Department of Medicine, Launceston General Hospital, Launceston, Tasmania, Australia.
Intern Med J. 2012 Jun;42(6):722-7. doi: 10.1111/j.1445-5994.2012.02801.x.
Healthcare is considered a service profession and most of what clinicians do is manage information. Thus, information is not a necessary adjunct to care. It is care and effective patient management that require effective management of patients' clinical data. This perspective is supported by the World Health Organisation in its use of the quotation from Gonzalo Vecina Neto, head of the Brazilian National Health Regulatory Agency, 'There is no health without management, and there is no management without information'. This opinion paper discusses how traditional clinical decision-making led 'by the doctor' is unsustainable in the modern era and how e-technologies will facilitate distributed effective decision-making and new divisions of labour across the health workforce.
医疗保健被视为服务行业，临床医生的大部分工作是管理信息。因此，信息并不是医疗的必要辅助手段。护理和有效的患者管理需要有效管理患者的临床数据。世界卫生组织引用了巴西国家卫生监管机构负责人 Gonzalo Vecina Neto 的话，“没有管理就没有健康，没有信息就没有管理”，这一观点支持了这一观点。本文讨论了传统的临床决策方法——“医生主导”在现代社会为何难以为继，以及电子技术将如何促进医疗团队的分布式有效决策和新的劳动分工。
