Zurhellen W M
Putnam Valley Pediatrics, NY, USA.
Pediatrics. 1995 Oct;96(4 Pt 2):835-42; discussion 842-4.
With the shift in pediatrics toward emphasis on preventive care and anticipatory guidance, especially in this era of care- and cost-management, quality care is becoming increasingly synonymous with good information processing. To achieve our maximum effectiveness as clinicians as well as business persons, because pediatrics is a business, we must learn to use the tool that the rest of the business world has long ago discovered and implemented: computerization. Most important, we must apply this technology not only to the business of medicine, but to the practice of medicine itself, for that is where our future and the future of our children lie. From the perspective of someone who has been there, I will discuss what computerized information access and information processing has allowed us to accomplish in practice, and I will give a glimpse of what medicine will be like when we all can manipulate medical information so rapidly that it enables us to practice true preventive care aggressively, to give anticipatory guidance and parent education in a timely manner, and to assess and monitor the progress of our children effectively.
随着儿科学向强调预防保健和预期指导的方向转变，尤其是在这个医疗和成本管理的时代，优质护理越来越等同于良好的信息处理。为了作为临床医生以及从业者实现最大效能，因为儿科学也是一门业务，我们必须学会使用商界早已发现并应用的工具：计算机化。最重要的是，我们不仅要将这项技术应用于医疗业务，还要应用于医疗实践本身，因为这关乎我们以及我们孩子的未来。从一个过来人（译者注：此处原译文理解有误，应为“过来人”）的角度，我将探讨计算机化的信息获取和信息处理在实践中让我们能够完成哪些工作，并且我将简要介绍当我们都能如此快速地处理医疗信息，从而能够积极地开展真正的预防保健、及时地提供预期指导和家长教育，以及有效地评估和监测我们孩子的成长进展时，医学将会是什么样子。
