电子健康及其发展研究

近几年电子健康体系建设引起广泛关注并取得成效。系统介绍电子健康发展历程,结合存在的一些问题探讨如何完善电子健康体系。通过现状分析对电子健康未来发展趋势进行展望,即发展人本电子健康,并就如何发展人本电子健康事业提出建议。     

电子健康档案云安全研究

近年来，云计算逐步进入了电子健康档案建设与共享的应用领域，为电子健康档案系统建设的标准化、智能化、高性价比及资源的可持续利用带来了契机。从信息技术能力、法律法规缺失、安全威胁以及隐私性等角度分析丫云环境电子健康档案的安全问题，提出通过电子健康云服务等级协议来保障服务效能，明确了关键指标，并探讨丁云环境的电子健康档案存储安全和终端安全。     

军队人员电子健康档案的总体框架设计与应用

军人电子健康档案是广大官兵享有均等化公共卫生服务的重要体现，详细介绍了军人电子健康档案的系统架构、技术标准、需求模型以及建设目标和主要功能，并总结了军区应用电子健康档案的初步成效，旨在为军队电子健康档案建设提供参考。     

湖南省养老服务类专业大学生电子健康素养与健康生活方式现状及关系研究

目的 了解湖南省养老服务类专业大学生电子健康素养与健康生活方式现状及两者的关系，为高校开展健康教育和健康促进工作提供指导。方法 运用一般资料调查问卷、电子健康素养量表、大学生健康生活方式评价量表对532名养老服务类专业在校大学生进行问卷调查。结果 养老服务类专业大学生电子健康素养水平较低，总分>32分165人，占31.02%；健康生活方式评价量表总分为（140.08±18.04）分，高于类似研究。电子健康素养与健康生活方式密切相关，除健康危害行为维度外，其他维度得分均与电子健康素养各维度得分呈正相关关系。结论 高职院校应重视养老服务类专业大学生电子健康素养培养，进行相关培训或开发相关课程，并可先对教师进行培训，使其将大学生电子健康素养培养融入日常教学。     

电子健康档案联合新媒介载体对社区居民健康促进效果的范围综述

目的 立足于应用电子健康档案干预改善社区居民健康素养的相关文献调研现状,系统分析电子健康档案联合新媒介载体对社区居民的健康促进效果,以及电子健康档案的信息利用现状,明确电子健康档案在临床活动中的应用进展。方法 基于Arksey和O’Mallry概况性评价框架方法,检索PubMed、中国知网(CNKI)数据库中有关电子健康档案的应用途径与其效果的国内外文献。用描述性分析、数据汇总展示所纳入研究的分布情况,并依据与研究问题和目标相关的研究及主要发现撰写范围综述(scoping review),并提出建议。结果 共检索到1 167篇相关文献,通过排序筛选、浏览标题、阅读摘要、全文分析后,最终有9篇核心文献纳入概况性评价,根据研究途径进行分类,可分为APP和(或)可穿戴设备、微信、疾病健康相关网站(或系统)三大类,这些新媒介载体联合电子健康档案的模式能促进慢性病患者的自我健康管理。结论 电子健康档案可提高患者健康素养,但其推广与应用受获取途径、信息安全、用户年龄等影响,在国内仍有诸多待改进之处。积极鼓励和引导居民了解并主动应用电子健康档案,完善相关法律体系是当前阶段推广电子健康档案的必然要求。     

基于云计算的电子健康档案系统建设理念与实践

电子健康档案（Electronic Health Records,EHR）是人们在相关健康活动中直接形成的具有保存备查价值的电子化历史纪录,是医疗卫生管理和临床诊疗决策的重要依据。借助云计算理念和技术建设标准化的电子健康档案体系和系统,对于节约建设经费、降低维护成本、推进数据标准化、提高资源利用率具有巨大的应用价值。从云计算的网络特点和基础架构出发,依据电子健康档案系统的应用目标和发展方向,提出以居民健康为对象,在传递健康信息的同时,传递健康服务、传递计算能力的电子健康档案系统建设新理念,并据此探讨了标准化电子健康档案系统的建设方法和区域实践。     

