Kuvhura nzira dzekutaurirana kuvandudza kutarisira kwevarwere
Health information exchange (HIE) ndiyo yakachengeteka magetsi kugoverana kwehutano nezvehutano pakati pezvimwe zvibvumirano zvehutano zvakabviswa. Chinangwa cheHIE ndechokubvumira vanachiremba nevarwere kuti vawane ruzivo rwehutano hwakakosha, panguva yakakodzera munzvimbo yakakodzera, kuitira kupa kana kuita kuti pave nehanya zvakanakisisa. An HIE inoumbwa apo hutano hwemasangano hunotevera mitemo inozivikanwa yekugovana mashoko ehutano hwehutroniki.
Zvipatara, makiriniki, maparamendi, uye mahofisi ebazi anogona kushandiswa neHIE munzvimbo yezvematunhu, nyika, kana nyika.
Pasina HIE, ruzivo rwakavharwa murekodhi yehutano yehurumende yega yega yega (EHR) kana mamwe maitiro ehutano, izvo zvinoita kuti zvive nyore kuti vanachiremba vawane dhesi rinotarirwa nevarwere vakagamuchira hutano kubva kune masangano akawanda. HIE inobvumira vashandi vehutano mumasangano akasiyana kuti vaone uye vagoverane nezvehutano hwehutano (semuenzaniso zviratidzo zvinokosha, mhinduro dzekuedza, mishonga) panzvimbo yekuchengetedza. Varwere vanogonawo kushandisa HIE kutarisira kubuda kwemashoko avo ezvehutano.
HIE inobatsirei?
Kune zviitiko zvakasiyana-siyana apo kuwanika kwekurapa kwechirwere kunogona kubatsira kune vaHeath Care providers uye varwere:
- Murwere anobva kune chimwe chipatara achienda kune imwe
- Murwere anotumirwa kune dhipatimendi rekukurumidzira mushure mokunge zviitiko zvichiitwa muchechi
- Murwere anoregererwa kubva kuchipatara uye anotevera mumakiriniki
- Mwoyo murefu unofamba uchienda kune rimwe guta uye unowana mutsva wekutarisira wekutanga
Muzvinhu zvose izvi zvinenge zvichishandurwa, murwere angave ane ruzivo rwehutano hwakachengetwa muEHRs yekutanga nzvimbo iyo inogona kukanganisa rudzi rwekuchengetwa kunowanikwa kune yechipiri nzvimbo, kana chete vapi varo vanogona kuwana. HIE inoita izvi zvichiita.
Kubatsirwa kweHIE
Kugovana panguva yakatarwa kunogona kubatsira vanachiremba nevarwere kuita zvisarudzo zviri nani pane zvekuchengetedza. Zvimwe zvikomborero zveHIE zvinosanganisira:
- Dzivisa kuverenga kusingakoshi
- Dzivisa kudzokorora kuongorora. Kana vanachiremba vanogona kuona migumisiro yekuongororwa kwechangobva kuitika, havazodi kuti varayirire miedzo zvakare
- Kuchengetedzwa kwepamusoro.
Semuenzaniso, chidzidzo chaJakove Bailey nevamwe vashandi vakaratidza kuti apo vashandi vezvehutano mumatare ekukurumidzira vakashandisa HIE kuwana zvinyorwa zvevarwere vane misoro, vaisakwanisa kutora zvidzidzo zvinokosha zvekufungidzira (semu CT scans) uye vainyanya kutevera uchapupu- zvinyorwa zvinotungamirirwa nehutungamiri hwemusoro.
Mhando dzeHIE
Pane matatu maitiro makuru eHIE:
- Kutungamirirwa Exchange kunobvumira vashandi vezvehutano vanoziva uye vanovimbana kuti vatume uye vagamuchire ruzivo pamusoro pemurwere. Vapiro vanoshandisawo rudzi urwu rwekutsinhanisa kuti vanyore maitiro ehutano kana dambudziko rekudzivirira.
- Query-based Exchange inobvumira vanotora kuwana uye / kana kukumbira ruzivo pamusoro pemurwere kubva kune dzimwe nzvimbo.
- Consumer Mediated Exchange inobvumira varwere kuwana nekugadzirisa hupenyu hwavo hwehutano. Vanogona kugoverana ruzivo nevanopa vashandi vavo vehutano.
Mvumo yevarwere yeHIE
HIE dzine zvirongwa zvakasiyana-siyana zvekutendera varwere kuti vatungamirire kana uye uye kuti sei ruzivo rwavo rwakawanika rwekugoverana pakati pemasangano ezvehutano:
- Sarudza mukati: Zvisizvo ndezvokuti ruzivo rwehutano hwehutano haruna kugoverwa. Varwere vanofanira kushingaira kuratidza chido chavo chekugoverana zvimwe zvese zvavanoziva kana kuti chikamu checho
- Sarudza kunze: Izvo zvachose ndeyekuti ruzivo rwehutano hwehutano hunowanikwa mukugovana. Kana vachida kudzivisa kugovera zvose kana chikamu chemashoko avo, varwere vanofanira kuratidza chido ichi
- Kwete chibvumirano: Utano hwehutano hunowanikwa pakugovana, uye varwere havagoni kubuda.
Kuyera kwekuti HIE inobata kushanda kunobatsira sei kuonekwa kwakakosha pakati pevanachiremba nevarwere. HIE inogona kushandiswa zvakakwana inogona kugadzirisa kuchengetedzwa, unhu, hutano, uye mari yehutano.
Kuvaka dunhu remunharaunda, nyika, uye yenyika HIE inoda mari yakawanda pamwe chete nekubatana kwevanhu vakawanda vanobatana.
Sources:
Bailey JE et al. Ko ruzivo rwehutano huri kugoverana hunoita kuti usagadzikane neuroimaging uye kuvandudza hutano hwekuchengetwa kwepfungwa mune dhipatimendi rekukurumidzira here? J Gen Intern Med 2013; 28 (2): 176-83. Yakasvika musi waJune 6, 2014.
Hofisi ye National Coordinator for Health Information Technology. Chii chinonzi HIE? Yakasvika musi waJune 5, 2014.
The Health Resources and Services Administration. Ndeupi ruzivo rwehutano huri kugoverana? Wakawana musi waJune 5, 2014.