Electronic medical records, I want to say that sharing is not easy
At present, many hospital electronic medical records have not yet been interconnected. Patients have been treated in a certain hospital and some basic tests have been done. However, when they want to go to another hospital to see a doctor, they are often required to check again in this hospital. Such repeated examinations increase the patient's troubles, increase the economic burden, and are not conducive to the promotion of graded diagnosis and treatment.
People who often visit a doctor must be familiar with the computer and printer on the doctor's desk. The patient's condition no longer needs to be handwritten by the doctor. The doctor will enter the information into the computer according to the patient's dictation. With the medical record printed in an instant, the patient is no longer guilty of not being able to understand the "天书" handwritten by the doctor.
Electronic medical records are favored by hospitals and doctors, and their advantages are unquestionable. In China, multiple voices call for the interconnection of electronic medical records in hospitals, to achieve patient diagnosis information sharing, to avoid repeated inspections, to reduce medical expenses, and to assist in grading diagnosis and treatment. Even the former US President George W. Bush and Obama have promoted it, saying that electronic medical records can avoid medical errors, reduce costs, and improve service quality.
However, with the popularity of electronic medical records, its drawbacks have become increasingly apparent. Recently, it has been reported that the largest medical dispute insurer survey in the United States shows that many medical disputes involve electronic medical records. From June 2014 to December 2016, 66 medical disputes involved electronic medical records, and between 2007 and 2010, only There are 2 cases.
Does the electronic medical record break the information island? Are the electronic medical records of all hospitals interconnected? How can we better use electronic medical records to serve patients? With all kinds of questions, the reporter visited Liu Yuhong, director of the Information Department of Beijing Chaoyang Hospital.
Electronic medical records are an integral part of information systems
Although electronic medical records have been used in the United States for a decade or two, they are still accused by the relevant institutions that the system is not sound. The problem is concentrated in the following: lack of integration of hospital electronic medical records, no warning early warning function, lack of interoperability of the system. Among them, the lack of interoperability of the system is the most serious, and it is impossible for medical institutions to share and integrate patient information for care coordination. Although the US government has developed a blueprint for enhanced interoperability, implementation is not ideal.
In this regard, Liu Yuhong said, "The system is always updated. At present, our understanding of electronic medical records is somewhat narrow, and there is no consensus on the concept of electronic medical records."
The so-called electronic medical record refers to the digital medical service work record of the medical institution for clinical diagnosis and guidance intervention of outpatients, inpatients (or health care subjects), and is a complete and detailed record generated and recorded by residents in the medical institution. Clinical information resources. “Electronic medical records not only refer to static medical record information, but also related services provided.†Liu Yuhong further explained that electronic medical records are not equivalent to “hospital information systemsâ€, and it focuses on individuals who are involved in the process of receiving various medical services from medical institutions. The data integration system for clinical diagnosis and guidance intervention information is an integral part of the “Hospital Information Systemâ€. In addition, from the perspective of technological development and application content, the electronic medical record should have three connotations: one is to include the complete information of the patient and can be shared; the second is to provide medical tips and alarms; the third is to provide database support.
“For example, Chaoyang Hospital recently launched the 'healthy cloud'.†Liu Yuhong revealed that patients only need to install the client through the mobile phone, and move their fingers, they can see the order of medical treatment according to the order of the treatment, sorting out the medical information and each visit. Information such as departments, doctors, diagnosis, prescriptions, etc., can also view X-ray, B-ultrasound, CT and other inspection reports.
Electronic medical record supervision has management loopholes
The advantages of electronic medical records are obvious, but patients also have concerns about the protection of the right to know and the right to privacy. It is a terrible thing to think that once a information leak causes a dispute.
At one time, thousands of pregnant women's information in the Shenzhen Maternal and Child Health Hospital were leaked, and the information was even detailed to the gestational age and expected date of birth, residential address, telephone number, etc. Although the police arrested two suspects for allegedly infringing on the personal information of citizens, the public was very worried about the disclosure of their information, especially the disclosure of patient information.
