Lovis C, Baud R H, Scherrer J R
Department of Internal Medicine, University Hospital of Geneva, Switzerland.
Comput Biol Med. 1998 Sep;28(5):567-79. doi: 10.1016/s0010-4825(98)00034-1.
Healthcare enters the information age and professionals are finding an ever-growing role for computers in the daily practice of medicine. However, a number of problematic issues are associated with electronic publications, especially through Internet. Whilst access to any information has been improved, access to specific information has become more and more difficult [1], due to the lack of a general meta-knowledge allowing to structure Internet resources. Physicians have to learn and adapt themselves to computers and Internet, but Internet has to meet the specific requirements of Healthcare. Important issues must therefore be addressed to allow a real and daily use of Internet in the medical practice. The paper discusses most of these issues and proposes a solution developed at the University Hospital of Geneva that integrates an Electronic Patient Record with Internet, without compromises on security or on performances and that runs on standard PCs'.
医疗保健进入信息时代，专业人员发现计算机在日常医疗实践中的作用日益重要。然而，电子出版物存在一些问题，尤其是通过互联网传播时。虽然获取任何信息都变得更加容易，但由于缺乏能够对互联网资源进行组织的通用元知识，获取特定信息却变得越来越困难[1]。医生必须学习并适应计算机和互联网，但互联网也必须满足医疗保健的特定需求。因此，必须解决一些重要问题，以便在医疗实践中真正日常使用互联网。本文讨论了其中的大部分问题，并提出了日内瓦大学医院开发的一种解决方案，该方案将电子病历与互联网集成，在安全性和性能方面不做妥协，并且可以在标准个人电脑上运行。
