McHolm G, Obeid J, Karson T H, Sato L, Schaffer J L, Greenes R A
Harvard-MIT Division of Health Science and Technology, Boston, Massachusetts, USA.
Proc AMIA Annu Fall Symp. 1996:724-8.
In highly integrated and increasingly complex health care systems, the identification and proper utilization of clinical staff expertise are key factors for efficiently delivering high quality patient care. To achieve these capabilities on an enterprise-wide scale, we have embarked on a multi-phased project to develop World Wide Web (WWW)-based physician referral capabilities for two large teaching hospitals. Currently, users may search for information concerning the education, training, board certifications, and self-designated clinical interests of staff members. Address, phone number, email address, and a photo are also presented. Our experience indicates that institutional changes are required to successfully deploy and maintain online physician referral services and that accurate and equitable representation of clinical expertise and the incorporation of referral guidelines require an incremental introduction of a carefully planned program that addresses the needs of clinicians, administrators, and health care policy-makers.
在高度整合且日益复杂的医疗保健系统中，识别并合理利用临床工作人员的专业知识是高效提供高质量患者护理的关键因素。为了在企业范围内实现这些能力，我们已启动一个多阶段项目，为两家大型教学医院开发基于万维网（WWW）的医生转诊功能。目前，用户可以搜索有关工作人员的教育、培训、委员会认证以及自我指定的临床兴趣等信息。还会提供地址、电话号码、电子邮件地址和一张照片。我们的经验表明，要成功部署和维护在线医生转诊服务需要进行机构变革，并且临床专业知识的准确和公平呈现以及转诊指南的纳入需要逐步引入一个精心规划的项目，该项目要满足临床医生、管理人员和医疗保健政策制定者的需求。
