Fuller S
Health Sciences Center, University of Washington, Seattle 98195, USA.
J Am Med Inform Assoc. 1997 Mar-Apr;4(2 Suppl):S47-51.
In general, there is agreement that robust integrated information systems are the foundation for building successful regional health care delivery systems. Integrated Advanced Information Management System (IAIMS) institutions that, over the years, have developed strategies for creating cohesive institutional information systems and services are finding that IAIMS strategies work well in the even more complex regional environment. The key elements of IAIMS planning are described and lessons learned are discussed in the context of regional health information systems developed. The challenges of aligning the various information agencies and agendas in support or a regional health information system are complex; however, the potential rewards for health care in quality, efficacy, and cost savings are enormous.
总体而言,人们一致认为强大的综合信息系统是构建成功的区域医疗服务体系的基础。多年来,那些已制定策略来创建具有凝聚力的机构信息系统和服务的综合先进信息管理系统(IAIMS)机构发现,IAIMS策略在更为复杂的区域环境中也能很好地发挥作用。本文描述了IAIMS规划的关键要素,并在已开发的区域卫生信息系统的背景下讨论了所吸取的经验教训。协调各信息机构及议程以支持区域卫生信息系统面临的挑战十分复杂;然而,在医疗质量、疗效和成本节约方面,其潜在回报是巨大的。