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中国医疗服务进“E时代” 存信息泄露巨大风险 2012-07-16

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  监管大处方,共享大平台 Supervision DaChuFang,Sharing platform

  网络信息化的运用,打破了医疗卫生传统管理模式,不仅有利于监管百姓深恶痛绝的大处方,还可通过系统管理优化药品流通,降低医疗费用。

The use of Internet information,Break the medical and health to traditional management mode,Not only beneficial to the supervision of the people DaChuFang runs,Still can through the system management optimization medicine circulation,Reduce medical expenses。

  在四川新津县花源镇卫生院院长杨成的办公室,半月谈记者在他的电脑上看到了医院各科的诊疗和处方情况。如今,在该县的每个公立医院和公立基层医疗机构,无论是院长还是卫生局长都能及时、准确地查看到每个医疗点上的各类信息,实时监控医务人员的诊疗行为。同时,通过系统还可以掌握辖区内居民健康状况,有针对性地制定准确实用的卫生保健规划,及时应对突发公共卫生事件。

In sichuan xinjin source of the flower of Yang cheng township office,半月谈 reporter in his computer to see the hospital in all areas, diagnosis and treatment and prescription。now,In each county public hospital and public basic-level medical institutions,Whether President or health bureau chief in time、Accurately for each health care facility of the various types of information,Real-time monitoring of diagnosis and treatment and medical personnel behavior。At the same time,Through the system can also learn residents within the jurisdiction of health,Formulates target-oriented accurate practical health care plan,To deal with public health emergencies。

  杨成告诉半月谈记者,这个平台还开通了很多方便患者就医的功能,有效节约了资源、减少了群众的看病费用。记者看到,患者用医保卡刷卡挂号后,接诊医生的电脑里便会出现患者的详细信息,包括姓名、年龄、病史、用过的药品等。

Yang cheng told 半月谈 reporter,This platform also opened a lot of convenience patients the function of the doctor,Effective save resources、Reduce the cost to see a doctor。The reporter sees,Patients with health insurance CARDS after registration,Accepts the doctor computer will appear the patients with detailed information,Including the name、age、history、Used drugs and so on。

  在医生开处方时,信息系统不仅有药品的价格、厂家,还会提示医生药品搭配的禁忌等。一旦出现大处方,系统马上就会跳出相关提示,后台监控人员可以立即进行核实。

In the doctor prescribed,Information system has not only the price of drugs、manufacturer,Also prompts the doctor drug tie-in taboo, etc。Once appear DaChuFang,System it will jump out of the notice,Daemon personnel can verify immediately。

  “小圈圈”亟待形成“大循环” “Small circle”To form“big”

  信息化是新医改重要的组成部分,各地都在推进医疗卫生信息网络体系建设。然而,记者调查发现,由于投资主体不明确,各系统功能定位不统一,相互之间没有联网,难以最大限度发挥信息化共联共享功能。同时存在重复建设、浪费财力等问题。

Information is the important component of the new medical,All forward the medical information network system。however,A survey revealed that,Due to the main body of investment is not clear,The system function orientation of unity,No networking between each other,Hard to maximize the information sharing function of united play。Repeat construction there、Waste of money。

  由于没有形成“大循环”的医疗信息化体系,信息化在缓解双向转诊难、医生培训等方面存在不足。成都市武侯区人民医院院长吴海宁说,当前,信息化大多只实现了局域共享共联,最多只能实现区域内的转诊和医资培训。如果建立起全国一盘棋的信息化网络,对于广大老百姓来说,将随时随地“点单式”地选择专家医疗服务。

With no form“big”Medical information system,The information in the ease two-way referral difficult、The doctor training inadequate。Chengdu WuHouOu people's hospital director WuHaiNing said,The current,Information only mostly realize the sharing of local united,Most can only achieve area and medical referral information training。If set up the national game information network,For the common people,Will anytime and anywhere“Some characteristic menu type”To choose expert medical services。

  四川省盐边县委副书记田锋认为,当前推进医疗卫生信息化建设的重点在于打好三个基础、建好三级平台、提升业务应用系统。打好三个基础的核心是加快医疗卫生信息标准化的建设,一是建立全国统一的、标准化的居民健康档案;二是建立国家电子病历基本架构与数据标准,包括基于电子病历和医院管理的信息系统建设方案;三是建立国家卫生信息数据字典。

In sichuan province, the deputy secretary of TianFeng salt county think,The current forward the medical information construction focus is to play three basis、Built the level 3 platform、Improve business application system。Play three basic core is to accelerate the medical and health information standardization construction,The establishment of national unity、The inhabitants of standardization health file;2 it is the establishment of a national electronic medical records and data standard basic architecture,Including based on electronic medical records and hospital management information system construction plan;Three is the establishment of a national health information data dictionary。

  “整合资源、探索构建标准统一或相互兼容的全国信息化系统,这样才能让信息化破茧成蝶,构建‘智慧医疗’为百姓谋福。”田锋告诉半月谈记者。

“Integration of resources、Explore the construction standard unity or the national informatization system compatible with each other,So that information into a butterfly cocoon,building‘Wisdom medical’For the people for blessing。”TianFeng told 半月谈 reporter。

  卫生部有关负责人表示,信息化是把“双刃剑”,一定程度上存在信息泄露的巨大风险。要加大对信息安全的投入,健全管理机制,积极落实国家信息安全等级保护制度,全面推进信息保护和网络信任体系建设。

Health ministry officials said,Informatization is the“Double-edged sword”,To some extent the existence of information leaked great risk。To increase the investment to information security,And perfect the management mechanism,Actively implementing the national information security level protection system,Promote information protection and network trust system construction。

  他认为,只有利用平台技术,统筹规划、整合资源,促进业务应用系统的互联互通和信息共享,才能从根本上消除“信息烟囱”、“信息孤岛”现象,为群众提供方便快捷的医疗服务。(《半月谈内部版》2012年第7期,记者 叶建平 崔曜)

He thinks,Only use platform technology,Overall planning、Integration of resources,Promote business application system of interconnected and information sharing,Fundamentally eliminate“Information chimney”、“Information island”phenomenon,For the masses to provide convenient and quick medical services。(《半月谈 internal version》2012 the 7 period,Reporter YeJianPing CuiYao)

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