基于B/S架构的血友病电子健康档案管理系统的设计与实现

本文研究并设计了一种基于B/S架构的血友病电子健康档案管理系统。该系统以Access2003为首选数据库,ASP为开发语言进行开发。血友病电子健康档案管理系统经过医院的测试运行,具有实用性与全面性,减少了医患之间的交流与病情诊断的时间,实现了血友病患者信息化管理,并提供了应急查询系统和健康教育系统。为血友病患者电子健康档案管理的网络化、信息化起到了推动作用。     

区域电子健康档案系统的分布式应用程序框架模型研究

将.NET分布式技术应用到区域电子健康档案系统中,介绍.NET平台4层分布式应用程序框架,包括表示层、业务逻辑层、数据访问层和数据实体层,并具体阐述电子健康档案系统4层架构设计与实现。     

电子健康档案现状分析与展望

在卫生信息化过程中，无论是对卫生服务的记录、数据库管理，还是对相关数据进行分析、再利用，都离不开电子化档案系统。电子化卫生服务档案包括电子病历和电子化健康档案，其中电子健康档案的设计与开发是当前社区卫生服务体系完善的重要内容之一。     

我国发展电子健康的伦理原则和管理建议

电子健康作为一种全新的医疗保健模式，不仅提高了医疗效率，而且为更多疑难杂症的治疗带来了福音和希望，代表了医疗保健发展的未来。但是，它的发展也会面临许多问题与挑战，如电子健康信息储存的安全性问题、隐私保护问题和卫生资源的分配问题等等。因此，电子健康的研究与发展应遵循一定的规范。我国发展电子健康应该遵循知情同意、安全性、公正、风险一收益以及逐步发展的伦理原则，并从审查、信息储存与信息安全、医患关系、信息传播与隐私保护、效用评估、监督、培训与教育、法律法规等方面提出了管理建议。     

电子健康挖掘研究述评

从药物副作用挖掘、疾病爆发监控、消费者健康词汇表构建、缩写消歧和拼写错误检测以及情感分析和观点分析5个应用领域,对电子健康挖掘研究进行系统介绍,以期对国内相关研究起到一定的促进作用.     

关于中国发展人本电子健康的战略思考与对策建议

人本电子健康(HeH)是支持医学模式转变的战略导向和强大技术平台,是中国医疗体制改革的治本之策,将有利于创建新型的知识与技术创新体系,引领未来社会发展新模式。推进HeH需要通过国家的战略部署和区域化试点,大力发展数字化医疗保健设备,加快推进人口与健康领域国家级数据共享平台建设,建立并完善社会支助体系。     

云计算在电子健康中的新应用

在医疗健康信息爆炸式增长的电子健康时代,如何获取存储分析与管理医疗健康数据,并以更低的}T成本实现更加智能、更为个性化的医疗健康服务成为未来电子健康发展的重要课题。云计算作为新兴的信息技术为应对上述挑战提供了新的技术途径。对电子健康领域中基于云计算的新型电子健康应用服务进行了介绍,讨论了云计算对电子健康未来发展的趋势性影响。     

Examining the Influence of E-Health Education on Professional Practice

e-Health is steadily integrating into modern health services, making significant changes in the way health services are traditionally delivered. To work in this new environment, healthcare workers are required to have new knowledge, skills and competencies specific to e-Health. The aim of this study was to understand the self-reported perceptions of graduates regarding the influence of an e-Health postgraduate program on their professional careers. In addition, this paper will provide an overview of the e-Health postgraduate program. All graduates from 2005 to 2015 were surveyed using an online questionnaire that consisted of a mixture of closed and open-ended questions. The number of participants in the study was 32. Response rate was 62%. The main motivating factors for studying e-Health were ‘relevance to current practice’ and ‘e-Health is the future’. The participants noted that the opportunity to ‘acquiring relevant knowledge’ and ‘having exposure’ were key benefits offered by the e-Health education program. The majority of graduates (n?=?23, 72%) thought that the postgraduate e-Health program had an influence on their professional practice. A similar number of participants (n?=?23, 72%) mentioned that they had worked in the field of e-Health since their graduation. Their professional roles mainly involved ‘implementation of e-Health in health service settings’ and the ‘use of e-Health in clinical practice’. While e-Health may be steadily integrating into modern health services, e-Health specific job opportunities are still relatively limited. e-Health workforce development must be given priority.     

