The long road to semantic interoperability in support of public health: experiences from two states.

The long road to semantic interoperability in support of public health: experiences from two states.
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DOI:
10.1016/j.jbi.2014.03.011
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发表时间:
2014-06
影响因子:
4.5
通讯作者:
Grannis, Shaun J.
Grannis, Shaun J.
中科院分区:
医学3区
文献类型:
--
作者:
Dixon, Brian E.;Vreeman, Daniel J.;Grannis, Shaun J.

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卫生信息技术的普及为改善临床和公共卫生创造了机会,包括提供高质量、更安全的护理和降低成本。为了最大限度地发挥这些潜在的好处,卫生信息技术必须随时和可靠地与其他系统交换信息。然而,来自两个州的公共卫生监督项目的证据表明,可操作的临床信息系统往往无法使用现有的标准,这是语义互操作性的障碍。此外,对现有激励语义互操作性的政策的分析表明,它们的影响有限,而且是分散的。在这篇文章中,我们讨论了三种方法,提高语义互操作性,以支持国家目标,使用卫生信息技术。一个明确的,全面的战略,需要临床和公共卫生利益相关者的合作努力,建议作为一个漫长的道路,以更好的人口健康数据和结果的指南。
Proliferation of health information technologies creates opportunities to improve clinical and public health, including high quality, safer care and lower costs. To maximize such potential benefits, health information technologies must readily and reliably exchange information with other systems. However, evidence from public health surveillance programs in two states suggests that operational clinical information systems often fail to use available standards, a barrier to semantic interoperability. Furthermore, analysis of existing policies incentivizing semantic interoperability suggests they have limited impact and are fragmented. In this essay, we discuss three approaches for increasing semantic interoperability to support national goals for using health information technologies. A clear, comprehensive strategy requiring collaborative efforts by clinical and public health stakeholders is suggested as a guide for the long road towards better population health data and outcomes.
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