Kulandira ndi kugawana nzeru za odwala ndizofunika kuti mukhale wabwino, kusamalira bwino. Ponena za odwala omwe ali ndi matenda aakulu, kupeza mbiri yawo yachipatala ndi mankhwala kumakhala kofunika kwambiri. Pali anthu ambiri omwe amalandira chithandizo m'mazipatala osiyanasiyana. Zingakhale zofunikira kwambiri kwa wodwala kuti malowa, nthawi zambiri mumtundu womwewo, athe kuyankhulana mosakayika ndikugawana zambiri zokhudza odwala.
Komabe, izi sizodziwika kawirikawiri.
Izi ndizo chifukwa chakuti deta yamakono yochokera kuzinthu zambiri zingakhale zovuta kusinthanitsa. Zipangizo zatsopano zogwiritsidwa ntchito ndi mabungwe osiyanasiyana sizinagwirizane, zomwe nthawi zambiri zimawopseza. Nthawi yochuluka ndi chuma chikugwiritsidwa ntchito kuti tipeze kugawidwa kwa kuyankhulana kwabwino, komabe tili ndi njira yayitali yopitira. Uthenga wabwino ndi kuyesayesa kuti apititse patsogolo zochitikazo ndikupereka chithandizo chamankhwala abwino.
Njira Zowonjezera Zowonjezereka
Mu 2015, Chikhulupiliro cha Pew Charitable chinapereka ndalama zowonjezera zomwe zinayesa njira zatsopano zopezera, kudula ndi kuphatikiza deta ya zaumoyo. Phunzirolo, lopangidwa ndi Avalere, linalinso ndi mabuku asanu olembetsa zamankhwala ochokera m'madera osiyanasiyana ochiritsira. Choyamba, zina mwazitsulo zotsutsana ndi deta zinadziwika: miyezo yosiyanasiyana, kuvutika kugawana pakati pa mapulatifomu osiyanasiyana ndi nkhawa zokhudza chitetezo cha deta, kutchula ochepa.
Lipoti lomalizira linapereka zatsopano zomwe zingathandize kuthetsa zolepheretsazi. Malangizidwe a ndondomeko anali nawo
- Kukhazikitsa komiti yapadera ya gulu la anthu yomwe, pakati pazinthu zina, idzagwira ntchito popanga chitsanzo chodziwika cha deta kuti azigwiritsira ntchito deta.
- Kupanga magulu omwe angayang'ane ndikugwirizana ndi malamulo omwe alipo kale.
- Kumanga kumagwirizanitsa posachedwa ndikugwiritsana ntchito, ndikuwongolera ogulitsa ndi olembetsa omwe amagwiritsa ntchito.
- Kuyankhula mwakukhoza kukwanitsa kutumiza deta ku zolembera zamtundu wa chipatala chachitatu.
Posachedwapa, akatswiri a sayansi ya zamankhwala amanena kuti teknoloji ya blockchain ikhoza kuyendetsa bwino. Teknolojia iyi imapereka mosavuta kusamutsa deta pakati pa mabungwe osiyanasiyana omwe alibe kusowa kwa kutsimikiziridwa kwa chipani chachitatu. Komabe, kukonzekera kwakukulu kudzafunikila zisanayambe kugwiritsidwa ntchito ku blockchain. Pakalipano, deta ya odwala ndi yabwino kwambiri yosungidwa mumtambo.
Makampani Othandiza Kuphatikizana Kwambiri
Makampani ena ali kale kupereka njira zatsopano zowonjezera deta yophatikizika ndipo, motero, kumapanga chisamaliro cha odwala komanso kupanga chisankho. Kampani imodzi yotereyi ndi 3M-makampani opanga machitidwe onse omwe amagwiritsa ntchito sayansi ku mavuto osiyanasiyana a bungwe. 3M idapanga njira yomwe imamasulira ndikuyimira deta, imasunga miyezo ya mawu, imatsutsana ndi data komanso imathandizira kupeza deta. Njira yake yokonza mapulogalamu (SOA) amayesetsa kupanga deta yodalirika, yogwira ntchito ndikugwira ntchito zosiyanasiyana.
