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电子保健记录 (HER)系统还处在起步阶段 ,面临着诸多挑战。第一个是技术与标准方面的问题。第二个挑战是对存储的患者数据资料的可信赖性的法律要求以及对与患者有关的信息资料的真实性的要求。第三个挑战是生产与市场问题。第四个挑战是卫生保健管理工作者领导才能与实际工作的需要不相适应 ,不少人对重新规划卫生保健体系缺乏积极性。最重要的一个挑战就是HER的可接受性和可运用性问题。卫生保健专业工作者应该认可和接受运用这种新工具 ;政府当局应该认识和理解这一目标并对之进行规划 ,使之纳入法律规定范围之内 ;科研人员应该积极研究 ,提出一个好的解决策略 ;企业界应该认可这些标准 ,并提供低成本、相互之间具有可操作性的方案。
The Electronic Health Records (HER) system is still in its infancy and faces many challenges. The first is technical and standard issues. The second challenge is the legal requirement for the trustworthiness of patient data stored and the need for the authenticity of patient-related information. The third challenge is the production and marketing issues. The fourth challenge is that the leadership skills of health-care managers do not fit the needs of practical work, and many people are not motivated to re-engineer the health-care system. One of the most important challenges is HER’s acceptability and usability issues. Health care professionals should recognize and accept the use of this new tool; public authorities should recognize and understand this goal and plan it so that it falls within the ambit of law; and researchers should actively study and propose a good solution Strategy; Businesses should recognize these standards and provide low-cost, interoperable solutions.