公共卫生政策的传统管理控制方法与当代管理控制方法
Int J Environ Res Public Health. 2016 Jul 14;13(7):713. doi: 10.3390/ijerph13070713.
2
Designing a Model of a Digital Ecosystem for Healthcare and Wellness Using the Business Model Canvas.使用商业画布设计医疗保健和健康的数字生态系统模型。
J Med Syst. 2016 Jun;40(6):144. doi: 10.1007/s10916-016-0488-3. Epub 2016 Apr 27.
3
Perceived usefulness of data entry tools in medical encounters: a survey.

本文引用的文献

1
The influence of a physician's use of a diagnostic decision aid on the malpractice verdicts of mock jurors.医生使用诊断决策辅助工具对模拟陪审员医疗事故裁决的影响。
Med Decis Making. 2008 Mar-Apr;28(2):201-8. doi: 10.1177/0272989X07313280. Epub 2008 Mar 18.
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Family history of diabetes, autoimmunity, and risk factors for cardiovascular disease among children with diabetes in the SEARCH for Diabetes in Youth Study.青少年糖尿病研究(SEARCH)中糖尿病患儿的糖尿病家族史、自身免疫及心血管疾病危险因素
Pediatr Diabetes. 2007 Dec;8(6):354-61. doi: 10.1111/j.1399-5448.2007.00241.x.
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Medical errors involving trainees: a study of closed malpractice claims from 5 insurers.
医疗问诊中数据录入工具的感知有用性:一项调查
J Med Syst. 2013 Dec;37(6):9988. doi: 10.1007/s10916-013-9988-6. Epub 2013 Oct 26.
涉及实习医生的医疗差错:对5家保险公司已结案的医疗事故索赔进行的研究
Arch Intern Med. 2007 Oct 22;167(19):2030-6. doi: 10.1001/archinte.167.19.2030.
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Revisiting hereditary hemochromatosis: current concepts and progress.再探遗传性血色素沉着症:当前概念与进展
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Diagnostic error in internal medicine.内科诊断错误。
Arch Intern Med. 2005 Jul 11;165(13):1493-9. doi: 10.1001/archinte.165.13.1493.
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Some unintended consequences of information technology in health care: the nature of patient care information system-related errors.医疗保健领域信息技术的一些意外后果:与患者护理信息系统相关的错误的本质。
J Am Med Inform Assoc. 2004 Mar-Apr;11(2):104-12. doi: 10.1197/jamia.M1471. Epub 2003 Nov 21.
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Medical errors as a result of specialization.专业化导致的医疗差错。
J Biomed Inform. 2003 Feb-Apr;36(1-2):61-9. doi: 10.1016/s1532-0464(03)00057-1.
8
Missed diagnoses of acute cardiac ischemia in the emergency department.急诊科急性心脏缺血的漏诊
N Engl J Med. 2000 Apr 20;342(16):1163-70. doi: 10.1056/NEJM200004203421603.
9
Melanoma and sun exposure: an overview of published studies.黑色素瘤与阳光照射:已发表研究综述
Int J Cancer. 1997 Oct 9;73(2):198-203. doi: 10.1002/(sici)1097-0215(19971009)73:2<198::aid-ijc6>3.0.co;2-r.