Health Aff (Millwood). 2013 Sep;32(9):1608-15. doi: 10.1377/hlthaff.2012.1199.
Despite the rapid growth of electronic health data, most data systems do not connect individual patient records to data sets from outside the health care delivery system. These isolated data systems cannot support efforts to recognize or address how the physical and environmental context of each patient influences health choices and health outcomes. In this article we describe how a geographic health information system in Durham, North Carolina, links health system and social and environmental data via shared geography to provide a multidimensional understanding of individual and community health status and vulnerabilities. Geographic health information systems can be useful in supporting the Institute for Healthcare Improvement's Triple Aim Initiative to improve the experience of care, improve the health of populations, and reduce per capita costs of health care. A geographic health information system can also provide a comprehensive information base for community health assessment and intervention for accountable care that includes the entire population of a geographic area.
尽管电子健康数据迅速增长，但大多数数据系统无法将单个患者记录与医疗保健提供系统之外的数据进行连接。这些孤立的数据系统无法支持识别或解决每个患者的身体和环境背景如何影响健康选择和健康结果的努力。在本文中，我们描述了北卡罗来纳州达勒姆的地理健康信息系统如何通过共享地理信息将健康系统和社会及环境数据连接起来，从而提供对个人和社区健康状况和脆弱性的多维理解。地理健康信息系统在支持改善医疗保健改善体验、改善人群健康和降低医疗保健人均成本的医疗改进研究所的三重目标倡议方面可能很有用。地理健康信息系统还可以为包含地理区域内所有人口的问责制护理的社区健康评估和干预提供综合信息基础。
