文档介绍：医院信息化建设的思考
Major Biological
Advances
New approaches enabled by advanced technologies and better understanding
决定未来医院形式的三大驱动力.
Improved Diagnostics
New technologies enable detection of disease at earlier stage, increasing number of patient requiring treatment
Population Growth
Increase in population across decade expands market for health care services
Technology
Pervasive increase in internet and technology use
Crowded PCP Panels
Large panels limit timely access to physicians, hindering prevention efforts and encouraging ED use for primary care services
Less Restrictive Products
Relaxation of referral authorization, prevalence of PPO products with low co-pays facilitate access to providers and services
Graying Population
Aging of populace, particularly baby boomers, increases population segment most likely to utilize health care services
Heightened Consumer Expectations
“Educated” consumers more likely to demand full range of diagnostic and therapeutic technologies
Less Invasive Therapies
Advances in procedural techniques minimize risk and recovery time, expanding the potential patient base
人群结构
新技术
不断提高的
就医体验
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医院未来发展，对集成、分析、和管理有很高的要求.
Access to Diverse
Heterogeneous
Distributed Data
Expression Arrays
Personal genomics,
SNPs
CAT, MRI,
X-Rays, etc.
Clinical Record
Analysis,
lab notes
Hospital transaction events
1.
Living Will
2.
Resume
3.
Qualifications
…“When did my patient first visit a clinician and have radiological scans and laboratory tests performed to diagnose her condition? What were the results of the treatments she received? What future action is suggested to improve her condition given her allergies, current research findings, her family’s medical history, her treatment regimen, and her insurance coverage?”
EKG, EEG, etc.
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整理课件
一个医院中会包括 6到10个独立的系统
实验室结果（实时传输、返回临床、要达到治疗的浓度）
肾功能报警
血小板计数报警
血药浓度报警
护理系统
病人主述
监护报警
药物反应报警
住院人数提示
药房系统
药物之间的相互反应（配伍禁忌）
治疗的替代
ADE
剂量范围的提示
临床数据存储
CP