设计和管理可整合和可互操作的转型健康生态系统的原则和标准
Bernd Blobel1,2,3, Pekka Ruotsalainen4, Frank Oemig5
1Medical Faculty, University of Regensburg, 93053 Regensburg, Germany.
Journal of personalized medicine
|November 25, 2023
概括
全球卫生和社会护理部门正在向个性化,预防性,预测性和参与性精确医学 (5P) 转变. 本文概述了设计综合5P医疗生态系统的标准和原则,从以数据为中心的方法转向以知识为中心的方法.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康数字健康
- 系统工程 系统工程
背景情况:
- 全球卫生和社会护理正经历着技术进步和不断变化的患者期望所推动的根本性变革.
- 这种转变正朝着无处不在的个性化,预防性,预测性和参与性精确医学 (5P) 迈进.
- 这些先进生态系统的有效设计和实施需要对组件结构,功能和相互关系的全面了解.
研究的目的:
- 总结了15年来在欧洲及其他地区参与个性化健康 (pHealth) 的演变.
- 讨论设计,实施和管理5P医学生态系统的概念,原则和标准.
- 为整合多领域健康生态系统提出以知识为中心的方法,克服当前以数据为中心的方法的局限性.
主要方法:
- 对5P医学生态系统设计的基本概念和原则的审查.
- 分析国际标准,特别是ISO 23903:2021,用于卫生生态系统的互操作性.
- 通过专注于多领域集成和互操作性的实际项目来示范该方法.
主要成果:
- ISO 23903:2021被确定为代表和管理转变的健康生态系统的核心标准.
- 拟议的方法促进了跨领域,系统,行为体和标准的全面和一致的整合.
- 在多领域卫生环境中展示互操作性和集成的实际解决方案.
结论:
- 提出的以知识为中心的方法可以在复杂的健康生态系统中实现强大的集成和互操作性.
- 采用国际标准,如ISO 23903:2021,对于一致和符合健康信息学流程至关重要.
- 该框架支持从以数据为中心向更有效的以知识为中心的健康和社会护理解决方案的过渡.
相关概念视频
01:20Integrated Healthcare System
1.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.6K
01:30Health Information Technology and Healthcare Information System
844
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
844
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:18Introduction To Health Care Delivery System
2.8K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.8K
01:27Nursing Clinical Information System
780
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
780
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K