TransformCare, Inc.
Fam Syst Health. 2021 Mar;39(1):158-162. doi: 10.1037/fsh0000597.
Why has the health care delivery paradigm and its integral transactions and interactions been left to muddle through, using archaic, 20th century modes and processes of delivery that are overlaid with byz antine medical record databases that pass for "cut ting-edge" technology? What is stalling the digital revolution in the provision of health care services to consumers? Understanding how and why this has happened requires that we briefly explore the evo lution of health care in the United States. Topics discussed include (1): morbidity and mortality: the public health era: (2) Medicare era: the advance of diagnostic and therapeutic technology; (3) the power of the consumer: patient-centered informatics; and (4) planning and execution of strategic transformation of provision of care informatics. Without an informatics focus, our health care system will continue limping along, costing more money and delivering many years of disability. Our most viable solutions revolve around using informatics to measure, guide and become the transformation. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
为什么医疗保健提供模式及其整体交易和交互作用仍然沿用陈旧的 20 世纪交付模式和流程，而这些模式和流程又被拜占庭式的医疗记录数据库所覆盖，这些数据库被称为“尖端”技术？是什么阻碍了医疗服务向消费者提供的数字化革命？要理解这是如何发生的，我们需要简要探讨美国医疗保健的发展。讨论的主题包括：（1）发病率和死亡率：公共卫生时代；（2）医疗保险时代：诊断和治疗技术的进步；（3）消费者的力量：以患者为中心的信息学；以及（4）提供护理信息学的战略转型的规划和执行。如果没有信息学的重点，我们的医疗保健系统将继续步履蹒跚，花费更多的钱，并带来多年的残疾。我们最可行的解决方案是围绕使用信息学来衡量、指导和实现转型。（PsycInfo 数据库记录（c）2021 APA，保留所有权利）。
