世界卫生组织 eHealth趋势和使用的标准和指导方针

1、china health informatics society annual conference | december 8-9, 20101 | ehealth trends and the use of standards and guidelines mr mark landry health information technical officer world health organization, regional office of the western pacific china health informatics society annual conference |

2、 december 8-9, 20102 | outline l introduction l trends in ehealth l next steps: identifying and implementing standards l future possibilities and potential impacts ehealth: using information communication technology (ict) such as computers, mobile devices, and satellite communications for health ser

3、vices and information china health informatics society annual conference | december 8-9, 20103 | health and ehealth l health and ehealth are inseparable due to the fact that health is an information intensive sector. l health is a global concern that is trans-border by definition and affects the wor

4、ld population. l information technology and telecommunications (ict) is a global issue especially with the emergence of the knowledge economy and the information society. l this has required who to adopt global approaches to ehealth. china health informatics society annual conference | december 8-9,

5、 20104 | why ehealth? l health systems unable to deliver high-quality, affordable services with universal access l increasing time and effort needed for acquiring information and data as well as for administration and documentation l critical health information buried in thick medical files and unsy

6、stematic data storage and retrieval system l specialisation messaging information systems bi-directional communication management systems identity, security, audit; payments; health systems management decision support systems enhanced health, clinical and administrative decision-making expert system

7、s intelligent cross-platform solutions source: mhealth alliance china health informatics society annual conference | december 8-9, 201012 | the grand challenges to ehealth lorganizational and governance challenges ltechnical challenges lfinancial challenges llegal and ethical challenges llocal chall

8、enges based on differences in healthcare systems, culture, economy, regulations, policies, ict infrastructure, and human resources china health informatics society annual conference | december 8-9, 201013 | global and national governance of ehealth l code of ethics l multi-sectoral coordination l hu

9、man resources development l standardization l interoperability l charters and frameworks l collaboration and partnerships china health informatics society annual conference | december 8-9, 201014 | awareness and access among ehealth end users lvalue of ict in health not fully recognized lehealth typ

10、ically not high on national health priorities levaluation of ehealth has concentrated mainly on pilot projects lthere is often a communications gap between health and ict professionals lchina is a unique exceptionwith strong political will and excellent leadership to continue maximizing health outco

11、mes with increasing use of ehealth solutions lchinas world-class ehealth solutions and outstanding experience should be shared with the rest of the world china health informatics society annual conference | december 8-9, 201015 | technical competencies of health professionals lhealthcare professiona

12、ls usually do not receive ict training. their understanding of it comes late in their career. lict professionals are mainly hardware and software engineers with little orientation on biomedical applications. lthere is a need for in-service training and continuous education are missing in the area of

13、 health informatics. lthis is challenged by having very few specialized health informatics programmes. lpromote peer-to-peer learning and sharing within and between countries: china health informatics society (chis) international medical informatics association (imia): chi

14、na health informatics society annual conference | december 8-9, 201016 | standardization and systems interoperability challenges lfragmented efforts to develop ehealth applications in the absence of adequate governance, standards and national plans resulted in development of ehealth systems that can

15、not exchange data. lthese systems are mainly standalone and disintegrated, lacking unified coding schemes, following different or no standards which resulted in total lack of interoperability between them. china health informatics society annual conference | december 8-9, 201017 | who ehealth standa

16、rdization coordination group (ehscg) l platform to promote stronger coordination amongst the key players in all technical areas of ehealth standardization. l place for exchange of information on standards: identify areas where further standardization is required provide guidance for implementations

17、and case studies consider the requirements for appropriate development paths for health profiles of existing standards support activities to increase user awareness of the existing standards, and case studies l ehealth standards list: /ehscg/resources/en/ehscg_standards_list.pdf chi

18、na health informatics society annual conference | december 8-9, 201018 | two examples: hl7 and sdmx-hd l health level 7 (hl7) data exchange/messaging standard primarily for patient-based transactional systems within a health system emr, laboratory, rx, billing, immunization, maternal health, others

19、l statistical data and metadata exchange health domain (sdmx-hd) intended to be part of national his and m to expand access and contribute to equity/universal access; and to contribute to reduction of cost of health services. china health informatics society annual conference | december 8-9, 201023

20、| future possibilities in ehealth l innovative tools remote diagnosis, medical consultation, just-in-time training hand-held ultrasound connected to phone holograms of blood cells using phone camera for malaria, hiv- aids, anaemia, clean water phones that listen to heart and lung sounds, cough transfer of images: cervical cancer diagnosis “serious games” via handsets for training chw l disaster relief c