Kugamuchira uye kugoverana nhepfenyuro yevamwe vezvechiremba kunokosha kune hutano hwakanaka, kutarisira kwakanaka. Kana zvasvika kune vakakomba varwere vane hukama huripo huripo, kuwana nhoroondo yavo yezvechiremba uye zvinyorwa zvemishonga zvinonyanya kukosha. Kune vanhu vazhinji vanogamuchira kurapwa pane dzimwe nzvimbo dzehutano dzakasiyana. Izvi zvingave zviri mune zvinodiwa nemurwere kune zvivako izvi, kazhinji mumusangano mumwechete, kuti zvikwanise kukurukurirana pamwe chete uye kugovana ruzivo rwakakosha-ruzivo.
Zvisinei, izvi hazviwanzo.
Izvozvo zvinonyanya kukosha kwekugadzirwa kwemagetsi kunobva kune dzimwe nzvimbo zvingave zvakaoma kuchinjana. Inyanzvi itsva dzishandiswa nemasangano akasiyana hazvirevi kuti dzakabatana, izvo zvinowanzoita kuti kusagadzikana kuve dambudziko. Nguva inokosha uye zvigadzirwa zviri kushandiswa kuwana ruzivo rwehutano hwekugoverana, asi isu tine nzira yakareba yekuenda nayo. Mashoko akanaka ndezvekuti kuedza kuri kuitwa kuvandudza ruzivo uye kununura hutano hwakanaka.
Nzira Dzakanaka dzekuvandudzwa kwekubatanidzwa
Muna 2015, Pew Charitable Trust yakabhadhara ruzivo rwakatsvaga nzira itsva dzekuwana, kubvisa uye kuunganidza dhiyabhorosi data. Chidzidzo, chaitungamirirwa naAvalere, chakabatanidza zvishanu zvinyorwa zvemakiriniki kubva mune zvakasiyana-siyana zvezvipatara. Chokutanga, zvimwe zvezvipingamupinyi zvekubatanidza deta zvakaonekwa: maitiro akasiyana-siyana, kuoma kugovana pakati pezvikwata zvakasiyana-siyana nezvinetso pamusoro pekuchengetedzwa kwenyika, kutumidza vashomanana.
Mharidzo yekupedzisira yakaratidza zvimwe zvinyorwa zvingabatsira kugadzirisa zvipingamupinyi izvi. Mitemo inorayirwa inosanganisira:
- Kuumba komiti yega-yehurumende iyo inogona, pakati pezvimwe zvinhu, inoshanda pakuvandudza imwe chete yemufananidzo yemhando yekushandura kwedhaka.
- Kukurudzira mapoka anokwanisa kuongorora uye kubvumirana mitemo yekuchengeteka iriko.
- Kuvaka pamusoro pekugadziriswa kwekugadziriswa uye ruzivo rwekugovera zvigadziriswe, uye kukurudzira vatengesi nevanyori vanozvishandisa.
- Kunyatsotaura nezvekwanisi yekutumira dhidhiyo kune vechitatu-party clinical data registries.
Munguva pfupi yapfuura, nyanzvi yehutano yehutano yakaratidza kuti teknolojia ye blockchain inogona kuvandudza kusabatana. Iyi teknolojia inopa nyore kuendesa dhizinesi pakati pemasangano akasiyana-siyana asina chido chekusimbisa chechitatu. Zvisinei, humwe urongwa huchadikanwa musati mabhizinesi e-blockchain ashandiswe kune hurongwa hwehutano hwedu. Parizvino, dambudziko rekutsungirira rinoramba rakachengetwa mumakore.
Makambani Anopikisa Interoperability Innovations
Mamwe makambani ari kutotanga kupa nhaurirano dzinogona kuvandudza kudyidzana kwemashoko uye, nokudaro, kuvandudza kutarisira kwevarwere uye kugadzirisa kugadzirisa kusarudza. Imwe yekambani yakadaro ndeye 3M-yepasi rose inyanzvi yekambani inoshandisa shanduko kune matambudziko akasiyana-siyana ehurongwa. 3M yakagadzira nzira inoshandura uye kuenzanisa dambudziko revarwere, kuchengetedza mazwi emitemo, kuratidzira data uye inobatsira kuwanikwa kwe data. Sangano rayo rakagadzirirwa maitiro (SOA) rinoshingaira kuumba dhiyabhorosi, inogadzirisa dambudziko uye rinoshanda kumarudzi akasiyana-siyana.
