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[Vitalink:一个在初级保健中共享患者健康记录的数字平台。药物治疗方案共享试点项目报告]

[Vitalink: a digital platform to share patient health records in primary care. Report of the pilot projects for sharing medication schemes].

作者信息

Zwaenepoel L, Hulshagen L

出版信息

J Pharm Belg. 2014 Mar(1):16-27.

PMID:24804390
Abstract

Vitalink is a digital platform to share health patient data among health care professionals in primary care. The Flemish community started the development of this platform in collaboration with representatives of professional associations primary care. Sharing medication charts online was the first Vitalink project. In December 2012 four pilot regions in Flanders (Turnhout, Limburg, Aalst and Halle) tested medication chart sharing through Vitalink. Due to difficulties with software development effective sharing started only in April 2013. The test phase was ended in October 2013. Each pilot region made an evaluation report. Conclusions were similar: the realization business cases were limited. Integration in end user software was insufficiently performant. Moreover, interpretation of downloaded medication charts was found out to differ among participating software applications. Because of these problems exchange of patient records among primary care actors was limited. Therefore research questions could not be conclusively answered. Nevertheless the Vitalink pilot project can be considered successful in some ways. Collaboration and communication among health care professionals and their associations was ameliorated. The awareness of digital data sharing in primary care is growing. Pilot projects created buy in among patients, physicians, pharmacists and nurses. Uniform lay-out guidelines were established in deliberation with all participating actors. Since November 2013 Vitalink is in production. Medication charts, summarized electronic health records and vaccination data can be uploaded to the platform and health care professionals that are registered can consult them. End user software must still be developed to make broad use of the platform feasible. Meanwhile further deliberation with software vendors and professional associations can be organized in order to achieve the implementation and integration of user friendly Vitalink modules.

摘要

Vitalink是一个数字平台,用于在初级保健领域的医疗保健专业人员之间共享患者健康数据。弗拉芒社区与初级保健专业协会的代表合作启动了该平台的开发。在线共享用药图表是Vitalink的首个项目。2012年12月,弗拉芒的四个试点地区(特尔讷豪特、林堡、阿尔斯特和哈勒)通过Vitalink测试了用药图表共享。由于软件开发方面的困难,有效的共享直到2013年4月才开始。测试阶段于2013年10月结束。每个试点地区都撰写了一份评估报告。结论相似:实现的商业案例有限。在终端用户软件中的集成性能不足。此外,发现参与的软件应用程序对下载的用药图表的解释存在差异。由于这些问题,初级保健行为者之间的患者记录交换受到限制。因此,研究问题无法得到确凿的答案。尽管如此,Vitalink试点项目在某些方面可以被认为是成功的。医疗保健专业人员及其协会之间的协作与沟通得到了改善。初级保健中数字数据共享的意识正在增强。试点项目在患者、医生、药剂师和护士中获得了认可。与所有参与行为者协商制定了统一的布局指南。自2013年11月以来,Vitalink投入使用。用药图表、汇总的电子健康记录和疫苗接种数据可以上传到该平台,注册的医疗保健专业人员可以查阅。仍需开发终端用户软件,以使该平台得到广泛应用。与此同时,可以与软件供应商和专业协会组织进一步的协商,以实现用户友好的Vitalink模块的实施和集成。

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