Department of Medicine, Division of Medical Oncology, Duke University Medical Center, P.O. Box 3436, Durham, NC USA ; Department of Palliative and Supportive Services, Division of Medicine, Flinders University, Bedford Park, South Australia Australia.
Transl Behav Med. 2011 Mar;1(1):45-52. doi: 10.1007/s13142-011-0024-4.
The advancement of translational behavioral medicine will require that we discover new methods of managing large volumes of data from disparate sources such as disease surveillance systems, public health systems, and health information systems containing patient-centered data informed by behavioral and social sciences. The term "liquidity," when applied to data, refers to its availability and free flow throughout human/computer interactions. In seeking to achieve liquidity, the focus is not on creating a single, comprehensive database or set of coordinated datasets, nor is it solely on developing the electronic health record as the "one-stop shopping" source of health-related data. Rather, attention is on ensuring the availability of secure data through the various methods of collecting and storing data currently existent or under development-so that these components of the health information infrastructure together support a liquid data system. The value of accessible, interoperable, high-volume, reliable, secure, and contextually appropriate data is becoming apparent in many areas of the healthcare system, and health information liquidity is currently viewed as an important component of a patient-centered healthcare system. The translation from research interventions to behavioral and psychosocial indicators challenges the designers of healthcare systems to include this new set of data in the correct context. With the intention of advancing translational behavioral medicine at the local level, "on the ground" in the clinical office and research institution, this commentary discusses data liquidity from the patient's and clinician's perspective, requirements for a liquid healthcare data system, and the ways in which data liquidity can support translational behavioral medicine.
转化行为医学的发展要求我们发现新的方法来管理来自不同来源的大量数据,如疾病监测系统、公共卫生系统和包含行为和社会科学信息的患者为中心的数据的健康信息系统。“流动性”一词应用于数据时,是指其在人类/计算机交互过程中的可用性和自由流动。在寻求实现流动性时,重点不是创建一个单一的、综合的数据库或一套协调的数据集,也不仅仅是将电子健康记录作为健康相关数据的“一站式购物”来源。相反,注意力集中在确保通过当前存在或正在开发的数据收集和存储方法来提供安全的数据,以便健康信息基础设施的这些组成部分共同支持一个流动的数据系统。在医疗保健系统的许多领域,可访问、互操作、大容量、可靠、安全和上下文适当的数据的价值变得明显,而健康信息流动性目前被视为以患者为中心的医疗保健系统的重要组成部分。从研究干预到行为和心理社会指标的转化,挑战了医疗保健系统的设计者将这一新组数据纳入正确的背景。本评论从患者和临床医生的角度讨论了数据流动性、液体医疗保健数据系统的要求以及数据流动性如何支持转化行为医学,旨在在临床办公室和研究机构的地方层面推进转化行为医学。