Validic imwe imwe muenzaniso yekambani inoshanda pakuwanika uye kushandiswa kwedata. Gore rayo-based technology technology rinoshanda se bhiriji pakati pevarwere-yakanyorwa data uye zvirongwa zvechipatara. Varwere vanoshandisa zvigadzirwa zvehutano, maikiriniki emakiriniki uye zvipfeko zvino vanogona kugovana nyore ruzivo rwavo nemutapi wehutano. Izvi zvinovandudza ruzivo uye kurwara kwekuita uye kunobatsirawo kugadzirisa dambudziko rekubatanidzwa kwehutano hwehutano hwehutano.
Validic, inofungidzirwa kuti inotungamira pasi pe digital digital platform, inoshumira vatengi vanopfuura mamiriyoni 160 munyika 47 uye yakatsaurirwa kukura.
Muna 2015, Validic akazivisa kubatanidzwa naHigi, kambani yakagadzira nzvimbo yehutano hwehutano hwemagetsi. Kubatana kwakagadzirisa kwakapa mukana wemasangano ekuchengetedza hutano kuwana nzvimbo yakasiyana-siyana yakasiyana-siyana uye inoshandiswa. Semuenzaniso, app yaValidic ino inopa rubatsiro rwekutendesa nekudzorera dhiometric data (blood pressure, pulse uye BMI) inowanikwa nezvivako zveHigi zviri muma pharmacie akasiyana-siyana uye mabhuku ezvitoro. Validic iri kubatana pamwe chete nedzimwe makambani, kusanganisira Partners Connected Health. Chinangwa chekubatana uku ndechekuunza dare kubva kumagetsi uye mapiritsi epamba mumakiriniki anoshanda mumakiriniki uye anozvigadzirira muzvirongwa zvekutarisira varwere.
Vatengesi vanotsigira kusabatana
Kana zvasvika pakushandura kukanganisa, kukakavadzana pakati pehutano hwehutano hwehutano (EHR) mutengesi vemunharaunda uye hurumende inowanzoonekwa. Ihofisi yeNational Coordinator for Health IT (ONC) yakanzwisisa sangano rega roga kuti iite "ruzivo runodzivisa." Ongororo ye 2017 inotungamirirwa neYunivhesiti yeMichigan Zvidzidzo zveZvesheni uye Utano Hwenyika Yose zvakaratidzawo kuti kudzivirira kudzivirira kunoramba kuri dambudziko renyika. Zvisinei, vamwe vatengesi vakaratidza nzira inoshanda yekugadzirisa kusabatana kwezvinetso.
Somuenzaniso, panguva ya 2015KLAS Keystone Summit muUtth, vatengesi vakatora matanho ekuvandudza kudyidzana kwehutano hwehutano. Makumi maviri eEHR makambani ekutengesa, kusanganisira athenahealth, Cerner, Epic naMcKesson, vakabvumirana kuti vaone kusabatanidzwa vachishandisa chikonzero chekuenzanisa chinangwa uye vaudza kuWashington nguva dzose. Kusabatanidzwa kwakayerwa nenzira mbiri: kutengesa kutengesa uye vanachiremba. Muna 2017, KLAS yakabudisa mushumo wekubatanidza wakaratidza kusabatanidzwa mune zvehutano hwakapetwa kaviri mugore rimwe chete, kubva kubva pa6 kusvika ku14 muzana. Epic uye athenahealth inoratidzirwa sevanonyanya vapeti mumashoko ekubatanidza. Mharidzo yacho yakagumisa kuti kufambira mberi zvishoma nezvishoma kuripo, zvisinei, tarisiro yevatapi haisati yasangana.
Kuongorora kwenyika dzenyika dzine gumi nematanhatu dzakatotanga kushanda munyika yose EHR systems dzakawana kuti kushambadzira kwevatengesi vega voga hakudzivisiki uye kwave yakanyorwa munharaunda dzose dzekuvandudzwa kwekufamba. Kubvumirana pakati pevatengesi kuchaita kuti ruzivo rwekutsinhanisa ruve pachena uye rungasvitsa kushandiswa kwekusanganisa kusangana. Zvinoratidzika kuti sangano rega roga rinotanga maitiro ekuzvimiririra-ivo vakasununguka kushanda pamwe nehurumende-asi panguva imwe chete, havadi kutongwa.
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