Bandopadhyay Souvik, Murthy Gudlavalleti Venkata Satyanarayana, Prabhakaran Dorairaj, Taylor Paul, Banerjee Amitava
Indian Institute of Public Health Hyderabad India.
Public Health Foundation of India New Delhi India.
Learn Health Syst. 2018 Nov 18;3(2):e10074. doi: 10.1002/lrh2.10074. eCollection 2019 Apr.
Big data and growth in telecommunications have increased the enormous promise of an informatics approach to health care. India and the United Kingdom are two countries facing these challenges of implementing learning health systems and big data health research.
At present, these opportunities are more likely to be exploited in the private sector or in public-private partnerships (eg, Public Health Foundation of India [PHFI]) than public sector ventures alone. In both India and the United Kingdom, the importance of health informatics (HIs), a relatively new discipline, is being recognised and there are national initiatives in academic and health sectors to fill gaps in big data health research. The challenges are in many ways greater in India but outweighed by three potential benefits in health-related scientific research: (a) increased productivity; (b) a learning health system with better use of data and better health outcomes; and (c) to fill workforce gaps in both research and practice.
Despite several system-level obstacles, in India, big data research in health care can improve the status quo, whether in terms of patient outcomes or scientific discovery. Collaboration between India and the United Kingdom in HI can result in mutual benefits to academic and health care delivery organisations in both countries and can serve as examples to other countries embracing the promises and the pitfalls of health care research in the digital era.
大数据和电信业的发展极大地提升了信息学方法应用于医疗保健领域的前景。印度和英国是面临实施学习型卫生系统和大数据健康研究挑战的两个国家。
目前，相比于仅由公共部门开展的项目，这些机遇更有可能在私营部门或公私合作伙伴关系中（如印度公共卫生基金会[PHFI]）得到利用。在印度和英国，健康信息学（HI）这一相对较新的学科的重要性正得到认可，并且在学术和卫生领域都有国家层面的举措来填补大数据健康研究方面的空白。印度面临的挑战在很多方面更大，但在与健康相关的科研方面有三个潜在益处可将其抵消：（a）提高生产力；（b）建立一个能更好利用数据并取得更好健康结果的学习型卫生系统；（c）填补研究和实践方面的劳动力缺口。
尽管存在若干系统层面的障碍，但在印度，医疗保健领域的大数据研究无论在患者治疗结果还是科学发现方面都能改善现状。印度和英国在健康信息学方面的合作能使两国的学术机构和医疗服务机构都受益，并可为其他在数字时代面临医疗保健研究机遇与挑战的国家提供范例。
