Séroussi B, Jaulent M-C, Lehmann C U
UPMC, UFR de Médecine, Sorbonne Universités, Paris, France; Hôpital Tenon, Département de Santé Publique, Paris, France; Université Paris 13, Sorbonne Paris Cité, LIM&BIO (EA3969), Bobigny, France.
Yearb Med Inform. 2013;8:4-6.
To provide an editorial introduction to the 2013 IMIA Yearbook of Medical Informatics with an overview of its contents and contributors.
A brief overview of the main theme, and an outline of the purposes, contents, format, and acknowledgment of contributions.
Health information technology (HIT) is currently widely implemented to improve healthcare quality and patient safety while reducing costs. Although these benefits are expected and largely advertised, the evidence for these benefits is still missing. Unintended consequences are often reported and some applications have been shown to be wasteful, harmful, and even fatal. Evidence-based health informatics has been defined as "the conscientious, explicit and judicious use of current best evidence when making decisions about the introduction and operation of information technology in a given health care setting". The 2013 issue of the IMIA Yearbook highlights important contributions about the significant challenges that arise from the assessment of HIT solutions. Progress towards evidence-based health informatics is identified to elicit what works, what doesn't work, and why. In an environment where resources are limited, budgets lower than in past years, and the need to improve care is becoming ever more pressing, focusing on this topic should guide institutions and providers in the implementation of the best health information technology.
This overview of progress and current challenges across the spectrum of the discipline shows many great examples of evidence that have been gathered on the effectiveness of HIT. However, evidence remains limited and a significant work should be conducted to improve the development, testing, and implementation of HIT applications.
为《2013年国际医学信息学协会医学信息学年鉴》撰写一篇编辑引言，概述其内容和撰稿人。
简要概述主要主题，并介绍目的、内容、格式以及对贡献的致谢。
目前，卫生信息技术（HIT）被广泛应用，旨在提高医疗质量、保障患者安全并降低成本。尽管人们期望并大力宣传这些益处，但相关证据仍不充分。意外后果屡有报道，一些应用已被证明是浪费资源、有害甚至致命的。循证卫生信息学被定义为“在特定医疗环境中对信息技术的引入和运行做出决策时，认真、明确且审慎地运用当前最佳证据”。《2013年国际医学信息学协会医学信息学年鉴》特刊重点介绍了关于评估HIT解决方案所带来的重大挑战的重要贡献。确定循证卫生信息学的进展，以找出哪些有效、哪些无效以及原因。在资源有限、预算低于往年且改善医疗的需求日益迫切的环境下，关注这一主题应能指导机构和提供者实施最佳的卫生信息技术。
对该学科各领域进展和当前挑战的概述表明，已有许多关于HIT有效性的出色证据实例。然而，证据仍然有限，需要开展大量工作来改进HIT应用的开发、测试和实施。
