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健康信息学在传统医学中的应用分析:对四种传统医学体系的综述

An analysis of application of health informatics in Traditional Medicine: A review of four Traditional Medicine Systems.

作者信息

Raja Ikram Raja Rina, Abd Ghani Mohd Khanapi, Abdullah Noraswaliza

机构信息

Biomedical Computing and Engineering Technologies (BIOCORE Malaysia) Engineering Technologies Research Group, Faculty of Information and Communication Technology, Universiti Teknikal Malaysia Melaka, Hang Tuah Jaya, 76100 Durian Tunggal, Melaka, Malaysia.

出版信息

Int J Med Inform. 2015 Nov;84(11):988-96. doi: 10.1016/j.ijmedinf.2015.05.007. Epub 2015 Jun 30.

Abstract

OBJECTIVE

This paper shall first investigate the informatics areas and applications of the four Traditional Medicine systems - Traditional Chinese Medicine (TCM), Ayurveda, Traditional Arabic and Islamic Medicine and Traditional Malay Medicine. Then, this paper shall examine the national informatics infrastructure initiatives in the four respective countries that support the Traditional Medicine systems. Challenges of implementing informatics in Traditional Medicine Systems shall also be discussed.

METHODS

The literature was sourced from four databases: Ebsco Host, IEEE Explore, Proquest and Google scholar. The search term used was "Traditional Medicine", "informatics", "informatics infrastructure", "traditional Chinese medicine", "Ayurveda", "traditional Arabic and Islamic medicine", and "traditional malay medicine". A combination of the search terms above was also executed to enhance the searching process. A search was also conducted in Google to identify miscellaneous books, publications, and organization websites using the same terms.

RESULTS

Amongst major advancements in TCM and Ayurveda are bioinformatics, development of Traditional Medicine databases for decision system support, data mining and image processing. Traditional Chinese Medicine differentiates itself from other Traditional Medicine systems with documented ISO Standards to support the standardization of TCM. Informatics applications in Traditional Arabic and Islamic Medicine are mostly ehealth applications that focus more on spiritual healing, Islamic obligations and prophetic traditions. Literature regarding development of health informatics to support Traditional Malay Medicine is still insufficient. Major informatics infrastructure that is common in China and India are automated insurance payment systems for Traditional Medicine treatment. National informatics infrastructure in Middle East and Malaysia mainly cater for modern medicine. Other infrastructure such as telemedicine and hospital information systems focus its implementation in modern medicine or are not implemented and strategized at a national level to support Traditional Medicine.

CONCLUSION

Informatics may not be able to address all the emerging areas of Traditional Medicine because the concepts in Traditional Medicine system of medicine are different from modern system, though the aim may be same, i.e., to give relief to the patient. Thus, there is a need to synthesize Traditional Medicine systems and informatics with involvements from modern system of medicine. Future research works may include filling the gaps of informatics areas and integrate national informatics infrastructure with established Traditional Medicine systems.

摘要

目的

本文首先将研究四种传统医学体系——中医、阿育吠陀医学、传统阿拉伯和伊斯兰医学以及传统马来医学——的信息学领域及应用。然后,本文将审视四个相应国家中支持这些传统医学体系的国家信息学基础设施举措。还将讨论在传统医学体系中实施信息学所面临的挑战。

方法

文献来源于四个数据库:EBSCOhost、IEEE Xplore、ProQuest和谷歌学术。使用的搜索词为“传统医学”“信息学”“信息学基础设施”“中医”“阿育吠陀医学”“传统阿拉伯和伊斯兰医学”以及“传统马来医学”。还对上述搜索词进行组合以加强搜索过程。同时在谷歌上进行搜索,以使用相同术语识别各类书籍、出版物和组织网站。

结果

中医和阿育吠陀医学的主要进展包括生物信息学、用于决策系统支持的传统医学数据库开发、数据挖掘和图像处理。中医通过有记录的ISO标准与其他传统医学体系区分开来,以支持中医的标准化。传统阿拉伯和伊斯兰医学中的信息学应用大多是电子健康应用,更侧重于精神治疗、伊斯兰义务和先知传统。关于支持传统马来医学的健康信息学发展的文献仍然不足。中国和印度常见的主要信息学基础设施是传统医学治疗的自动化保险支付系统。中东和马来西亚的国家信息学基础设施主要服务于现代医学。其他基础设施,如远程医疗和医院信息系统,将其实施重点放在现代医学上,或者在国家层面未实施且未制定战略来支持传统医学。

结论

信息学可能无法解决传统医学的所有新兴领域问题,因为传统医学体系中的概念与现代医学体系不同,尽管目标可能相同,即为患者减轻痛苦。因此,需要将传统医学体系与信息学以及现代医学体系的参与进行整合。未来的研究工作可能包括填补信息学领域的空白,并将国家信息学基础设施与既定的传统医学体系相结合。

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