Kohli Marc, Dreyer Keith J, Geis J Raymond
1 Department of Radiology, Indiana University School of Medicine, Indianapolis, IN.
AJR Am J Roentgenol. 2015 Apr;204(4):716-20. doi: 10.2214/AJR.14.13840.
Informatics innovations of the past 30 years have improved radiology quality and efficiency immensely. Radiologists are groundbreaking leaders in clinical information technology (IT), and often radiologists and imaging informaticists created, specified, and implemented these technologies, while also carrying the ongoing burdens of training, maintenance, support, and operation of these IT solutions. Being pioneers of clinical IT had advantages of local radiology control and radiology-centric products and services. As health care businesses become more clinically IT savvy, however, they are standardizing IT products and procedures across the enterprise, resulting in the loss of radiologists' local control and flexibility. Although this inevitable consequence may provide new opportunities in the long run, several questions arise.
What will happen to the informatics expertise within the radiology domain? Will radiology's current and future concerns be heard and their needs addressed? What should radiologists do to understand, obtain, and use informatics products to maximize efficiency and provide the most value and quality for patients and the greater health care community? This article will propose some insights and considerations as we rethink radiology informatics.
过去30年的信息学创新极大地提高了放射学的质量和效率。放射科医生是临床信息技术（IT）领域的开创性领导者，通常由放射科医生和影像信息学家创建、指定并实施这些技术，同时还承担着这些IT解决方案持续的培训、维护、支持和运营负担。作为临床IT的先驱，具有本地放射学控制以及以放射学为中心的产品和服务的优势。然而，随着医疗保健企业在临床IT方面变得更加精通，它们正在使整个企业的IT产品和程序标准化，导致放射科医生失去了本地控制权和灵活性。尽管从长远来看，这一不可避免的结果可能会带来新的机遇，但也出现了几个问题。
放射学领域内的信息学专业知识将会怎样？放射学当前和未来的担忧会被倾听并满足其需求吗？放射科医生应该怎么做才能理解、获取和使用信息学产品，以最大限度地提高效率，并为患者和更广泛的医疗保健社区提供最大价值和质量？在我们重新思考放射学信息学时，本文将提出一些见解和思考。
