医院信息化建设方案微软.pptx

医院信息化建设的思考 微软中国2016 Major Biological Advances New approaches enabled by advanced technologies and better understanding 决定未来医院形式的三大驱动力. Improved Diagnostics New technologies enable detection of disease at earlier stage, increasing number of patient requiring treatment Population Growth Increase in population across decade expands market for health care services Technology Pervasive increase in internet and technology use Crowded PCP Panels Large panels limit timely access to physicians, hindering prevention efforts and encouraging ED use for primary care services Less Restrictive Products Relaxation of referral authorization, prevalence of PPO products with low co-pays facilitate access to providers and services Graying Population Aging of populace, particularly baby boomers, increases population segment most likely to utilize health care services Heightened Consumer Expectations “Educated” consumers more likely to demand full range of diagnostic and therapeutic technologies Less Invasive Therapies Advances in procedural techniques minimize risk and recovery time, expanding the potential patient base 人群结构 新技术 不断提高的 就医体验 Page 3 医院未来发展，对集成、分析、和管理有很高的要求. Access to Diverse Heterogeneous Distributed Data Expression Arrays Personal genomics, SNPs CAT, MRI, X-Rays, etc. Clinical Record Analysis, lab notes Hospital transaction events …“When did my patient first visit a clinician and have radiological scans and laboratory tests performed to diagnose her condition? What were the results of the treatments she received? What future action is suggested to improve her condition given her allergies, current research findings, her family’s medical history, her treatment regimen, and her insurance coverage?” EKG, EEG, etc. 一个医院中会包括 6到10个独立的系统 实验室结果（实时传输、返回临床、要达到治疗的浓度） 肾功能报警 血小板计数报警 血药浓度报警 护理系统 病人主述 监护报警 药物反应报警 住院人数提示 药房系统 药物之间的相互反应（配伍禁忌） 治疗的替代 ADE 剂量范围的提示 临床数据存储 CPOE工作站 药物之间的相互反应 剂量范围的提示 饮食系统（营养科） 药物-食物相互反应 IV 到PO的报警提示 应用间互通 新增系统或功能 不同科室对系统的要求不同，单一系统无法满足整体要求（护理站系统、医生工作站系统）： 孤岛的