令医生大失所望的临床信息系统：超越现有技术的机遇

目的：旨在论述当前的临床信息系统为何惨遭失败。方法：对过去几十年临床信息系统的发展进行主观分析。结果与讨论：富有挑战性的难题就是预先考虑到临床医生们到底需要什么样的信息，继而专门针对他们的独特视角。为其提供这些信息。临床医生需要的是那些能够提供由用户决定的。最大可能程度灵活性和用户化的工作站。我们设想并概括介绍了一种所谓的医疗服务点工作站。这种工作站能够在形形色色的医疗信息系统范围内，自动适应用户所需的显示方式、硬件能力、操作系统以及（本地或分布式的）应用程序。

Failure to Provide Clinicians Useful IT Systems: Opportunities to Leapfrog Current Technologies

Objective： To discuss why clinical information systems are failing. Method： Subjectively analyzing the development of clinical IT systems during the last decades. Results and Conclusions： The challenge is to anticipate what information clinicians need and then deliver it in a way that is tailored for their unique views. Clinicians need workstations that offer the highest level possible of user-determined flexibility and customization. We envision and outline a so-called point of care workstation, automatically scaling to the display, hardware capacity, operating system, applications （local or distributed） the user needs and across diverse health IT systems.