Hovenga Evelyn J S
eHealth Education Pty Ltd, Australia.
Stud Health Technol Inform. 2013;193:24-66.
This chapter gives an overview of a nation's healthcare system, particularly for those who are familiar with IT but not healthcare or for those working in one area of healthcare who may not be familiar with the system and data requirements across the care continuum. The structure of this chapter uses the World Health Organisation's (WHO) Health systems framework with a focus on the need for data and information governance to achieve a sustainable health system delivering improved health for all, responsively and equitably meeting genuine demands for health services, with social and financial risk protection and overall improved efficiency. It is argued that there is a need to gather the right data and to process these data in a manner that provides good information in order to more fully understand how the health system is working and where and when it isn't working well. This needs to be achieved in the most cost effective manner that doesn't detract from the allocation of resources to healthcare or the clinical workflow required to achieve quality healthcare.
本章概述了一个国家的医疗保健系统，特别是针对那些熟悉信息技术但不熟悉医疗保健的人，或者针对那些在医疗保健某一领域工作但可能不熟悉整个医疗服务连续过程中的系统和数据要求的人。本章的结构采用了世界卫生组织（WHO）的卫生系统框架，重点关注数据和信息治理的必要性，以实现一个可持续的卫生系统，为所有人提供改善的健康状况，以响应式和公平的方式满足对卫生服务的真正需求，提供社会和财务风险保护并全面提高效率。有人认为，有必要收集正确的数据，并以能够提供良好信息的方式处理这些数据，以便更全面地了解卫生系统的运作情况以及它在哪些方面和何时运作不佳。这需要以最具成本效益的方式实现，同时又不影响用于医疗保健的资源分配或实现优质医疗保健所需的临床工作流程。
