美国卫生决策支持系统建设与应用

研发智能的决策支持系统用于临床服务和卫生管理实践,是控制由于重复检查引发医疗费用增长和决策支持不足引发医疗差错的有效手段。美国典型的卫生决策支持系统包括CPOE、MYCIN、QMR、NEDSS等,主要应用于疾病诊断与治疗、公共卫生应急管理、医院管理、医疗保险管理等方面。美国卫生决策支持系统发展过程中积累的成功经验值得我们借鉴,如:管理制度、决策者和信息技术的结合,满足紧迫的临床业务和卫生管理需求,富有成效的卫生信息化建设以及从临床决策支持系统到卫生管理决策支持系统的发展路径选择等。

Research on Development and Application of Health Decision Support System in the US

The development and application of health decision support system （HDSS） in clinical service and health management is efficient in controlling health expenditure rising from overlapped examinations, and in reducing medical errors rising from insufficient decision-making support tools. Typical HDSS in America includes CPOE, MYCIN, QMR, NEDSS etc., which are mainly used in disease diagnosis and treatment, public health emergency management, hospital management, and health insurance management. The successful experiences accumulated in the development of the US health decision support system are worth referring to, such as, integration of management system, decision-makers and ICT, meeting the urgent needs of clinical service and health management, effective E-health construction, and rational de- velopment pathway from clinical decision support system to health management decision support system.