2002—2009年国内外医学信息学研究热点分析

医学信息学是近年来快速崛起的一个新兴学科,由于国内医学信息学研究论文较分散,收集数据困难较大,对国内该领域研究现状进行计量分析的较少。本文根据国内外的实际情况,选择了较有代表性的医学信息学相关论文,利用软件进行共性分析和内容分析,揭示国内外医学信息学研究的现状、关注热点,进而分析了国内外医学信息学研究的异同。通过对比分析,得出国外医学信息学研究比国内医学信息学研究更有深度,更关注细节问题的解决和决策支持。     

如何在医学信息学领域中实施软件工程方法学

如何在医学信息学领域中实施软件工程方法学首都医科大学张韫医学信息学是在医学领域中发展信息管理所用的原理、方法和工具之总和。它的研究对象是数据、信息和知识。近年来，随着计算机的迅速发展和普及．计算机技术已成为该学科研究及应用的主要工具。从某种意义上讲，...     

医学专题信息检索

随着计算机、现代通讯技术和生物医学信息学的飞速发展，许多医学院校、生物医学研究机构和医学信息公司相继加盟因特网，网络上的生物医学资源与日俱增。如何充分利用这些日新月异的网络医学资源，促进医学现代化和医学信息社会化，这是21世纪医学领域的热门话题。具体地说如何检索并利用有价值的网络生物医学资源，让其在生物医学领域的教学、科研和临床的工作中起重要作用，     

高等医学院校开展医学信息学教学的全方位思考

医学信息学教学培训工作受到国际医学信息学会(IMIA)的高度重视。1999年11月，在美国华盛顿IMIA大会上批准和公布了该学会关于医学信息学教学的指导建议：在世界范围内，由于缺乏对信息知识的系统处理和掌握，影响了医学专业人员制订决策的质量。因此，要通过对各层次的医学专业人员进行医学信息学和健康信息学的教育，使被教育者掌握获取和处理医学数据、信息和知识的方法，提高信息素养，才能在现代科学技术飞速发展中，不断吸收新的知识，进行     

基于双聚类算法探测护理信息学的知识基础和研究前沿

作为一门新兴学科，护理信息学在国外已经得到了快速发展，国内相关原始研究较少。本文采用文献双聚类算法对护理信息学领域的相关文献进行分析，探测该领域相关研究的主要研究方向和研究前沿，为我国护理信息学研究人员提供一定的参考和依据。     

关于B超在医学领域的突破与应用研究

近些年来，B超在医学领域取得诸多成绩，并被广泛应用。本文将对于B超在4个医学领域取得的突破与应用进行总结性研究。     

自然科学领域信息学研究进展

领域信息学是在各个基本学科的发展、对信息及信息处理的需求急剧增长的基础上,以及计算机技术与网络技术飞速发展的同时应运而生的.笔者主要介绍目前自然科学领域中较受重视的三门信息交叉学科:化学信息学、生物信息学、医学信息学的概念、研究现状和发展趋势.     

医学信息学学科及其职业认证体系发展现状研究

对医学信息学应用人才和学术人才的大量迫切需求推动着医学信息学发展,通过对国内外医学信息学学科发展包括学科最新定义、学科体系进展,以及医学信息学职业认证体系、临床信息学专业认证体系的研究和介绍,为我国医学信息学进一步发展提供了参考。     

代涛 《中国卫生资源》杂志第三届编辑委员会委员

代涛,研究员,现任中国医学科学院／北京协和医学院医学信息研究所所长。图书馆馆长,卫生政策与管理研究中心常务副主任,北京协和医学院社会医学与卫生事业管理教研室主任、长期从事卫生政策、医院管理、卫生信息管理、医学信息学等领域的研究。兼任中华医学会医学信息学分会主任委员。     

基于知识管理的医学信息学理论基础研究

传统的信息管理理论使医学信息学的研究和实践陷入了技术化的极端,不利于学科的健康发展.知识管理是以信息为基础、以知识创新为目的的全新的管理理论,符合医学信息学的本质.以知识管理作为医学信息学的理论基础,可以更好地促进医学信息管理工作,既有利于医学信息学学科的融合和发展,也有利于医院信息化建设的开展、循证医学的实施及医学信息学人才的培养.医学信息学界应以知识管理为指导,开展医学信息学的基础研究、人才培养和管理实践.     

