Ukuvula iziteshi zonxibelelwano ukuphucula ukunakekelwa kwezilonda
Utshintshiselwano ngolwazi lwezempilo (i-HIE) kukuchithwa kwekhompyutheni ekhuselekileyo kolwazi lwezempilo phakathi kweminye imibutho yokunakekelwa kwempilo. Injongo ye-HIE kukuvumela ukuba oogqirha kunye nezigulane zifikelele kwiinkcukacha zempilo ebalulekileyo, ngexesha elifanelekileyo kwindawo elungileyo, ukwenzela ukubonelela okanye ukulungiselela ukunakekelwa okusemandleni. I-HIE yenziwe xa intlangano yemibutho ilandela imigangatho eyaziwayo ukwabelana ngolwazi lwezempilo lwe-elektroniki.
Izibhedlele, iikliniki, ii-pharmacy, kunye neendawo zesebhu zingabandakanywa yi-HIE kwinqanaba lesithili, likarhulumente okanye lesizwe.
Ngaphandle kwe-HIE, ulwazi luvalelwe kwirekhodi yezempilo yekhompyutha nganye (i-EHR) okanye ezinye iinkqubo zolwazi, okwenza kube nzima ukuba oogqirha bakwazi ukufikelela kwiinkcukacha eziphathelele izigulane ezithe zafumana unyango lwempilo kwimibutho emininzi. I-HIE ivumela ababoneleli ngempilo kwimibutho eyahlukileyo ukuba bajonge kwaye babelane ngolwazi lwezempilo yesigulane (umzekelo, iimpawu ezibalulekileyo, iziphumo zokuvavanya, amayeza) kwindawo yokunyamekela. Izigulane zingasebenzisa i-HIE ukulawula ukuhamba kweenkcukacha zabo zempilo.
I-HIE isebenzise nini?
Kukho imiba emininzi apho ukufikelela kwidatha yeklinikhi kuya kuba luncedo kubaboneleli kunye nabagulane:
- Umonde uyadluliselwa esibhedlele esinye kwesinye
- Umonde uyathunyelwa kwisebe elingxamisekileyo emva kokuvavanywa kwiseklinikhi
- Umonde ukhutshwa esibhedlele aze alandele kwiklinikhi
- Umonde uhamba ngaphesheya kwedolophu kwaye ufumana umboneleli omnakekelo olusisiseko
Kuzo zonke iinguqu zokunyamekela, isiguli siya kuba nolwazi lwezempilo olugcinwe kwi-EHR yesibonelelo sokuqala oluya kuba nefuthe uhlobo lokunyamekelwa olwenziwe kwisibonelelo sesibini, ukuba ngaba ngababoneleli kuphela abanokufikelela kuwo. I-HIE yenza oku kwenzeke.
Iinzuzo ze-HIE
Ukwabelana ngokukhawuleza kwedata kunokunceda iiklinikhi kunye nezigulane zizenza izigqibo ezingcono kwiindawo zokunyamekela. Iintlobo ezithile ze-HIE ziquka:
- Gwema ukufunda okungeyomfuneko
- Gwema uvavanyo lokuphinda. Ukuba iiklinikhi ziyakubona iziphumo zemivavanyo yangoku, abayi kufuneka ukuba balayishe iimvavanyo kwakhona
- Unonophelo olusenyangweni.
Ngokomzekelo, uphando olwenziwa nguJames Bailey kunye noogqirha babonisa ukuba xa ababoneleli bezempilo kwiinkonzo eziphuthumayo basebenzisa i-HIE ukufikelela kwiirekhodi zezigulane ezinentloko, babengenakuncipha ukuba bafunde izifundo ze-imaging ezidityanisiweyo (umz. CT scans) kwaye banokukwazi ukulandela ubungqina- izikhokelo ezisekelwe ekulawuleni intloko.
Iintlobo ze-HIE
Kukho iindlela ezintathu eziphambili ze-HIE:
- Ukuhanjiswa kweTshintsho kunika ababoneleli bezempilo abanokwazi kunye nokuthembana ukuba bathumele kwaye bafumane ulwazi malunga nesigulane. Ababoneleli basebenzisa le ndlela yokutshintshiselwa ukunika amanyathelo omgangatho okanye idatha yokugonywa.
- I-Exchange-based Exchange ivumela ababoneleli ukuba bafumane kunye / okanye bacele ulwazi malunga nesigulane esivela kwenye imithombo.
- Umthengi Mediated Exchange uvumela izigulane ukuba zifikelele kwaye zilawule ulwazi lwazo lwezempilo. Baya kukwabelana ngolwazi kunye nababoneleli ngezempilo.
Imvume yomonde ye-HIE
Ii-HIE zinamalungiselelo ahlukeneyo okuvumela izigulane zikwazi ukulawula ukuba kwaye njani ulwazi lwabo lwenziwa kufumaneka ukwabelana phakathi kwemibutho yokunakekelwa kwempilo:
- Khetha ukungena: Okungagqibekanga kukuba ulwazi lwezempilo yesigulane alukwabelwanga. Izigulane kufuneka zivakalise ngenzondelelo umnqweno wabo ukwabelana nazo zonke iinkcukacha zabo okanye kuphela inxalenye yalo
- Ukuphuma: Okungagqibekanga kukuba ulwazi lwezempilo yesigulane lufumaneka ukwabelana. Ukuba banqwenela ukuthintela ukwabelana konke okanye inxalenye yolwazi lwabo, izigulana mazizenzele ngokucacileyo le nqwenela
- Akukho mvume: Ulwazi lwezempilo lufumaneka ukwabelana, kwaye izigulane azikwazi ukuphuma.
Umlinganiselo apho i-HIE ifezekisa ukusebenzisana kuya kuba nefuthe kwixabiso elibonakalayo phakathi kweekliniki kunye nezigulane. I-HIE ehlangene ngokupheleleyo inokukwazi ukuphucula ukhuseleko, umgangatho, ukusebenza kakuhle, kunye neendleko zempilo yononophelo.
Ukwakha i-HIE yesithili, i-state kunye neyezwelonke kufuna ubutyebi obuninzi kunye nokubambisana kwabathintekayo abaninzi.
Imithombo:
Bailey JE et al. Ingaba utshintsho lweenkcukacha zempilo luyanciphisa ukungabikho kwemfuneko ye-neuroimaging nokuphucula umgangatho wokunyamekelwa kwentloko kwisebe elingxamisekileyo? J Gen Intern Med 2013; 28 (2): 176-83. Kufike ngoJuni 6, 2014.
I-Ofisi yoMququzeleli weSizwe wezoLwazi lwezeMpilo. Yintoni iHIE? Kufike ngoJuni 5, 2014.
Iinkonzo zezeMpilo kunye noLawulo lweeNkonzo. Yintoni yoshishino lokutshintshiselana ngolwazi lwezempilo? Kufike ngoJuni 5, 2014.