The security of citizens' personal information and the privacy of patients cannot be insulated from the era of big data. Liu Yuhong believes that in order to prevent information from being leaked and abused, the key is to have sound laws and systems, and to have reliable remedies, that is, to improve the protection mechanism of hospitals and health systems for patients' medical records and information. In addition, at the beginning of the development of application software, patient privacy protection and data security are designed as the primary technical elements.
"The establishment of an electronic medical record quality control system is an effective way to ensure the quality of electronic medical records." Liu Yuhong stressed that electronic medical records as an important part of hospital information management, in addition to technical and operational procedures, the relevant government departments should The management of traditional medical records shall be formulated with relevant electronic medical record management policies, and relevant government departments shall strengthen the management of the safety of electronic medical records through these systems.
It is understood that the current hospitals rely on industry self-discipline for electronic medical records and electronic health file information protection. The health department has promulgated the "Guiding Opinions on the Protection of Information Security Levels in the Health Industry", but only specifies the level of hospital information protection, and there are no specific measures to regulate the patient's medical records. In this regard, Zeng Qiyi, dean of Zhujiang Hospital of Southern Medical University, believes that in addition to enacting relevant laws and regulations to protect the legitimate rights and interests of patients, there must be a mechanism of severe punishment. Only by letting people who violate laws and regulations pay a heavy price can this behavior be eliminated. .
Lack of demand? Lack of motivation? The lack of mechanism breakthrough?
At present, many hospital electronic medical records have not yet been interconnected. Patients have been treated in a certain hospital and some basic tests have been done. However, when they want to go to another hospital to see a doctor, they are often required to check again in this hospital. Such repeated examinations increase the patient's troubles, increase the economic burden, and are not conducive to the promotion of graded diagnosis and treatment.
It is a great matter for the convenience of the people to promote the sharing of medical records and realize the sharing of information such as tests, images and diagnosis of patients. Liu Yuhong said that the “healthy cloud†includes all the patient information in the Chaoyang Hospital. Patients can check medical records, prescriptions and other medical information without going to and from the hospital, saving time and transportation costs, and avoiding loss of laboratory reports. And the situation that the medical information is incomplete.
Although the ideal is full, the reality is not optimistic. It is known that not all hospitals can share information at present. For this, Qi Wensheng, director of the Information Center of the Beijing Municipal Health and Family Planning Commission, said that first of all, doctors lack the rigidity of electronic health record sharing needs, and did not see other hospital information. In the case, the patient can be diagnosed. Secondly, the hospital lacks motivation and information can be shared, but it may not be shared because it is linked to the economy. In addition, there is a lack of institutional design in policy and a lack of mechanism for construction.
Take Beijing as an example. In 2011, Beijing implemented the “Medical Union Codeâ€. Patients can go to all the third-level hospitals in Beijing with only one card. Although the wish is very good, the project has not been interconnected, so the project has been slow to advance; in 2012, the Beijing Municipal Health Bureau, the Municipal Hospital Administration and the Bank of Beijing jointly launched the “Jing Yi Tongâ€, and the patients can complete the online on the mobile phone. Registration, payment function, eliminating the need to line up the line. After the implementation of the medical reform, “Jingyitong†basically landed; in 2015, the Beijing Municipal Health Planning Commission launched the “Beijing Tong†resident health card to realize the real “one card†for medical treatment. In the future, “Jingyitong†is very likely and “Beijing†"Combination" is integrated.
Regardless of which government department implements which card, each hospital needs to change the status quo of system independence and build a unified digital exchange system at the upper level. Although there are policy requirements and requirements for medical reform, there are still many limitations in sharing and reviewing electronic health records, not just the technical department. Only when the management department, especially the fee payer, promotes it together can make a big breakthrough. So there is still a lot of work to be done to achieve the goal, and there is still a long way to go. (Technology Daily)
Hpmc Empty Vegetarian Capsules,Vegetarian Empty Capsule,Empty Color Vegetable Capsule,Medical Empty Vegan Capsules
Ningbo Jiangnan Capsule Co., Ltd. , https://www.ningbocapsule.com