The promise of e-Health - a Canadian perspective.

Richard C Alvarez
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引用次数: 128

Abstract

Canadians value their health care system above any other social program. Canada's system of health care faces significant financial and population pressures, relating to cost, access, quality, accountability, and the integration of information and communication technologies (ICTs). The health-system also faces certain unique challenges that include care delivery within a highly decentralised system of financing and accountability, and care delivery to a significant portion of the population sparsely distributed across a landmass of 10 million square kilometres, in areas of extreme climatic conditions. All of these challenges are significant catalysts in the development of technologies that aim to significantly mitigate or eliminate these selfsame challenges.The system is undergoing widespread review, nationally, and within each province and territory, where the bulk of care provision is financed and managed. The challenges are being addressed by national, regional and provincial initiatives in the public, private and not-for-profit sectors.The promise of e-Health lies in the manner and degree to which it can mitigate or resolve these challenges to the health system and build on advancements in ICTs supporting the development of a health infostructure. Canada is actively developing and implementing technological solutions to deliver health information and health care services across the country. These solutions, while exciting and promising, also present new challenges, particularly in regard to acceptable standards, choice of technologies, overcoming traditional jurisdictional boundaries, up-front investment, and privacy and confidentially.Many organisations and governments are working to address these challenges. The Canadian Institute for Health Information (CIHI) will play an increasingly significant role in these initiatives, as the management of health information becomes a more crucial factor in the successful delivery of health care services in the new millennium.

电子医疗的前景——一个加拿大人的观点。
加拿大人认为他们的医疗保健系统比其他任何社会项目都重要。加拿大的卫生保健系统在成本、可及性、质量、问责制以及信息和通信技术的整合方面面临着巨大的财政和人口压力。卫生系统还面临着某些独特的挑战,包括在一个高度分散的筹资和问责体系内提供保健服务,以及向分布在1000万平方公里陆地上、气候条件极端的地区的很大一部分人口提供保健服务。所有这些挑战都是旨在显著减轻或消除这些挑战的技术发展的重要催化剂。该系统正在全国范围内以及每个省和地区内进行广泛审查,大部分医疗服务是在这些省和地区提供资金和管理的。国家、地区和省级的公共、私营和非营利部门正在积极应对这些挑战。电子卫生的前景在于它能够减轻或解决卫生系统面临的这些挑战的方式和程度,并在支持卫生基础设施发展的信息通信技术进步的基础上继续发展。加拿大正在积极制定和实施技术解决办法,以便在全国各地提供保健信息和保健服务。这些解决方案虽然令人兴奋和充满希望,但也带来了新的挑战,特别是在可接受的标准、技术选择、克服传统的司法管辖区界限、前期投资以及隐私和保密方面。许多组织和政府正在努力应对这些挑战。加拿大卫生信息研究所将在这些举措中发挥越来越重要的作用,因为卫生信息的管理已成为在新千年成功提供卫生保健服务的一个更为关键的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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