Progress in biostatistics correlated with the development of computer technics

The development of computers has positively influenced both Biostatistics and Medical Informatics. Close cooperation between Physicians, Biostatisticians and Experts of Medical Informatics is necessary. The leading role has to play the medical question, the medical problem to be solved, and not one of the cooperating disciplines. Both Biostatistics and Medical Informatics are parts of Medicine and must therefore taught as natural-scientific basic discipline of Medicine.     

Data standards, terminology and classification systems for caring in health and nursing

Information is essential for nursing care because nurses in subsidizing clinical decision making for the resolution and reduction of health problems. This review integrative study identified publications in national and international journals the major data standards, terminologies and classification systems used in health care and nursing. The research was conducted on MEDLINE, CINAHL and SCIELO using the keywords: Information Systems, Nursing Informatics, Medical Informatics, Computerized Medical Records Systems, Terminology and Nomenclature of Medicine Systematized. It was selected 91 articles which were analyzed in two empirical categories: "data standards for health care and nursing" and "terminologies and classification systems in nursing" From the various data standards, terminologies and classification systems, it is important that nursing take ownership of them aiming to improve and renew the quality of care.     

Das Deutsche Register Klinischer Studien: Begründung, technische und inhaltliche Aspekte, internationale Einbindung

In order to provide a central portal for information on clinical research in Germany and thus to facilitate the search of planned, ongoing and completed clinical trials, the German Clinical Trials Register (GermanCTR) was implemented in cooperation with the WHO’s registries network. It is an open access online register of clinical trials conducted in Germany, which allows all users to search for, register and share information on clinical trials. The project is funded by the Federal Ministry of Education and Research and is implemented at the Institute for Medical Biometry and Medical Informatics of the University Medical Center Freiburg as a joint project of the Clinical Trials Center Freiburg and the German Cochrane Center. Since October 2008 the GermanCTR is an approved WHO Primary Registry and allows clinical trial registration in Germany according to the requirements of the International Committee of Medical Journal Editors (ICMJE). Reasons for a national trials register, general and technical aspects of implementing the GermanCTR as well as the national and international integration are described here.     

大中型综合性医院实验中心建设的思考

教学医院的科研实验室建设与管理水平直接反映医院的综合实力。三峡大学第一临床医学院的发展之路说明，加强实验中心的建设是实现“科教兴院”，全面提升医院科研、教学和临床水平的有效途径。     

A national agenda for public health informatics.

The American Medical Informatics Association 2001 Spring Congress brought together the public health and informatics communities to develop a national agenda for public health informatics. Discussions on funding and governance; architecture and infrastructure; standards and vocabulary; research, evaluation, and best practices; privacy, confidentiality, and security; and training and workforce resulted in 74 recommendations with two key themes: (1) all stakeholders need to be engaged in coordinated activities related to public health information architecture, standards, confidentiality, best practices, and research and (2) informatics training is needed throughout the public health workforce. Implementation of this consensus agenda will help promote progress in the application of information technology to improve public health.     

Education review: applied medical informatics--informatics in medical education

The importance of informatics training within a health sciences program is well recognized and is being implemented on an increasing scale. At Chicago Medical School (CMS), the Informatics program incorporates information technology at every stage of medical education. First-year students are offered an elective in computer topics that concentrate on basic computer literacy. Second-year students learn information management such as entry and information retrieval skills. For example, during the Introduction to Clinical Medicine course, the student is exposed to the Intelligent Medical Record-Entry (IMR-E), allowing the student to enter and organize information gathered from patient encounters. In the third year, students in the Internal Medicine rotation at Norwalk Hospital use Macintosh power books to enter and manage their patients. Patient data gathered by the student are stored in a local server in Norwalk Hospital. In the final year, we teach students the role of informatics in clinical decision making. The present senior class at CMS has been exposed to the power of medical informatics tools for several years. The use of these informatics tools at the point of care is stressed.     

