国内外医药信息咨询机构状况及分析讨论

系统调研国内外医药信息咨询服务机构的状况、类型、服务内容等，以期对国内医学信息研究机构开展医药信息咨询服务给予一点启示。     

医院医学信息咨询服务模式的构想

通过微信、微博、院内网站等交流平台,建立面向用户的、智能推送医学信息的、网络化的医院医学信息咨询服务系统,为医务人员提供定题服务,同时定期推送医学资讯,满足用户的信息需求。移动医学信息咨询服务系统,主要包括三个模块：需求获取模块、信息源模块、结果传递模块,三大模块形成一个网络化的服务系统。医院信息咨询服务公众平台,可以让医院科研人员更容易、更简便地进行信息咨询,了解科研动态,阅读文献资料。     

建立移动医学信息咨询服务系统的构想

提出依托微信、微博、医院网站等交流平台,建立医学信息咨询服务系统,为医院科研人员提供移动信息咨询服务的设想,详细介绍了该系统的需求获取模块、信息源模块、结果传递模块的功能,并提出为保证医学信息咨询服务系统正常运行,应积极推广、吸引用户群,建立信息咨询服务档案数据库,设置激励机制,强化信息咨询服务队伍的建设。     

医学图书馆进入医药信息咨询服务领域的竞争力分析

分析知识经济条件下，医学图书馆进入医药信息咨询服务领域所面临的机遇、困难和障碍，提出在医药信息咨询领域立足并发展的对策。     

基于数据耕耘理论的图书馆信息咨询服务模式探讨

文章介绍了数据耕耘理论的研究背景和特点,并阐释了基于数据耕耘理论的图书馆信息咨询服务的优势。通过基于数据耕耘理论的图书馆信息咨询服务模式的构建,提出通过该模式实现数字信息咨询平台中咨询过程与咨询结果可视化、建立信息咨询服务动态化与有环反馈、提供分层次个性化信息咨询服务、构建基于智能Agent技术的信息咨询系统数据集成等创新策略。     

我国医药信息咨询服务浅析

将我国目前的医药信息咨询服务划分为三个层次，并对这三个层次的咨询服务的概念、服务内容、咨询程序、咨询人员和机构进行了论述，最后简要地分析了三个层次咨询服务的发展走向及其重点。     

数字化虚拟参考咨询服务的实现

简要介绍了数字化参考咨询的概念和国内外数字化参考咨询服务的发展,以及<科技信息推送服务系统>是如何实现虚拟参考咨询服务的.     

医药市场营销活动中的信息服务研究

本文从市场营销的角度探讨了医药市场的发展潜力、医学信息在医药市场营销活动中的作用,指出建立面向医药市场营销活动的信息服务系统是医学信息部门参与市场、提高市场服务能力的重要机遇。     

基于HL7协议的健康信息智能咨询系统的设计

[目的]阐述了"基于HL7协议的健康信息智能咨询系统"设计方案。[方法]通过对现代社会健康保健服务模式的研究,运用数据库和人工智能技术,采用B/S模型,net技术实现系统。[结果]建立常见病、多发病的健康保健专家知识库,开发了健康信息智能化咨询系统;研究健康体检数据的标准化传输,开发基于HL7协议的接口引擎;构建了健康体检数据库,以及健康体检信息分析系统,跟踪分析个体体检数据;构建了健康状况评估系统以及疾病危险因素模型动态生成系统,通过健康评估,可及早发现潜在疾病危险因素。[结论]建立基于Web的开放式健康保健咨询平台,通过互联网提供健康保健咨询服务,是健康保健服务的一种有效形式。     

项目管理在我国医药咨询服务中的应用

本文通过介绍我国医药咨询服务业的发展状况及存在问题，分析医药咨询服务的项目化特征，探讨医药服务应用项目管理的必然性和可行性，并针对项目管理的理念、方法、工具在医药咨询服务中的应用进行了初步的探索。     

面向中小型医院的移动医疗信息系统构建

阐述制约移动医疗信息系统在中小型医院发展的因素,总结在中小型医院建设移动医疗信息系统的策略,分析安卓系统作为医疗信息系统开发平台的优点,在此基础上设计一个适合中小型医院的移动医疗信息系统的模型,详细介绍系统设计原则、结构、为客户端提供服务的方式等方面。     

基于HTML5的移动医学影像可视化系统的研究

目的：基于HTML5和最新的Web技术,实现面向现代浏览器的医学影像可视化系统。方法系统参照传统的B/S模式进行整体架构设计,采用WebGL对二维医学影像数据和三维体数据进行绘制。结果系统可运行在不同PC端及移动平台（手机、平板电脑等）上,支持各类浏览器,无需安装任何插件。结论本系统实现了对病人影像的跨平台访问,解决了软件移植成本过于庞大的问题。     

mHealthMon: Toward Energy-Efficient and Distributed Mobile Health Monitoring Using Parallel Offloading

