Thielscher C, Selke M, Kleebaum M, Geerling G
FOM Hochschule für Oekonomie & Management Essen, Sigsfeldstr. 5, 45141, Essen, Deutschland,
Ophthalmologe. 2015 Jul;112(7):585-8. doi: 10.1007/s00347-014-3145-6.
This study was carried out to investigate whether ophthalmology hospitals can exchange patient data for research purposes, i.e. whether this is technically and legally feasible and whether it is worthwhile, i.e. whether the data are useful for answering important medical questions.
In-depth interviews were conducted with experts and a literature search was carried out.
Patient data were found to be fundamentally well-suited for research purposes and there is a corresponding need for research. There are also specific scientific question which need to be answered, e.g. development of visual acuity after various surgical procedures for glaucoma. There are also legal and technical difficulties but it is possible to solve these problems. Potential solutions are described.
The results of this study show that it is basically feasible for hospitals and hospital personnel to exchange patient data and to combine them. As opposed to earlier attempts which tried to collect as much data as possible and then analyzed what to do with the data afterwards, it is recommended that a medical question should first be defined followed by a search for data afterwards. Furthermore, researching would be facilitated by an improved exchange of data by information systems.
开展本研究以调查眼科医院是否能够为研究目的交换患者数据，即这在技术和法律上是否可行，以及是否值得，也就是这些数据对于回答重要医学问题是否有用。
对专家进行了深入访谈并开展了文献检索。
发现患者数据从根本上来说非常适合用于研究目的，并且存在相应的研究需求。也有一些具体的科学问题需要回答，例如青光眼各种手术程序后的视力发展情况。同时存在法律和技术方面的困难，但有可能解决这些问题。描述了潜在的解决方案。
本研究结果表明，医院和医院工作人员交换患者数据并将其合并基本上是可行的。与早期试图尽可能多地收集数据然后再分析如何处理这些数据的尝试不同，建议首先确定一个医学问题，然后再寻找数据。此外，信息系统改善数据交换将有助于研究工作。