An outcomes research perspective on medical education: the predominance of trainee assessment and satisfaction

CONTEXT: A fundamental premise of medical education is that faculty should educate trainees, that is, students and residents, to provide high quality patient care. Yet, there is little research on the effect of medical education on patient outcomes. OBJECTIVE: A content analysis of leading medical education journals was performed to determine the primary foci of medical education research, using a three- dimensional outcomes research framework based on the paradigm of health services outcomes research. DATA SOURCES: All articles in three medical education journals (Academic Medicine, Medical Education, and Teaching and Learning in Medicine) from 1996 to 1998 were reviewed. Papers presented at the Research in Medical Education conference at the Association of American Medical Colleges annual meeting during the same period, and published as Academic Medicine supplements, were also analysed. STUDY SELECTION: Only data-driven articles were selected for analysis; thus editorials and abstracts were excluded. DATA EXTRACTION: Each article was categorized according to primary participant (i.e. trainee, faculty, provider and patient), outcome (performance, satisfaction, professionalism and cost), and level of analysis (geographic, system, institution and individual(s)). DATA SYNTHESIS: A total of 599 articles were analysed. Trainees were the most frequent participants studied (68.9%), followed by faculty (19.4%), providers (8.1%) and patients (3.5%). Performance was the most common outcome measured (49.4%), followed by satisfaction (34.1%). Cost was the focus of only 2.3% of articles and patient outcomes accounted for only 0.7% of articles. CONCLUSIONS: Medical education research is dominated by assessment of trainee performance followed by trainee satisfaction. Leading journals in medical education contain little information concerning the cost and products of medical education, that is, provider performance and patient outcomes. The study of these medical education outcomes represents an important challenge to medical education researchers.     

The Association of Lifetime Education with the Prevalence of Myocardial Infarction: An Analysis of the 2006 Behavioral Risk Factor Surveillance System

Socioeconomic status is likely an independent risk factor for coronary heart disease but little research has been done in the United States to study this association in a nationally representative sample. We sought to determine the association between lifetime education and the prevalence of myocardial infarction (MI) among adults over the age of 39 in the US. A cross sectional study was conducted using the 2006 Behavioral Risk Factor Surveillance System (BRFSS). A multivariable logistic regression was performed. The analysis was conducted in 2008. Among respondents aged 40 years and older to the 2006 BRFSS survey those with less than a high school education had 3.09 (95% CI: 2.79–3.43) times the odds of having had an MI compared to college graduates. After adjusting for confounders, respondents with less than a high school education had 1.61 (95% CI: 1.41–1.83) times the odds of having had an MI compared to college graduates. Both those with a high school education and those who completed some college or technical school had 1.22 times the odds of having had an MI compared to college graduates after adjusting for confounders. This study suggests that education is a risk factor for MI. More national prospective studies are needed in the US to better understand the link between socioeconomic status and coronary heart disease.     

Guidance for preparing evaluation reports in telemedicine and health informatics generally

The European Federation for Medical Informatics is developing a detailed guideline for preparing evaluation reports. By doing this, it is hoped that the quality of evaluation studies in health informatics will improve and thus the evidence base. While much of the necessary information for preparing good quality evaluation publications is available in other documents, the Statement on Reporting of Evaluation Studies in Health Informatics (STARE-HI) is valuable in bringing together many points into a single document. The current version is comprehensive and includes valuable information on a number of areas. A list of recommended items for inclusion in an evaluation report is given. There is perhaps a danger that some authors might be intimidated by the suggested detail to be provided. Nonetheless, the Federation is to be congratulated for putting together a comprehensive guideline which promises to be a useful contribution to improving the quality of evaluation studies in information technology, including telemedicine.