面向非医学信息学专业的医学信息学教材建设探析

列举国内外医学信息学代表教材,参考国际医学信息学会的建议,针对国内非医学信息学专业医学生医学信息学教材存在的问题,提出整合先进的医学信息学内容,阐明教材编写原则及形式,以期加强非医学信息学专业医学生的医学信息学教育水平。     

医学信息学的新机遇和挑战:从参与性医学到智能健康管理

从数据、技术、算法和应用4个方面探讨现代医学信息学所面临的新机遇与挑战。从学科生态角度分析现代医学信息学与本体构建、参与性医学、数据科学、人工智能、互联网医学等的关系并对其新的研究方向进行展望。     

我国医学信息学专业开放共享精品课程调查分析

从在线开放课、视频公开课和资源共享课3个角度对医学信息学专业所涉及的医学类、计算机类、信息管理类和其他类开放共享精品课程进行调查分析,从专业发展角度提出相关建议,包括课程设置进一步统一、充分利用其他学科资源等方面,以促进我国医学信息学快速发展。     

Medical Informatics: A Model Developed for Diabetes Education Via Telemedicine

Fast developments in information and communication technology (ICT) have made it possible to develop new services for people. One of the most interesting areas is health care. Medical informatics is the discipline concerned with the systematic processing of data, information and knowledge in medicine and health care. Information services, medical decision support systems and telemedicine are becoming important tools for medical professionals and also people who are interested in health related information. Medical decision support aims at providing health care professionals with therapy guidelines directly at the point of care. Telemedicine is the use of modern telecommunications and information technologies (IT) for the provision of clinical care to individuals at a distance and transmission of information to provide that care. In the present study, usage of IT in medicine, medical decision support systems, computerized medical measurements, patient education and network connectivity were described. A model for risk evaluation, data collection and education of undiagnosed diabetes using the world wide web (www) was presented.     

医信融合:信息赋能医学人才培养创新实践

目的/意义 在医学人才培养中深度融入信息教育,有助于提升医学人才培养质量,探索高等医学教育改革新方向。方法/过程 结合山西医科大学医信融合教育实践经验,阐述医信融合人才培养体系构建路径。结果/结论 形成从知识生产到学生认知建构的模式转变,改进建构主义教育教学理论,对学科交叉融合过程中医学人才培养具有显著理论指导意义。     

Rural community health workers’ readiness for mobile-phone based telemedicine uptake in India

Objective: Healthcare services using mobile-phone based telemedicine provide simple technology that does not require sophisticated equipment. This study assessed community health workers’ knowledge, attitude, and practice (i.e., their readiness) at the village level for uptake of mobile-phone based telemedicine.Materials and Methods: This cross-sectional study was conducted among 80 community health workers, including Auxiliary Nurse Midwives, Multipurpose Health Workers and Accredited Social Health Activists working in a rural health block of India. A pre-tested, semi-structured, interviewer-assisted, self-administered questionnaire was used to assess their mobile-phone based telemedicine readiness.Results: Sixty (75.0%) health workers owned mobile phones. The median readiness score for mobile-phone based telemedicine was 109.0. The Accredited Social Health Activists showed a better attitude toward mobile-phone based telemedicine than others. There was a significant moderate positive correlation (r=0.67) between knowledge and practice domains. Community health workers who had smartphones showed a significantly better attitude than those who did not.Conclusion: Training programs on telemedicine service delivery, focused on Auxiliary Nurse Midwives/ Multipurpose Health Workers, can improve their attitudes towards telemedicine. A better attitude of the Accredited Social Health Activists must be leveraged to initiate mobile-phone based telemedicine services on a pilot basis initially and later scaled up in other settings.     

PBL教学模式在八年制医学免疫学教学中的实践

介绍了PBL教学模式的概念,并对PBL教学模式在八年制医学免疫学理论、实验教学中的具体实施进行分析,明确了PBL模式在医学免疫教学中所起的核心作用。     

病案资源的利用与电子病案

作者追踪了今年1-4月内外科住院病案的利用情况及现有的病案管理模式主要存在的问题;论述了电子病案的优势及PACS系统:提出了电子病历信息的法律问题、电子病历的使用权限、病案在HIS系统中的流动等几点思考.得出结论:充分利用现有的、具有全国先进水平的HIS和它拥有的巨大的信息资源库,是解决病案信息合理充分利用的根本途径.     

