Ukufumana nokwabelana ngolwazi lwezonyango kubaluleka kumgangatho omhle, ngononophelo olululo. Xa kuziwa kwizigulane ezinzima ezineemeko ezihlala zikhona, ukufikelela kwimbali yabo yezonyango kunye neirekhodi zamachiza kubaluleke kakhulu. Kukho abantu abaninzi abafumana unyango kwiziko lempilo ekhethekileyo. Kuza kuba ngumdla wokubaluleka kwezi ziko, ngokuqhelekileyo kwintanethi efanayo, ukuba bakwazi ukuthetha kunye kunye nokwabelana ngolwazi olufanelekileyo lwesigulane.
Nangona kunjalo, oku akunjalo.
Oku kubangelwa ukuba idatha yekhompyutheni evela kwimithombo emininzi kunokuba nzima ukutshintshisana. Ubuchwephesha obutsha abasebenziswa yimibutho eyahlukeneyo abahambelani ukuba bahambelane, okusoloko kubangela ukubandakanyeka umngeni. Ixesha elibalulekileyo kunye nezibonelelo zisetyenziselwa ukufumana ukwabelana ngolwazi ngempilo, kodwa sisenendlela ende yokuhamba. Iindaba ezilungileyo zenziwa iinzame zokuphucula amava kunye nokubonelela ngononophelo lwempilo.
Amanyathelo amalungiselelo okuphucula ukusebenzisana
Ngo-2015, i-The Pew Eritable Trusts yaxhaswa ngophando olucwangcise iindlela ezintsha zokufikelela, ukukhangela nokuhlanganisa idatha yezempilo yekhompyutha. Uphononongo olwenziwa nguAvalere, lubandakanye ukubhaliswa kwezixhobo zonyango ezihlanu kwiindawo ezahlukeneyo zonyango. Okokuqala, ezinye zezithintelo ekusebenzisaneni kwedatha zachongwa: iintlobo ezahlukeneyo, ukwabelana nzima phakathi kwamaqonga ahlukeneyo kunye nokukhathazeka malunga nokukhuselwa kwedatha, ukubiza ngambalwa.
Ingxelo yokugqibela icetyise ezinye izinto ezinokubangela ukujongana nale miqobo. Iingcebiso zepolisi ziquka:
- Ukudala ikomiti yecandelo labucala-likarhulumente eliya kuthi, phakathi kwezinye izinto, lisebenze ekuphuhliseni umzekelo wolwazi oqhelekileyo wokutshintshiselana kwedatha.
- Ukuphuhlisa amaqela aza kuhlola kunye nokuhambelana nemimiselo yezokhuseleko ekhoyo.
- Ukwakha kwindlela yokusebenzisana ngokutsha kunye nolwabelana ngolwazi, kunye nokukhuthaza abathengisi kunye nokubhalisa abayisebenzisa.
- Ukuqwalasela ngokusemthethweni ukukwazi ukuthumela idatha kubhaliso lweenkcukacha zeklinikhi zesithathu.
Ngoku kutshanje, ochwepheshe bezekhnoloji yezempilo bathetha ukuba iteknoloji ye- blockchain inokuphucula ukusebenzisana. Le teknoloji inikeza ngokulula ukudluliswa kolwazi phakathi kwemibutho eyahlukeneyo engenakho imfuneko yokuqinisekiswa kweqela lesithathu. Nangona kunjalo, kuya kufuneka ucwangciso olungakumbi ngaphambi kokuba i-blockchain innovation isetyenziswe kwinkqubo yethu yokunakekelwa kwempilo. Okwangoku, idatha yesigulane isalondolozwa kakuhle kwifu.
Iinkampani ezijongene nokuBambisana noNxibelelwano
Ezinye iinkampani sele zibonelela izisombululo ezinokuthi zithuthukise ukusebenzisana kwedatha kwaye, ngoko ke, ukuphucula ukunakekelwa kwezigulane kunye nokwenza izigqibo zonyango. Enye inkampani enjalo ngu-3M-inkampani yokuvuselela ihlabathi jikelele esebenzisa isayensi kwiingxaki ezahlukahlukeneyo zentlangano. I-3M yenzelwe indlela eguqulela kunye nokumisa idatha yesigulane, igcina imigangatho yesigama, idibanisa idatha kwaye iququzelela ukufikelela kwedatha. Indlela yokusebenza yendlela yokuklama (SOA) izama ukudala idatha enenjongo, esebenzayo kwaye isebenze kwiinkqubo ezahlukeneyo.