Although mobile health monitoring where mobile sensors continuously gather, process, and update sensor readings (e.g. vital signals) from patient’s sensors is emerging, little effort has been investigated in an energy-efficient management of sensor information gathering and processing. Mobile health monitoring with the focus of energy consumption may instead be holistically analyzed and systematically designed as a global solution to optimization subproblems. This paper presents an attempt to decompose the very complex mobile health monitoring system whose layer in the system corresponds to decomposed subproblems, and interfaces between them are quantified as functions of the optimization variables in order to orchestrate the subproblems. We propose a distributed and energy-saving mobile health platform, called mHealthMon where mobile users publish/access sensor data via a cloud computing-based distributed P2P overlay network. The key objective is to satisfy the mobile health monitoring application’s quality of service requirements by modeling each subsystem: mobile clients with medical sensors, wireless network medium, and distributed cloud services. By simulations based on experimental data, we present the proposed system can achieve up to 10.1 times more energy-efficient and 20.2 times faster compared to a standalone mobile health monitoring application, in various mobile health monitoring scenarios applying a realistic mobility model.     

基于RESTful的PACS移动客户端解决方案

为了让医务人员通过移动客户端使用PACS,实现查阅图像、书写报告、检索资源等功能,提出了基于RESTful的Web网关三层结构的解决方案,结合REST设计风格与传统Web的特点,简单、有效地解决移动客户端与PACS的通讯问题。     

建立重点患者监控机制 防范医疗纠纷

目的：为保证医疗质量和患者安全,有效防范医疗纠纷,探讨加强重点患者医疗质量控制的措施。方法：通过形成重点患者监控完整的组织结构,制定系统的风险应对方案,建立了重点患者监控机制。结果：通过3年的临床实践,二次手术发生率和医疗纠纷发生率质量指标呈现下降趋势。结论：重点患者监控机制的建立,在提高医疗质量、保障患者安全和防范医疗纠纷方面发挥了积极的作用。     

27例青少年抑郁症家谱图分析

目的 探讨青少年抑郁症家谱图特征及其在心理咨询和治疗中的意义.方法 对27例门诊初诊为抑郁症的青少年患者,采用与患者一起绘制家谱图的形式,从系统论的角度解释、分析家谱图.结果 27例家谱图显示,多数青少年抑郁症患者的家庭结构不平衡、功能不健全.结论 家谱图有助于在青少年抑郁症的心理咨询和治疗中发现问题、启发患者自省.     

基于移动客户端的个性化健康信息服务调查研究

调查用户对基于移动客户端的个性化健康信息服务应用情况,分析不同用户群体需求、健康信息类APP使用频率、个性化服务满意度、对健康信息平台信任度,从用户构成、用户界面、个性化服务内容、个性化推送方式、用户信任度5方面提出健康信息类APP个性化服务改善策略。     

Completeness and accuracy of the drug treatment reporting system in Dublin, Ireland

Background

The National Drug Treatment Reporting System (NDTRS) is the Irish treated-drug misuse surveillance system.

Aim

To measure completeness and accuracy of the NDTRS

Methods

Cross-sectional survey of clinical records and matching NDTRS reporting forms of a random sample of 520 clients attending 4 Dublin treatment centres. Using clients’ clinical records as the gold standard, system completeness (proportion of sample reported to the NDTRS) and accuracy of selected variables (proportion of reported clients’ information on the NDTRS that matched clinical record information) were measured.

Results

452/520 (87%) selected records were retrieved. The NDTRS was only 61.1% (95% Cl 56.5–65.5) complete; completeness differed across treatment centres (21.8%–85.6%, p< 0.0001) and was greater for new and returning clients than for continuing clients (81.7% versus 53.9% respectively, p< 0.0001). Problems were identified with the accuracy of some key variables.

Conclusions

Urgent actions have been taken to improve the completeness and accuracy of the reporting system.     

A Simple Client-Server System Using a Personal Computer as the Server

Hospital information systems have recently grown into huge, complex systems. As a result, the cost of development and maintenance of application programs has increased and become a serious problem. We have constructed an order entry system using server-client architecture as part of a hospital intranet information system in which a personal computer is used as a server. Using a commercial database management system and software development tools, an easily maintained order entry system was developed within only three months by one programer. Since slow response when the number of clients increased was possible, we measured turn-around times when one or ten clients accessed simultaneously. Turn-around times were 8 and 10 sec, respectively. Because we expect much better performance from personal computers in the near future, application systems using personal computers as Intranet servers will be cost and time effective and easy to develop and maintain.     

A Decision Support System for Telemedicine Through the Mobile Telecommunications Platform

In this paper we have discussed the application of artificial intelligence in telemedicine using mobile device. The main goal of our research is to develop methods and systems to collect, analyze, distribute and use medical diagnostics information from multiple knowledge sources and areas of expertise. Physicians may collect and analyze information obtained from experts worldwide with the help of a medical decision support system. In this information retrieval system, modern communication tools such as computers and mobile phones can be used efficiently. In this work we propose a medical decision support system using the general packet radio service (GPRS). GPRS, a data extension of the mobile telephony standard Global system for mobile communications (GSM) is emerging as the first true packet-switched architecture to allow mobile subscribers to benefit from high-speed transmission rates and run JAVA based applications from their mobile terminals. An academic prototype of a medical decision support system using mobile device was implemented. The results reveal that the system could find acceptance from the medical community and it could be an effective means of providing quality health care in developing countries.