Sharing health data among general practitioners: The Nu.Sa. project
Sharing health data among general practitioners: The Nu.Sa. project
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DOI：
10.1016/j.ijmedinf.2019.05.016
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发表时间：
2019-09-01
影响因子：
4.9
通讯作者：
Misericordia, Paolo
中科院分区：
文献类型：
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作者：
Frontoni, Emanuele;Mancini, Adriano;Misericordia, Paolo
如今，电子医疗已以各种医疗保健提供者的形式进入日常工作流程。全科医生（gp）是公共卫生服务中最大的类别，在意大利约有60,000名全科医生。在这里，我们介绍美国。项目，在意大利运营，它已经建立了第一个基于异构数据源的全科医生医疗保健信息系统之一。该系统连接所有提供者，并提供对临床和健康相关数据的全面访问。这一目标是通过一种新的数据共享技术基础设施来实现的，该基础设施基于国家层面认可的互操作性规范，用于从GP提供商传输到中央域的消息。所有的数据标准都是公开的，并会不断改进。目前，该系统管理着5000多名全科医生，共约550万名患者，每月有470万张药理学电子处方和170万张实验室检查电子处方。因此，nuu sa。能够从16种不同形式的全科医生软件收集标准化数据的医疗保健系统，通过实施以网络安全为重点的数据标准，将大型异构领域的患者、全科医生、医疗保健组织和医疗保健专业人员连接起来。结果表明，该方案在全国范围内的应用，以及对体系结构可扩展性和软件可用性的新度量，影响了卫生系统和全科医生的专业活动。
Today, e-health has entered the everyday work flow in the form of a variety of healthcare providers. General practitioners (GPs) are the largest category in the public sanitary service, with about 60,000 GPs throughout Italy. Here, we present the Nu.Sa. project, operating in Italy, which has established one of the first GP healthcare information systems based on heterogeneous data sources. This system connects all providers and provides full access to clinical and health-related data. This goal is achieved through a novel technological infrastructure for data sharing based on interoperability specifications recognised at the national level for messages transmitted from GP providers to the central domain. All data standards are publicly available and subjected to continuous improvement. Currently, the system manages more than 5,000 GPs with about 5,500,000 patients in total, with 4,700,000 pharmacological e-prescriptions and 1,700,000 e-prescriptions for laboratory exams per month. Hence, the Nu.Sa. healthcare system that has the capacity to gather standardised data from 16 different form of GP software, connecting patients, GPs, healthcare organisations, and healthcare professionals across a large and heterogeneous territory through the implementation of data standards with a strong focus on cybersecurity. Results show that the application of this scenario at a national level, with novel metrics on the architecture's scalability and the software's usability, affect the sanitary system and on GPs' professional activities.