Blaser Jürg
1 Direktion Forschung und Lehre, Universitätsspital Zürich, Zürich.
Praxis (Bern 1994). 2018 Jun;107(13):712-716. doi: 10.1024/1661-8157/a003008.
Challenges of Digital Medicine Abstract. Digitization is increasingly covering more and more sectors, including medicine. To ensure medical operation 365 × 24 hours, progressively more human and financial resources are necessary. The transformation of patient histories from paper into electronic patient records focused initially on documentation. Today, hospital information systems are increasingly used as a platform for the communication of all professionals involved in the patient process - in Switzerland, however, so far without providing patients direct access to their data. Digititizing processes intend to increase efficiency, but also to enhance clinical and administrative decision support and quality assurance. The introduction of the electronic patient record in Switzerland in 2020 is expected to provide cross-company, more complete documentation of patient care. Multimorbid patients, often treated in different institutions and by different specialists, should benefit from this in particular. Advances in artificial intelligence offer new opportunities in medicine. Challenges include ensuring reliable data protection, and better interoperability of the systems involved. Semantically structured, machine-readable data exchange is a necessity for both networked services and internationally competitive research.
数字医学的挑战 摘要。数字化正日益覆盖越来越多的领域，包括医学领域。为确保医疗服务365天×24小时不间断运行，需要投入越来越多的人力和财力资源。将患者病历从纸质形式转换为电子病历，最初侧重于文档记录。如今，医院信息系统越来越多地被用作参与患者诊疗过程的所有专业人员之间的沟通平台——然而在瑞士，到目前为止，患者还无法直接访问自己的数据。数字化流程旨在提高效率，同时增强临床和行政决策支持以及质量保证。预计2020年瑞士引入电子病历将实现跨公司的、更完整的患者护理文档记录。患有多种疾病的患者通常在不同机构由不同专科医生治疗，他们将尤其从中受益。人工智能的进步为医学带来了新机遇。挑战包括确保可靠的数据保护以及提高相关系统的互操作性。语义结构化、机器可读的数据交换对于联网服务和具有国际竞争力的研究而言都是必要的。
