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重新设计电子健康记录系统以支持发展中国家

Redesigning Electronic Health Record Systems to Support Developing Countries

Groupe de Recherche de Prospection et Valorisation des Données (Greprovad)(数据勘探与增值研究组(Greprovad));Université de Sherbrooke(舍布鲁克大学);University of Ottawa(渥太华大学);Université TÉLUQ(泰卢克大学);Université Paris-Saclay(巴黎-萨克雷大学);University of Kinshasa(金沙萨大学);Montreal Behavioural Medicine Centre, CIUSSS-NIM/UQAM/Concordia(蒙特利尔行为医学中心,CIUSSS-NIM/魁北克大学蒙特利尔分校/康考迪亚大学);Hospital Monkole(蒙科莱医院)

Jean Marie Tshimula, D'Jeff K. Nkashama, Kalonji Kalala, Maximilien V. Dialufuma, Mbuyi Mukendi Didier, Hugues Kanda, Jean Tshibangu Muabila, Christian N. Mayemba

摘要:

电子健康记录(EHR)已成为医疗保健生态系统中的重要工具,为授权的临床医生提供患者的健康相关信息,以便更好地治疗。虽然大多数发达国家正在利用电子健康档案来改善其医疗保健系统,但在发展中国家,使用计算机化的患者医疗保健信息系统来支持临床决策和公共卫生仍然具有挑战性。本文提出了一种适用于发展中国家的新型EHR架构-一种促进包容性并为所有社会阶层和社会经济地位提供量身定制的解决方案的架构。我们的架构预见了一个无互联网(离线)的解决方案,以允许医疗机构之间的医疗交易,以及在地理上服务不足和农村地区的EHR存储。此外,我们还讨论了人工智能如何利用匿名的健康相关信息来实现更好的公共卫生政策和监测。

英文摘要:

Electronic Health Record (EHR) has become an essential tool in the healthcare ecosystem, providing authorized clinicians with patients' health-related information for better treatment. While most developed countries are taking advantage of EHRs to improve their healthcare system, it remains challenging in developing countries to support clinical decision-making and public health using a computerized patient healthcare information system. This paper proposes a novel EHR architecture suitable for developing countries--an architecture that fosters inclusion and provides solutions tailored to all social classes and socioeconomic statuses. Our architecture foresees an internet-free (offline) solution to allow medical transactions between healthcare organizations, and the storage of EHRs in geographically underserved and rural areas. Moreover, we discuss how artificial intelligence can leverage anonymous health-related information to enable better public health policy and surveillance.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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