Welsh F
J Health Care Finance. 1997 Spring;23(3):37-43.
From bedside to boardroom, physicians are coming on-line to use automated information systems. Physicians are increasingly able to scroll through computer screens to scan images and lab summaries. But they will obtain their most critical data by listening to, observing, and examining patients. Practitioners will be driven in two diagnostic realms by informatics: acute care and chronic care. Training of both internists and surgeons will be enhanced. Nurses will be able to take on more of doctors' work. Telemedicine may eventually reduce patient visits to the office and doctors' trips to the emergency department. Health care system management is strengthened and network message traffic smoothed by informatics, but lack of trust will slow acceptance.
从病床边到会议室，医生们开始使用自动化信息系统。医生们越来越能够滚动浏览电脑屏幕来查看图像和实验室总结。但他们将通过倾听、观察和检查患者来获取最关键的数据。在急性护理和慢性护理这两个诊断领域，从业者将受到信息学的推动。内科医生和外科医生的培训都将得到加强。护士将能够承担更多医生的工作。远程医疗最终可能会减少患者到诊所的就诊次数以及医生前往急诊科的次数。信息学加强了医疗保健系统管理并使网络信息流量更加顺畅，但信任的缺失将减缓其被接受的速度。