谈电子病历系统在临床护理中的应用

目的探讨电子病历在临床护理中的作用,为促进电子病历的广泛应用提供依据。方法通过护理基本资料、医嘱处理、打印功能、移动办公、质量控制等五个方面,观察电子病历在临床护理中的应用。结果电子病历以书写快捷、格式规范、记录清晰、时效性强、在线保存、随时查阅等优点,在临床护理工作中充分体现了它的先进性,实现了护理文书的标准化、规范化、信息化管理,提高了护理文书质量和工作效率。结论电子病历的应用,可有效规范护士行为,减轻护士劳动强度,提高护理文书书写水平。     

医疗道德风险的供方法律控制研究

对于医疗道德风险的控制,较之需方需求控制而言,供方医疗行为控制具有明显的优势。供方医疗行为涉及众多利益关系主体,分别针对医生行使处方权和医疗卫生机构医疗行为来建构供方医疗行为法律控制制度,不失为医疗道德风险的有效控制路径。     

医学影像学教学用PACS系统资源库的模式构建与管理

医学影像学数字化建设是当前医学影像学教学模式改革的热点,医学影像学实训课教学用医学影像存档与通信系统(Teaching-PACS,T-PACS),系统的应用作为推动医学影像学数字化建设的重要组成部分,在医学院校的日常教学活动中发挥着非常重要的作用。本文通过对医学影像教学用T-PACs系统资源库的模式构建和管理的原则和经验进行阐述,对取得的成效进行了评价。     

The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety

With the proliferation of relatively mature health information technology (IT) systems with large numbers of users, it becomes increasingly important to evaluate the effect of these systems on the quality and safety of healthcare. Previous research on the effectiveness of health IT has had mixed results, which may be in part attributable to the evaluation frameworks used. The authors propose a model for evaluation, the Triangle Model, developed for designing studies of quality and safety outcomes of health IT. This model identifies structure-level predictors, including characteristics of: (1) the technology itself; (2) the provider using the technology; (3) the organizational setting; and (4) the patient population. In addition, the model outlines process predictors, including (1) usage of the technology, (2) organizational support for and customization of the technology, and (3) organizational policies and procedures about quality and safety. The Triangle Model specifies the variables to be measured, but is flexible enough to accommodate both qualitative and quantitative approaches to capturing them. The authors illustrate this model, which integrates perspectives from both health services research and biomedical informatics, with examples from evaluations of electronic prescribing, but it is also applicable to a variety of types of health IT systems.     

从西藏农牧区全科医生人才的需求看医学教育改革的必要性

民族医疗卫生事业是我国民族事业的重要组成部分,不仅在历史上为各族人民的生存繁衍做出了重要贡献,而且对提高人民群众健康水平、促进经济社会发展,也对构建和谐社会发挥着不可替代的独特作用。新时期西藏医疗卫生事业急需全科医生人才,本文从西藏农牧区全科医生人才的需求出发,探讨了医学教育改革的必要性。     

医学院校图书情报硕士专业学位研究生培养方式与课程设计

从医学图书情报专业的需求与特征出发,参考国外专业设置,探讨我国医学院校图书情报硕士专业学位研究生培养方式和课程设计,以期为相关培养工作提供借鉴和参考。     

城乡基本医疗保障制度衔接的可行性分析:以武汉市洪山区为例

目的:以武汉市洪山区为例,分析城乡基本医疗保障制度衔接的可行性。方法:对两种医保制度的相关政策文件进行归纳整理,综合比较。结果:两种制度的最终目标都是建立全民医保;基本原则都是要求多制度协调发展,自愿参加保险,采用收支平衡和以收定支、财政专户和专款专用的方法管理资金;参保对象都是无工作单位的非从业者,且在同一个统筹县区内,收入及生活水平相差不大;筹资模式都是个人缴费与政府补助相结合,且政府承担主要责任;报销待遇都是大病医疗为主,住院按医疗机构的三级转诊制度逐级报销,且报销比例逐级下降。结论:制度衔接在政策制定、社会效益、财政支持方面具有可行性。可以通过统一统筹范围、扩大参保对象和建立多层次标准等办法让两种制度更好地衔接。     

《健康中国行动(2019-2030年)》背景下我国健康信息学教育发展思路探讨

介绍《健康中国行动（2019-2030年）》,分析美国排名前5位图书情报学院健康信息学教育情况,总结其办学经验与特色,提出我国健康信息学教育发展思路,包括加强重视、由信息管理学院担当教育重任、跨学科合作、有效开展健康信息素养教育等。     

人工智能在我国卫生健康领域的应用和法律挑战

简要梳理人工智能在我国卫生健康领域的应用,从法律主体制度、医疗损害责任归责与认定、个人健康信息保护、医疗人工智能监管方面分析目前面临的法律挑战,提出科学立法相关建议。     

医疗物联网:慢性病智能生命体征监测

介绍慢性病体征监测现状及物联网在慢性病体征监测方面的作用,详细阐述物联网技术采集慢性病患者体征数据的方法、人工智能处理体征数据的算法,分析医疗数据安全问题并提出展望。     

地理信息系统在医疗卫生领域应用研究进展

介绍地理信息系统概念和功能,从传染性疾病、慢性非传染性疾病、中药资源、突发公共卫生事件和卫生资源配置几方面阐述地理信息系统在医疗卫生领域的应用情况,为相关研究提供参考。