摘要
电子病历数据开放是是推进电子病历建设与应用的重要环节。作者从电子病历开放数据的定义入手,探讨了电子病历数据开放的内容和形式,总结了美国、英国、丹麦等电子病历数据开放程度较高的国家的先进经验,结合我国电子病历数据开放仅停留在数据获取、并未涉及数据利用的现状,指出我国电子病历数据开放存在数据所有权不明确、居民健康意识薄弱、缺乏统一建设标准的问题,并从国家、医疗机构等角度提出相应政策建议,包括出台标准规范电子病历数据开放、实行患者实名认证、区域平台实现统筹开放、将应用范围和监管与数据开放的内容相关联等。
The open access of electronic health record(EHR)is an important link to promote the construction and application of EHR.Starting with the definition of open data of EHR,the authors discussed the content and form of open data of electronic health records,summarized the advanced experiences of countries with higher openness of EHR in the United States,the United Kingdom and Denmark.This paper combined the current situation that the opening of EHR in China is limited within data access instead of data utilization.It also pointed out such problems in the opening of EHR in China,as unclear data ownership,weak health awareness of residents and lack of unified construction standards.From the point of view of the state and medical institutions,this paper put forward a series of policy suggestions,such as issuing standards to standardize the opening of EHR,implementing patient real-name certification,realizing the overall opening of regional platforms,and linking the scope of application and supervision with the content of data opening.
作者
舒婷
徐帆
李红霞
Shu Ting;Xu Fan;Li Hongxia(Department of Healthcare Information Technology,National Institute of Hospital Administration,National Health Commission,Beijing 100044,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2019年第12期1013-1016,共4页
Chinese Journal of Hospital Administration
关键词
电子病历
数据开放
数据获取
医疗信息化
Electronic health records
Open data
Data access
Healthcare information technology