Validic ndi chitsanzo china cha kampani yomwe imagwira ntchito pazowoneka ndi kuphatikizana kwa deta. Pulogalamu yake yamakono yopanga zamagetsi imakhala ngati mlatho pakati pa deta olembedwa deta ndi ma chipatala. Odwala omwe amagwiritsa ntchito ntchito zaumoyo, zipangizo zamakono ndi zovala zimatha kufotokozera mwachidziwitso zomwe akudziŵa ndi wothandizira zaumoyo. Izi zimapangitsa kuti munthu akhale ndi mwayi wothandizira komanso woleza mtima komanso amathandizira kuthetsa vuto la mgwirizano wa makanema a zamagetsi.
Validic, yemwe amaganiza kuti dziko lapansi likutsogolera ma digitala, akugwira makasitomala oposa 160 miliyoni m'mayiko 47 ndipo akudzipereka ku kukula kosalekeza.
Mu 2015, Validic adalengeza mgwirizano ndi Higi, kampani yomwe inakhazikitsa malo ogwiritsira ntchito umoyo wathanzi. Mgwirizanowu wapadera unapereka mwayi kwa mabungwe othandizira zaumoyo kuti apeze dziwe la deta losiyana kwambiri komanso lothandiza. Pulogalamu ya Validic tsopano ikuthandizira kutsimikizira ndi kulandira deta yamagetsi (kuthamanga kwa magazi, kuthamanga ndi BMI) zomwe zimapezeka ndi malo a Higi omwe ali m'masitolo osiyanasiyana ndi m'masitolo. Validic akugwirizananso ndi makampani ena, kuphatikizapo Partners Connected Health. Cholinga chazogwirizanitsa izi ndi kubweretsa deta kuchokera kumagalasi ndi zipangizo zam'nyumba kuntchito yomwe imakhalapo kuntchito ndipo imayikiranso ndondomeko ya chisamaliro cha odwala.
Ogulitsa akuthandiza kugwirizana
Pankhani yothetserana kusagwirizana, kusiyana pakati pa zipangizo zamagetsi (EHR) ogulitsa malonda ndipo boma nthawi zambiri limazindikira. Ofesi ya National Coordinator for Health IT (ONC) yawonetsa kuti magulu apadera akhale "zowonongeka." Kafukufuku wa 2017 wophunzitsidwa ndi University of Michigan Sukulu za Udziwitso ndi Zaumoyo Zapamtima anasonyezanso kuti kutseka mfundo kumakhalabe vuto ladziko. Komabe, ena ogulitsa akuwonetsa njira yothetsera vutoli.
Mwachitsanzo, pa 2015KLAS Keystone Summit ku Utah, ogulitsa anachitapo kanthu pofuna kusintha deta yothandizira. Makampani khumi ndi awiri a EHR ogulitsa, kuphatikizapo athenahealth, Cerner, Epic ndi McKesson, adagwirizana kuti ayese kugwiritsira ntchito pogwiritsira ntchito chida choyenerera ndikufotokozera ku Washington nthawi zonse. Kuyanjanitsa kunayesedwa m'njira ziwiri: kuwerengera ndikugwiritsanso ntchito kwa odwala. Mu 2017, KLAS inalongosola lipoti lokhazikitsira ntchito lomwe linasonyeza kusagwirizana pakati pa chithandizo chaumoyo kawiri pachaka, kuchoka pa 6 peresenti kufika pa 14 peresenti. Epic ndi athenahealth adayikidwa ngati ogulitsa abwino mwazinthu za interoperability. Lipotilo linatsimikizira kuti patsogolo pang'onopang'ono paliponse, komabe, kuyembekezera kwa operekera sikunakumanebe panobe.
Kafukufuku wapadziko lonse wa mayiko 13 omwe atha kale kukhazikitsa machitidwe onse a EHR adapeza kuti kuloŵerera kwa ogulitsa kwapadera sikungapeŵe ndipo kwalembedwa pafupifupi magawo onse a kayendetsedwe ka chitukuko. Chigwirizano pakati pa ogulitsa chimachititsa kuti uthenga ukhale wosinthanitsa kwambiri ndipo ukhoza kuwathandiza kuyesetsa kutsatizana. Zikuwoneka kuti magulu apadera akuyambitsa mtundu wa kudziletsa-ali otseguka kuti azigwira ntchito limodzi ndi boma-koma panthawi yomweyi, sakufuna kulamulidwa.
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