Dexter Paul R, Miller Douglas K, Clark Daniel O, Weiner Michael, Harris Lisa E, Livin Lee, Myers Isaac, Shaw David, Blue Lee Ann, Kunzer John, Overhage J Marc
Regenstrief Institute, Indianapolis, IN;
AMIA Annu Symp Proc. 2010 Nov 13;2010:162-6.
New models of health care delivery are inevitable. There is likely to be increasing emphasis on patient self-monitoring, health care delivery at patient homes, interdisciplinary treatment plans, a greater percentage of medical care delivered by non-physician health professionals, targeted health educational materials, and greater involvement and training of informal caregivers. The Information Technologies (IT) infrastructure of health systems will need to adapt. We have begun sorting out the implications of this future within a County public hospital system: defining the desirable features, relevant technologies, necessary modifications to the network, and additional data elements to be captured. We seek to build an infrastructure that will support new patient-focused technologies designed to more efficiently and effectively support older individuals. We hypothesize utility to further exploring the impact that new health care delivery models will have on health systems' IT infrastructures.
新的医疗服务模式是不可避免的。未来可能会越来越强调患者自我监测、患者家中的医疗服务、跨学科治疗计划、非医师医疗专业人员提供的医疗服务比例增加、有针对性的健康教育材料,以及非正式护理人员更多的参与和培训。卫生系统的信息技术(IT)基础设施需要做出调整。我们已经开始在一个县的公立医院系统内梳理这种未来的影响:确定理想的特征、相关技术、对网络的必要修改,以及需要采集的额外数据元素。我们试图构建一个基础设施,以支持旨在更高效、有效地支持老年人的以患者为中心的新技术。我们假设该效用有助于进一步探索新的医疗服务模式将对卫生系统的IT基础设施产生的影响。