From the Anesthesiology and Perioperative Care Service, Veterans Affairs Palo Alto Health Care System.
Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine.
Anesth Analg. 2024 Feb 1;138(2):253-272. doi: 10.1213/ANE.0000000000006649. Epub 2024 Jan 12.
The role of informatics in public health has increased over the past few decades, and the coronavirus disease 2019 (COVID-19) pandemic has underscored the critical importance of aggregated, multicenter, high-quality, near-real-time data to inform decision-making by physicians, hospital systems, and governments. Given the impact of the pandemic on perioperative and critical care services (eg, elective procedure delays; information sharing related to interventions in critically ill patients; regional bed-management under crisis conditions), anesthesiologists must recognize and advocate for improved informatic frameworks in their local environments. Most anesthesiologists receive little formal training in public health informatics (PHI) during clinical residency or through continuing medical education. The COVID-19 pandemic demonstrated that this knowledge gap represents a missed opportunity for our specialty to participate in informatics-related, public health-oriented clinical care and policy decision-making. This article briefly outlines the background of PHI, its relevance to perioperative care, and conceives intersections with PHI that could evolve over the next quarter century.
在过去几十年中,信息学在公共卫生领域的作用日益增强,2019 年冠状病毒病(COVID-19)大流行突显了聚合、多中心、高质量、近乎实时的数据对于为医生、医院系统和政府提供决策信息的至关重要性。鉴于大流行对围手术期和重症监护服务的影响(例如,择期手术延迟;与危重症患者干预相关的信息共享;危机情况下的区域床位管理),麻醉师必须认识到并倡导在其当地环境中改进信息学框架。大多数麻醉师在临床住院医师培训期间或通过继续医学教育接受的公共卫生信息学(PHI)培训很少。COVID-19 大流行表明,这一知识差距是我们专业参与与信息学相关的、以公共卫生为导向的临床护理和政策决策的错失机会。本文简要概述了 PHI 的背景、它与围手术期护理的相关性,并设想了未来四分之一个世纪可能出现的与 PHI 的交叉点。