Duncan K A
Health Information Systems, Los Altos, CA, USA.
Proc AMIA Annu Fall Symp. 1996:604-7.
Community Health Information Network (CHIN) developments have slowed, due to the chaotic change in the health care system and stakeholders' attendant short-sighted focus. CHINs are a long-term investment that is necessary for the health care system's evolution to maturity. Several arenas of essential CHIN activity are given that would be characteristic of a mature, goal-directed health care system Lack of enterprise-wide computer-based patient record systems is a major barrier. Even in the short term, however, trends and incentives exist that are likely to push stakeholders toward CHIN development. Some of these trends include changes in organizational structure and political pressures. Practical incentives include the need for stakeholder cooperation to achieve healthy communities, the prospects for telemedicine, and the demand for greater quality assurance.
社区卫生信息网络（CHIN）的发展已经放缓，这是由于医疗保健系统的混乱变革以及利益相关者随之而来的短视关注。CHIN是医疗保健系统发展成熟所必需的一项长期投资。文中给出了一些CHIN的关键活动领域，这些领域将是一个成熟的、目标导向型医疗保健系统的特征。缺乏全企业范围基于计算机的患者记录系统是一个主要障碍。然而，即使在短期内，也存在一些趋势和激励因素，可能会推动利益相关者朝着CHIN的发展方向前进。其中一些趋势包括组织结构的变化和政治压力。实际的激励因素包括利益相关者为实现健康社区而进行合作的必要性、远程医疗的前景以及对更高质量保证的需求。
