Recently there has been increased focus on the need to modernize the healthcare information infrastructure in the United States.– The U.S. healthcare industry is by far the largest in the world in both absolute dollars and in percentage of GDP (more than $1.5 trillion, or 15 percent of GDP). It is also fragmented and complex. These difficulties, coupled with an antiquated infrastructure for the collection of and access to medical data, lead to enormous inefficiencies and sources of error. Consumer, regulatory, and governmental pressure drive a growing consensus that the time has come to modernize the U.S. healthcare information infrastructure (HII). While such transformation may be disruptive in the short term, it will, in the future, significantly improve the quality, expediency, efficiency, and successful delivery of healthcare while decreasing costs to patients and payers and improving the overall experiences of consumers and providers. The launch of a national health infrastructure initiative in the United States in May 2004-with the goal of providing an electronic health record for every American within the next decade-will eventually transform the healthcare industry in general, just as information technology (IT) has transformed other industries in the past. The key to this successful outcome will be based on the way we apply IT to healthcare data and the services delivered through IT. This must be accomplished in a way that protects individuals and allows competition but gives caregivers reliable and efficient access to the data required to treat patients and to improve the practice of medical science.This paper describes key IT solutions and technologies that address the challenges of creating a nation-wide healthcare IT infrastructure. Furthermore we discuss the emergence of new electronic healthcare services and the current efforts of IBM Research, Software Group, and Healthcare Life Sciences to realize this new vision for healthcare.
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机译：最近，人们越来越关注现代化医疗信息基础设施的需求。 – 美国医疗保健行业到目前为止以绝对美元和占GDP的百分比计算，世界上最大（超过1.5万亿美元，占GDP的15％）。它也是零散而复杂的。这些困难，再加上用于收集和访问医疗数据的过时基础架构，导致效率低下和错误源头。消费者，监管部门和政府的压力促使人们日益达成共识，认为现在是时候使美国医疗信息基础设施（HII）现代化了。尽管这种转变在短期内可能具有破坏性，但它将在未来显着提高医疗质量，便捷性，效率和成功交付，同时降低患者和付款人的成本，并改善消费者和提供者的整体体验。 2004年5月，美国启动了一项国家卫生基础设施计划，旨在在未来十年内为每个美国人提供电子病历，最终将改变整个医疗保健行业，就像信息技术（IT）一样。过去改变了其他行业。成功取得成功的关键将取决于我们将IT应用于医疗保健数据和通过IT交付的服务的方式。这必须以保护个人并允许竞争的方式来实现，但要使护理人员能够可靠有效地访问治疗患者和改善医学实践所需的数据。本文介绍了解决创建挑战的关键IT解决方案和技术。全国范围的医疗保健IT基础架构。此外，我们讨论了新的电子医疗保健服务的出现以及IBM Research，Software Group和Healthcare Life Sciences当前为实现医疗保健这一新愿景而做出的努力。
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