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    全國醫院信息化建設標準與規范發布

    時間:2018-04-16 10:12:14  來源:  作者:
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      4月13日,國家衛生健康委員會發布《全國醫院信息化建設標準與規范(試行)》。這是繼2016年《醫院信息平臺應用功能指引》和2017年《醫院信息建設應用技術指引》之后,出臺的又一個醫院信息化建設國家級標準。至此,醫院信息化建設標準在國家層面構建起一個較為完整的體系框架。
     立梁架柱健全體系
      中國工程院院士李蘭娟表示,信息技術為提升現代醫療管理和臨床科研水平帶來了全方位多層次變革。醫院信息化建設是全民健康信息化發展的主力軍,面臨標準化、規范化和應用水平及能力方面的難點、痛點。《標準與規范》從業務應用、信息平臺、基礎設施、安全防護、新興技術5個方面提出262項建設標準,為醫院信息化建設評價和指導提供了實操性指南,將引導提高各級醫院信息化服務水平,促進行業信息發展。
      “加強頂層設計,有利于醫院信息化建設在標準規范性、數據一致性、數據完整性、數據聯通性、信息應用性、發展平衡性等方面進一步完善,確保各類診療資料有效地互聯互通和務實應用,促進醫院信息化的可持續發展和醫療大數據的可利用性。”國家衛生健康委員會醫療管理服務中心質量評價處副處長劉俊峰說。《中國數字醫學》雜志社主編李華才認為,3年內連續出臺3個針對醫院信息化建設的標準規范,可以有效促進和規范醫院信息化建設與應用。
      為交互共享創造條件
      強化信息互通共享,推進標準化、規范化是必選動作。這是眾多受訪者的共識。
      國家衛生健康委員會統計信息中心主任張學高指出,隨著居民健康需求轉向健康服務個性化、醫學治療精準化、就醫問診便捷化,醫院信息化在優化醫療服務流程、健康管理和智慧醫療建設等方面的支撐和引領作用日益凸顯。實現信息共享和業務交互,數據標準化、業務規范化以及技術架構的支撐三者缺一不可。
      信息標準和信息化建設規范是基礎。當前國內大多數醫院信息化建設整體規劃不足,大多是從臨床醫療管理和醫院管理的經驗出發,注重于個別或部分功能的實現。《標準與規范》從業務應用、信息平臺、基礎設施、安全防護、新興技術等內容,按照二級、三級乙等和三級甲等醫院提出了具體建設要求,使醫院信息化建設有章可循,統一標準,為不同醫院、醫院與區域平臺之間數據的交互共享創造了條件,進一步推動了醫院信息的互聯互通。國家衛生健康委員會統計信息中心副主任胡建平指出,醫院信息互聯互通標準化成熟度測評,恰恰體現了我國衛生健康信息化工作數據標準化、業務規范化和技術架構合理化并重的思路,下一步要根據《標準與規范》內容對測評指標體系進行完善和細化。今后的信息化工作將以醫院信息互聯互通標準化成熟度測評為抓手,推動相關醫院信息標準的應用落地和本規范的貫徹實施。
      信息化技術發展的最終目的是服務于行業、業務、管理和服務,服務于醫護和患者。信息化建設的結果評判不僅要體現在“自我感覺”上,還要表現在服務對象的“可及可感”上。國家衛生健康委員會規劃與信息司副處長沈劍峰表示,要用信息技術來引領醫療衛生服務,用技術服務百姓。
      《健康報》社總編輯周冰表示,在“互聯網+”與社會生活日益緊密聯系的時代,人們對醫院信息化建設的期待也不同既往。在評價信息化工作時,迫切需要體現公眾感知的維度,讓被服務方能很方便地參與其中。作為醫療健康行業最權威的媒體,《健康報》有責任和義務為公眾鼓呼,為信息化工作的成效評判提供新的視角。周冰強調,醫院的信息化工作要從醫院的業務需求出發,從為患者服務的需求出發。信息化工作也有“打通服務最后一公里”的要求,最終形成信息和服務閉環,讓管理者、醫生護士和患者都能感受到信息化帶來的便利。在這一點上,《標準和規范》特別吸收了《健康報》社“醫患友好度”標準中“服務患者”相關內容。例如,新標準排在首位的一級指標就是“便民服務”,其中就涵蓋互聯網服務、預約服務等。
      據了解,“醫患友好度”理念是2014年6月由《健康報》社聯合國內相關高校和學會首先提出的。它倡導醫療機構借助互聯網工具主動向社會和患者提供醫療信息,幫助患者管理自己的健康,并搭建便捷高效的醫患互動平臺,及時回應患者訴求。
      “《標準與規范》通過將醫院信息化建設放在醫院現代化和醫療事業現代化的戰略高度進行思考和謀劃,將有助于以醫療服務信息流帶動醫院技術流、人才流、資金流和物資流,促進醫療資源配置優化。”劉俊峰表示。李蘭娟指出,醫院信息化是人口健康大數據的重要來源,其發展和技術應用水平對我國未來占領人工智能領域應用研究高地至關重要,希望同道們秉承求是的科學精神,重新審視和推進醫院信息化建設發展。

    全國醫院信息化建設標準與規范(試行)全文下載

    www.laibaoying99.com/doc/view/9490.html

    來源:健康報

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