美国卫生信息化及其启示

On health information in America and its revelation

美国联邦政府把实现卫生信息化作为刺激卫生信息经济发展的重要举措。联邦政府从卫生信息化的组织保障、制度创新、卫生信息系统设计以及对医疗服务供方采取一定的经济激励约束机制等方面促进信息技术在卫生领域中的运用。结合我国卫生信息化发展的实际，提出卫生信息化应该与医疗卫生体制改革同步进行，政府搭台、企业竞争和医疗服务机构积极参与是卫生信息化顺利进行的基本保证，采取以个人健康档案为支点促进实用共享的医药卫生信息系统建设的策略。

The US federal government regards health information technology （HIT） as an important action to stimulate growth of the health information economy. To implement HIT, the federal government proposed a tiered plan from organization guarantee, institutional innovation, HIT system design to economy stimulating mechanism, and to health care providers as well. In view of China＇s HIT development, it is proposed that HIT must proceed with healthcare reform in parallel. Stage-setup by the government, competition among enterprises, and active role of medical service providers constitute fundamental guarantee to ensure HIT go on wheels. Electronic health records of individuals should play key roles in promoting pragmatic and shared medicine health care information system.