在直接访问测试中优化数据:信息技术支持新兴的护理模式
Michelle Stoffel1,2, Stacy G Beal3,4, Khalda A Ibrahim5
1Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, USA.
Critical reviews in clinical laboratory sciences
|October 6, 2023
概括
直接访问测试 (DAT) 提供了方便的虚拟实验室服务. 然而,将这种模式整合到传统医疗保健中需要改进IT基础设施和数据互操作性,以实现更广泛的采用和健康公平.
科学领域:
- 医疗信息学 医疗信息学
- 实验室医学 实验室医学
- 数字健康数字健康
背景情况:
- 直接接入测试 (DAT) 是一种创新的医疗保健模式,提供按需的实验室服务.
- 通过使用虚拟交互,在线订购和经常在家进行虚拟支持的自我收集,DAT与传统测试形成鲜明对比.
- 这种模式严重依赖于强大的信息技术 (IT) 和数据利用.
研究的目的:
- 批判性地审查美国的直接访问测试 (DAT) 格局,重点关注IT挑战和机遇.
- 确定将DAT整合到传统的患者-提供者医疗保健模式中的障碍和潜在解决方案.
- 探索DAT在增强消费者自主权,透明度和健康公平方面的作用.
主要方法:
- 对美国当前的直接访问测试 (DAT) 格局进行全面审查.
- 在DAT模型中分析IT基础设施,数据利用和互操作性.
- 讨论消费者,提供者和卫生系统面临的挑战和机遇.
主要成果:
- 通过DAT,消费者可以更好地控制测试,成本和数据共享.
- 在将DAT整合到传统的患者-提供者模式中存在重大差距,需要创新的解决方案.
- 对DAT实验室质量和临床决策支持的透明度对于适当的使用至关重要.
结论:
- 解决互操作性障碍对于将DAT数据集成到电子健康记录和支持人口健康倡议至关重要.
- 尽管存在IT和数据方面的挑战,但通过提供可访问的测试选择,DAT具有显著的潜力来改善健康公平.
- 需要创新方法才能将直接访问测试完全纳入常规医疗保健服务.
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