Towards an e-Health Cloud Solution for Remote Regions at Bahia-Brazil

This paper presents CloudMedic, an e-Health Cloud solution that manages health care services in remote regions of Bahia-Brazil. For that, six main modules: Clinic, Hospital, Supply, Administrative, Billing and Health Business Intelligence, were developed to control the health flow among health actors at health institutions. They provided database model and procedures for health business rules, a standard gateway for data maintenance between web views and database layer, and a multi-front-end framework based on web views and web commands configurations. These resources were used by 2042 health actors in 261 health posts covering health demands from 118 municipalities at Bahia state. They also managed approximately 2.4 million health service ‘orders and approximately 13.5 million health exams for more than 1.3 million registered patients. As a result, a collection of health functionalities available in a cloud infrastructure was successfully developed, deployed and validated in more than 28% of Bahia municipalities. A viable e-Health Cloud solution that, despite municipality limitations in remote regions, decentralized and improved the access to health care services at Bahia state.     

The journey to e-Health: VA Healthcare Network Upstate New York (VISN 2)

e-Health offers the rich potential of supplementing traditional delivery of services and channels of communication in ways that extend the healthcare organization's ability to meet the needs of its patients. Benefits include enhanced access to information and resources, empowerment of patients to make informed healthcare decisions, streamlined organizational processes and transactions, and improved quality, value, and patient satisfaction. A diverse array of factors affects the development and implementation of e-Health initiatives and applications. Crafting a strategic approach is critical to success, especially in this era of rapidly changing technology. The journey to implementing e-Health at this VA Network is discussed and a model described for assessing the environment, identifying critical success factors, and selecting areas of focus. Recommendations are offered for defining a strategic approach to e-Health for healthcare organizations.     

ITU e-Health Training Program for Pacific Island Community with the Support of the Sasakawa Peace Foundation

Tokai University School of Medicine provided a short-term e-Health training program for persons from Pacific Island Nations from 2006 until 2008 supported by funds from the Sasakawa Peace Foundation. There were lectures on software, hardware and topics relating to e-Health. We could assess the current medical situation in the Pacific Islands through this training course, and also obtain relevant material to analyze appropriate measures deemed necessary to improve the situation.     

The Australian e-Health Research Centre: enabling the health care information and communication technology revolution

The CSIRO (Commonwealth Scientific and Industrial Research Organisation) and the Queensland Government have jointly established the Australian e-Health Research Centre (AEHRC) with the aim of developing innovative information and communication technologies (ICT) for a sustainable health care system. The AEHRC, as part of the CSIRO ICT Centre, has access to new technologies in information processing, wireless and networking technologies, and autonomous systems. The AEHRC's 50 researchers, software engineers and PhD students, in partnership with the CSIRO and clinicians, are developing and applying new technologies for improving patients' experience, building a more rewarding workplace for the health workforce, and improving the efficiency of delivering health care. The capabilities of the AEHRC fall into four broad areas: smart methods for using medical data; advanced medical imaging technologies; new models for clinical and health care interventions; and tools for medical skills development. Since its founding in 2004, new technology from the AEHRC has been adopted within Queensland (eg, a mobile phone-based cardiac rehabilitation program), around Australia (eg, medical imaging technologies) and internationally (eg, our clinical terminology tools).     

“互联网+”医疗服务的国际经验及借鉴

在"互联网+"医疗服务过程中,医疗实践实现了民主化、去中心化和去神秘化。发达国家和地区"互联网+"医疗服务的应用重组了医疗服务的商业供给模式,有效提升了医疗服务的质量和个体化发展。发展中国家"互联网+"医疗服务的推广和使用极大地扩宽了专业医疗救助服务和预防保健康复医疗服务的范围,保障了居民健康从而促进经济快速发展。作者通过梳理发达国家和地区"互联网+"医疗服务的概念内涵、发展历程和发展经验,为国内"互联网+"医疗服务发展提供参考借鉴。