Building the national health information infrastructure for personal health, health care services, public health, and research.
Building the national health information infrastructure for personal health, health care services, public health, and research.
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DOI：
10.1186/1472-6947-3-1
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发表时间：
2003-01-06
影响因子：
3.5
通讯作者：
Detmer, Don E
中科院分区：
文献类型：
--
作者：
Detmer, Don E
背景技术背景：改善我国的健康状况需要加强卫生保健系统的四个主要领域：个人健康管理、卫生保健提供、公共卫生和卫生相关研究。卫生部门许多可避免的缺陷导致质量低下，原因是无法获得数据、信息和知识。国家卫生信息基础设施提供了纠正这些缺陷所必需的连通性和知识管理。更好的健康和更好的卫生系统是在我们reach. DISCUSSION：美国的国家卫生信息基础设施应解决个人健康管理，医疗保健服务，公共卫生和研究的需求。它还应涉及相关的全球层面（例如，跨国界共享数据和知识的标准）。公共和私营部门需要合作，为美国建立一个强大的国家卫生信息基础设施，基本上是一个“无纸化”的卫生保健系统。联邦政府应按照国家生命和健康统计委员会和总统信息技术咨询委员会的建议，发挥领导作用，确保建立国家卫生信息基础设施。需要在资金、激励措施、标准和持续完善隐私（即，保密和安全）框架，以便利为健康目的进行个人身份识别。应特别注意NHII领导和变革管理的挑战。概要：国家卫生信息基础设施是改善美国健康状况的必要步骤。这将需要公共和私营部门的协调一致的合作努力。
BACKGROUND: Improving health in our nation requires strengthening four major domains of the health care system: personal health management, health care delivery, public health, and health-related research. Many avoidable shortcomings in the health sector that result in poor quality are due to inaccessible data, information, and knowledge. A national health information infrastructure (NHII) offers the connectivity and knowledge management essential to correct these shortcomings. Better health and a better health system are within our reach.DISCUSSION: A national health information infrastructure for the United States should address the needs of personal health management, health care delivery, public health, and research. It should also address relevant global dimensions (e.g., standards for sharing data and knowledge across national boundaries). The public and private sectors will need to collaborate to build a robust national health information infrastructure, essentially a 'paperless' health care system, for the United States. The federal government should assume leadership for assuring a national health information infrastructure as recommended by the National Committee on Vital and Health Statistics and the President's Information Technology Advisory Committee. Progress is needed in the areas of funding, incentives, standards, and continued refinement of a privacy (i.e., confidentiality and security) framework to facilitate personal identification for health purposes. Particular attention should be paid to NHII leadership and change management challenges.SUMMARY: A national health information infrastructure is a necessary step for improved health in the U.S. It will require a concerted, collaborative effort by both public and private sectors.