Stumbling Blocks of Utilizing Medical and Health Data: Success Factors Extracted from Australia?Japan Comparison
Stumbling Blocks of Utilizing Medical and Health Data: Success Factors Extracted from Australia?Japan Comparison
复制标题
利用医疗和健康数据的绊脚石：从澳大利亚与日本比较中提取的成功因素
DOI：
10.1007/978-981-15-5852-8_2
复制
发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Masuda Yoshimasa
中科院分区：
文献类型：
--
作者：
Fukami Yoshiaki;Masuda Yoshimasa
我们对澳大利亚和日本的医疗卫生数据利用情况进行了比较分析，采用经合组织的指标：数据治理就绪度、高技术和操作就绪度，以及另外三个指标：数据分析机制、安全和隐私保护、扩散和覆盖。日本坦巴市成功地提高了当地医疗的效率。然而，在产生和利用新数据和扩大目标区域，以及让多元化专业利用积累的数据方面存在着很大的障碍。另一方面，澳大利亚全国性电子病历PCEHR是为了综合利用各种数据资源，保护个人的数据控制权而开发的。然而，数据的积累和利用并没有在实施的早期得到促进，并且面临着隐私措施不足的批评。这两种情况的共同点是需要一种能够通过概念、开发和社会实施始终如一地应用的战略，并引入一种能够根据情况快速更新的方法。AIDAF是适合这种情况的工具。如果从一开始就制订一项强有力的扩散战略，并根据情况灵活地加以更新，就更容易克服扩散的障碍，避免对特定情况过度适应。
We have conducted comparative analysis of medical and health data utilization between Australia and Japan with OECD’s indicators:data governance readinessandhigh technical and operational readinessand three additional indicators:data analysis mechanism,security and privacy protection, anddiffusion and coverage. Tamba City of Japan has succeeded in improving the efficiency of local medical. However, there are significant barriers to generating and utilizing new data and expanding the target area, and to make diversified professional utilize accumulated data. On the other hand, PCEHR, Australian nationwide EHR has been developed to utilize various data resources in an integrated manner with protecting individual’s data control right. However, data accumulation and utilization has not been promoted in early stage of implementation and faces of criticism for inadequate privacy measures. What is needed in common from the two cases is the need for a strategy that can be applied consistently through conception, development, and social implementation, and the introduction of a method that can quickly update according to the situation. The AIDAF is a suitable tool for this situation. It would be easier to overcome the barrier to diffusion and to avoid over-adaption to particular situations by developing a robust strategy for diffusion from the beginning and updating it flexibly according to the situation.