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1.
Telemed J E Health ; 17(7): 584-8, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21749261

RESUMO

China has been implementing regional collaborative medical service (also known as e-health) for >5 years, but is still facing the challenges of bridging different community health information systems (CHISs). The fact that different communities have different systems makes it difficult to share information and data between different CHISs. To explore a solution for addressing this problem, we constructed a demonstration CHIS in Beijing's Dongcheng District. This system is based on the Software-as-a-Service model, in which a central data center is used to store users' health records and to provide different services. This system provides a comprehensive platform combining disease prevention, health protection, medical care, rehabilitation, health education, and family planning. In this article, we first show the challenge of implementing e-health-oriented CHIS in China, then we briefly introduce our solution, and finally we share our experience learned from the modern CHIS implementation practice.


Assuntos
Sistemas de Informação/normas , Sistemas Computadorizados de Registros Médicos/normas , Integração de Sistemas , Telemedicina , China , Humanos
2.
Telemed J E Health ; 16(5): 634-8, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20575733

RESUMO

Although China started to study and implement telemedicine much later than other advanced countries, telemedicine is developing very fast in this country. Research on telemedicine is also getting popular, and more and more teleconsultant systems are being carried out. For the purpose of assessing the development of telemedicine in China over these past 50 years, we conducted a study of three elements, namely (1) teleconsultations, (2) academic activities, and (3) education. We carried out our study from three perspectives: the teleconsultant, telemedicine academic activities, and telemedicine education. In this article, we also show our recent achievement in telemedicine based on the Regional Collaborative Medical Service.


Assuntos
Difusão de Inovações , Informática Médica , Telemedicina/organização & administração , China , Sistemas Computacionais , Educação a Distância/organização & administração , Educação Médica/organização & administração , Previsões , Planejamento em Saúde/organização & administração , Humanos , Informática Médica/educação , Informática Médica/instrumentação , Informática Médica/organização & administração , Integração de Sistemas , Telemedicina/instrumentação
3.
Telemed J E Health ; 16(6): 746-50, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20583952

RESUMO

The objective of this study was to share the experience of building an information security system for a regional collaborative medical platform (RCMP) and discuss the lessons learned from practical projects. Safety measures are analyzed from the perspective of system engineering. We present the essential requirements, critical architectures, and policies for system security of regional collaborative medical platforms.


Assuntos
Redes de Comunicação de Computadores/organização & administração , Simulação por Computador/normas , Comportamento Cooperativo , Sistemas de Informação Hospitalar/organização & administração , Sistemas Computadorizados de Registros Médicos/organização & administração , Regionalização da Saúde/organização & administração , China , Redes de Comunicação de Computadores/normas , Segurança Computacional/normas , Computadores , Geografia , Política de Saúde , Sistemas de Informação Hospitalar/normas , Humanos , Fatores de Risco
4.
Telemed J E Health ; 16(3): 344-9, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20406121

RESUMO

China started to pay more attention to the construction of a regional and national health information network after the outbreak of the severe acute respiratory syndrome (SARS) epidemic in 2003. The construction of a public health system is considered the most important part of national medical reform, with information and computer technology serving as the key to deploying regional collaborative medical service, also known as e-health. In this paper, we analyze the difficulties in carrying out e-health projects in China, a discussion of ongoing projects, and a case presentation representing current progress.


Assuntos
Redes de Comunicação de Computadores/organização & administração , Informática Médica/organização & administração , Regionalização da Saúde/organização & administração , Programas Médicos Regionais , China/epidemiologia , Humanos , Registro Médico Coordenado , Administração em Saúde Pública , Síndrome Respiratória Aguda Grave/epidemiologia
5.
Telemed J E Health ; 16(3): 364-9, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20406124

RESUMO

Data sharing and information exchange among medical institutions is a requirement for convenient and effective data availability for both healthcare professionals and patients. In this paper, the characteristics of medical data are studied; two mainstream technologies of data storage for medical information are compared, and three strategies of medical documents storage are described with detailed advantages and disadvantages. Semi-structured storage technology is easier to deploy and much more promising to promote in a wider range than all-structured methods. The combination of central and distributed data storage is more practical for regional data sharing. This analysis suggests that semi-structural data storage technology and the combination of central and distributed data storage are efficient and fit well the current situation in China.


Assuntos
Armazenamento e Recuperação da Informação/métodos , Internet , Sistemas Computadorizados de Registros Médicos/organização & administração , Desenvolvimento de Programas , China , Humanos , Disseminação de Informação
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