Sharing Clinical Data Electronically
Cet article analyse les défis posés par le projet du gouvernement américain d'établir des bases de données cliniques électroniques à l'échelle nationale
The United States is undertaking an ambitious effort to wire the health care system. The goal is to build a nationwide information infrastructure to serve as the foundation for large and sustained improvements in performance. Widespread adoption of health information technology will support new care delivery models, such as patient-centered medical homes, alongside broader initiatives, such as performance reporting and public health surveillance. To enable the health information technology revolution, Congress allocated nearly $30 billion focused on 2 main goals: transitioning physicians and hospitals from paper-based to electronic systems and enabling these systems to interoperate, allowing clinical data to flow between health care organizations.
The vision of complete patient information available across care delivery settings is compelling and central to a high-functioning health care system. However, the vision is deceptively simple: there are enormous challenges to enabling clinical data to flow across organizations. These challenges are substantially greater than those …
JAMA: The Journal of the American Medical Association , résumé, 2012