Jagannathan V, Reddy Y V, Srinivas K, Karinthi R, Shank R, Reddy S, Almasi G, Davis T, Raman R, Qiu S
Concurrent Engineering Research Center, West Virginia University, Morgantown, USA.
Proc Annu Symp Comput Appl Med Care. 1995:12-6.
The basic premise of this effort is that health care can be made more effective and affordable by applying modern computer technology to improve collaboration among diverse and distributed health care providers. Information sharing, communication, and coordination are basic elements of any collaborative endeavor. In the health care domain, collaboration is characterized by cooperative activities by health care providers to deliver total and real-time care for their patients. Communication between providers and managed access to distributed patient records should enable health care providers to make informed decisions about their patients in a timely manner. With an effective medical information infrastructure in place, a patient will be able to visit any health care provider with access to the network, and the provider will be able to use relevant information from even the last episode of care in the patient record. Such a patient-centered perspective is in keeping with the real mission of health care providers. Today, an easy-to-use, integrated health care network is not in place in any community, even though current technology makes such a network possible. Large health care systems have deployed partial and disparate systems that address different elements of collaboration. But these islands of automation have not been integrated to facilitate cooperation among health care providers in large communities or nationally. CERC and its team members at Valley Health Systems, Inc., St. Marys Hospital and Cabell Huntington Hospital form a consortium committed to improving collaboration among the diverse and distributed providers in the health care arena. As the first contract recipient of the multi-agency High Performance Computing and Communications (HPCC) Initiative, this team of computer system developers, practicing rural physicians, community care groups, health care researchers, and tertiary care providers are using research prototypes and commercial off-the-shelf technologies to develop an open collaboration environment for the health care domain. This environment is called ARTEMIS--Advanced Research TEstbed for Medical InformaticS.
这项工作的基本前提是,通过应用现代计算机技术来改善不同地点且分散的医疗服务提供者之间的协作,可以提高医疗保健的有效性和可承受性。信息共享、沟通和协调是任何协作努力的基本要素。在医疗保健领域,协作的特点是医疗服务提供者开展合作活动,为患者提供全面和实时的护理。提供者之间的沟通以及对分布式患者记录的管理访问应使医疗服务提供者能够及时就其患者做出明智的决策。有了有效的医疗信息基础设施,患者将能够就诊于任何接入该网络的医疗服务提供者,而该提供者将能够使用患者记录中即使是上一次护理的相关信息。这种以患者为中心的观点与医疗服务提供者的真正使命相符。如今,即使现有技术使这样的网络成为可能,但在任何社区都尚未建立起一个易于使用的综合医疗保健网络。大型医疗保健系统已经部署了部分且分散的系统,这些系统解决了协作的不同要素。但这些自动化孤岛尚未整合,以促进大型社区或全国范围内医疗服务提供者之间的合作。CERC及其在山谷健康系统公司、圣玛丽医院和卡贝尔·亨廷顿医院的团队成员组成了一个联盟,致力于改善医疗保健领域中不同地点且分散的提供者之间的协作。作为多机构高性能计算与通信(HPCC)倡议的首个合同获得者,这个由计算机系统开发人员、乡村执业医生、社区护理团体、医疗保健研究人员和三级护理提供者组成的团队正在使用研究原型和现成的商业技术,为医疗保健领域开发一个开放的协作环境。这个环境被称为ARTEMIS——医学信息学高级研究试验台。