Overhage J M, Tierney W M, McDonald C J
Regenstrief Institute for Health Care, Indiana University School of Medicine, Indianapolis 46202.
Bull Med Libr Assoc. 1995 Jan;83(1):48-56.
We are creating a health care information network that will link a large community medical record system to three hospital emergency departments, fifty community pharmacies, ten clinics, four health-maintenance organization (HMO) offices, and twelve homeless care sites in Indianapolis, Indiana. This project will test the feasibility of linking care providers across organizational boundaries and measure the benefits of such a network. The network will supply three kinds of information services: a "mini-medical library," patient medical record information, and a citywide prescription database incorporating a computer-based prescription-writing system. The use of medical resources, the cost of care, provider time spent giving care, and providers' opinions of the services will be used as outcomes in randomized clinical trials. Through this project, we hope to expand the information base available to the target care sites; reduce unnecessary testing and increase the efficiency of care in emergency departments; improve emergency department, office, and clinic prescribing patterns; enlarge the consortium of health care providers connected by the network; and develop strategies for successfully implementing a comprehensive city medical record resource.
我们正在创建一个医疗保健信息网络，该网络将把一个大型社区医疗记录系统与印第安纳州印第安纳波利斯市的三家医院急诊科、五十家社区药房、十家诊所、四个健康维护组织（HMO）办公室以及十二个无家可归者护理站点连接起来。该项目将测试跨越组织边界连接护理提供者的可行性，并衡量这种网络的益处。该网络将提供三种信息服务：一个“小型医学图书馆”、患者医疗记录信息以及一个包含基于计算机的处方书写系统的全市处方数据库。医疗资源的使用、护理成本、护理提供者提供护理所花费的时间以及护理提供者对这些服务的意见将被用作随机临床试验的结果。通过这个项目，我们希望扩大目标护理站点可用的信息库；减少不必要的检测并提高急诊科的护理效率；改善急诊科、办公室和诊所的处方模式；扩大由该网络连接的医疗保健提供者联盟；并制定成功实施全面城市医疗记录资源的策略。
