Wyatt J C
Biomedical Informatics Unit, Imperial Cancer Research Fund, London.
BMJ. 1995 Jul 15;311(6998):175-8. doi: 10.1136/bmj.311.6998.175.
On 12 July the Audit Commission published For Your Information, a well researched report about information and its management in acute hospitals in Britain, how and why it is failing, and steps that clinicians, managers, and the NHS should take to correct this. This article discusses why information management matters to clinicians and considers the problems identified by the Audit Commission--most of which will strike chords with doctors--and possible remedies. Finally, it describes possible routes to administer these remedies and the proposal, recently supported by the BMA Council, for a national centre for health informatics with the goals of educating and enthusing clinicians about informatics, empowering them to participate in local and national information management decisions; exploring how information can be used to improve patient care and outcomes; and evaluating clinical information systems and helping to realise their benefits.
7月12日，审计委员会发布了《供您参考》，这是一份经过充分调研的报告，内容涉及英国急症医院的信息及其管理、信息管理失败的方式和原因，以及临床医生、管理人员和国民医疗服务体系（NHS）应采取哪些措施来纠正这一问题。本文探讨了信息管理对临床医生为何重要，审视了审计委员会发现的问题（其中大多数会引起医生的共鸣）以及可能的补救措施。最后，本文描述了实施这些补救措施的可能途径，以及英国医学协会理事会最近支持的一项提议，即设立一个国家健康信息学中心，目标是让临床医生了解并热衷于信息学，使他们有能力参与地方和国家的信息管理决策；探索如何利用信息改善患者护理和治疗结果；评估临床信息系统并帮助实现其效益。
