Dixon Brian E, Vreeman Daniel J, Grannis Shaun J
Department of BioHealth Informatics, Indiana University School of Informatics and Computing, Indianapolis, IN, USA; Center for Biomedical Informatics, Regenstrief Institute, Inc., Indianapolis, IN, USA; Center for Health Information and Communication, Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service CIN 13-416, Richard L. Roudebush VA Medical Center, 410 W. 10th St., Suite 2000, Indianapolis, IN 46202, USA.
Indiana University School of Medicine Indianapolis, IN, Regenstrief Institute, Inc., Indianapolis, IN, USA.
J Biomed Inform. 2014 Jun;49:3-8. doi: 10.1016/j.jbi.2014.03.011. Epub 2014 Mar 25.
Proliferation of health information technologies creates opportunities to improve clinical and public health, including high quality, safer care and lower costs. To maximize such potential benefits, health information technologies must readily and reliably exchange information with other systems. However, evidence from public health surveillance programs in two states suggests that operational clinical information systems often fail to use available standards, a barrier to semantic interoperability. Furthermore, analysis of existing policies incentivizing semantic interoperability suggests they have limited impact and are fragmented. In this essay, we discuss three approaches for increasing semantic interoperability to support national goals for using health information technologies. A clear, comprehensive strategy requiring collaborative efforts by clinical and public health stakeholders is suggested as a guide for the long road towards better population health data and outcomes.
健康信息技术的激增为改善临床和公共卫生创造了机会，包括提供高质量、更安全的护理以及降低成本。为了最大限度地发挥这些潜在益处，健康信息技术必须能够与其他系统轻松、可靠地交换信息。然而，来自两个州的公共卫生监测项目的证据表明，运营中的临床信息系统常常未能采用现有标准，这是语义互操作性的一个障碍。此外，对激励语义互操作性的现有政策的分析表明，它们的影响有限且零散。在本文中，我们讨论了三种提高语义互操作性以支持利用健康信息技术的国家目标的方法。我们建议制定一项明确、全面的战略，要求临床和公共卫生利益相关者共同努力，以此作为通向更好的人群健康数据和结果的漫长道路的指南。
