为公共卫生设计国家卫生堆栈:基于信息通信技术的知识管理系统的作用

Charru Malhotra, V. Kotwal, A. Basu
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引用次数: 5

摘要

公共卫生作为一个领域,需要巧妙地融合不同学科的工作,因为它的最终目标是“预防”,而不仅仅是“治疗”所考虑的整个社区/人口的健康问题。信息通信技术(ICT)的应用有助于克服实体医疗保健模式的瓶颈,从而可以更有意义地实现公共卫生目标。在线咨询、基于云的健康管理解决方案、智能服务支持的诊断就是这样的例子。本研究试图探索基于信息通信技术的整体知识管理系统(KMS)的设计和实施,以解决国家层面的公共卫生问题。在任何时候,不同的公共机构都在使用不同的管理信息系统(MIS),这些管理信息系统直接或间接地影响ph。然而,这些MIS生成的数据被“管道”到独立的异构数据库中。不标准化的数据格式、不兼容的IT系统、收集数据的机构的强烈的所有权意识是进一步恶化问题的一些因素。为了克服这些问题,基于对最佳实践的研究和文献综述,本文提出了一个概念模型,称为国民健康堆栈(NHS)。国民保健服务是一个多层次的知识管理体系,旨在支持基于证据的公共卫生决策,并将为实现人人享有“良好健康和福祉”(联合国可持续发展目标3)铺平道路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Designing National Health Stack for Public Health: Role of ICT-Based Knowledge Management System
Public health (PH), as a domain, requires astute amalgamation of the workings of different disciplines, because its eventual aim is to ‘prevent’ and not just ‘cure’ the health concerns of the entire community/population under consideration. Public health goals can be achieved more meaningfully by the application of information communication technology (ICT) that helps in overcoming the bottlenecks of brick-and-mortar healthcare models. Online consultations, cloud-based health management solutions, smart service-supported diagnoses are some such examples. The present study attempts to explore the design and implementation of ICT-based holistic knowledge management systems (KMS) to address public health concerns at the national level. At any point in time, different management information systems (MIS) are being used by various public authorities that directly or indirectly impact PH. However, the data being generated by these MIS is “stove piped” into standalone, heterogeneous databases. Non-standardized data formats, incompatible IT systems, an aggravated sense of ownership by the agency that collects the data are some of the factors that further worsen the problem. To overcome these issues, based on the study of best practices and literature review, the review paper proposes a conceptual model, referred to as national health stack (NHS). NHS is a multilayered KMS designed to support evidence-based decisions of public health and would pave the way towards “Good Health and well being” (UN SDG 3) for All.
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