Validic omnye umzekelo wenkampani osebenza ekufikeleleni nasekuhlanganisweni kwedatha. I-platform yayo yeseknoloji esekelwe efini isebenza njengebhulorho phakathi kwedatha ebhalwe ngesigulane kunye nezixhobo zesibhedlele. Izigulane ezisebenzisa izicelo zempilo, izixhobo zekliniki kunye nezindwangu ziyakwazi ngokukwabelana ngokulula ngolwazi lwabo kunye nomboneleli wezempilo. Oku kuphucula ukufikelela kunye nokubandakanyeka kwesigulane kwaye kunceda ukucombulula umngeni wokudibanisa wezobuchwepheshe bezempilo.
I-Validic, ithathwa njengeplani ye-digital ehamba phambili, isebenza abangaphezu kwezigidi ezili-160 kwiiklayenti kumazwe angama-47 kwaye izinikele ekukhuleni okuqhubekayo.
Ngo-2015, uValidic wamemezela intsebenziswano kunye neHigi, inkampani eyakha inethiwekhi yesikhokelo sempilo ye-kiosk. Intsebenziswano yeqhinga yanikezela ithuba lemibutho yokunakekelwa kwempilo ukuba ifikelele kwi-pool yeedatha ehlukeneyo. Ngokomzekelo, i-app yeValidic ibonelela ngenkxaso yokuqinisekisa nokufumana idatha ye-biometric (uxinzelelo lwegazi, i-pulse kunye ne-BMI) efunyenwe kwizikhululo ze-Higi ezifumaneka kwii-pharmacy ezahlukeneyo kunye neevenkile zokutya. I-Validic ikwabambisana namanye amaqumrhu, kuquka i-Partners Connected Health. Injongo yale mibambano kukuzisa idatha kwiingubo kunye nezixhobo zasekhaya kwimisebenzi yokusebenza yamakliniki ekhoyo kwaye zilungele kwizicwangciso zokunyamekela izigulane.
Abathengisi bexhasa ukusebenzisana
Xa kuziwa ekuphumezeni ukusebenzisana, ukuxabana phakathi kwamarekhodi ezempilo ze-elektroniki (EHR) nabathengisi boluntu kwaye urhulumente uhlala eqaphela. I-Ofisi yoMququzeleli weSizwe wezeMpilo i-IT (i-ONC) ibone icandelo labucala ukuba "inokuthi ivimbele ingcaciso." Uphando olwenziwa ngo-2017 olwenziwa yiYunivesithi yaseMichiganzi izikolo zeeNkcukacha kunye neMpilo kaRhulumente zibonise ukuba ukukhutshwa kolwazi kuqhubeka ngumngeni wesizwe. Nangona kunjalo, abanye abathengisi baye babonisa indlela efanelekileyo yokulungisa ingxaki yokusebenzisana.
Ngokomzekelo, ngexesha leNgqungquthela ye-Keystone ye-2015KLAS e-Utah, abathengisi bathatha amanyathelo okuphucula ukusetyenziswa kwedatha yezempilo. Iinkampani ezithengisayo ze-EHR ezilishumi elinesibini, kuquka i-athenahealth, i-Cerner, i-Epic noMcKesson, yavuma ukulinganisa ukusebenzisana usebenzisa itekisi yokulinganisela injongo kunye nokubika kwi-Washington ngokuqhubekayo. Ukusebenzisana kwalinganiswa ngeendlela ezimbini: ukubalwa kwemisebenzi kunye namava klinikhi. Ngo-2017, i-KLAS yakhiqiza ingxelo yokusebenzisana eyayibonisa ukusebenzisana kwinkonzo yempilo kabini ngonyaka, ukusuka kwi-6% ukuya kwi-14 ekhulwini. I-epic kunye ne-athenahealth ibalwa njengabathengisi abafanelekileyo kakhulu ngokubhekiselele ekusebenzisaneni. Ingxelo iqukumbele ukuba inkqubela phambili ikhona, nangona kunjalo, ukulindela kwabanikezeli abazange bahlangane noko.
Ucwaningo lwamazwe ngamazwe angama-13 asele luqalise ukusebenza kwiinkqubo ze-EHR lonke lufumene ukuba ukubandakanyeka kwabathengisi bangebucala akuphepheki kwaye kuye kwarekhodwa phantse kuzo zonke izigaba zomjikelo wophuhliso. Ukuvumelana phakathi kwabathengisi kuya kwenza ukuba utshintshiselwano ngolwazi lube lubala kwaye lukwazi ukujongana neendlela zokusebenzisana ezizayo. Kubonakala ukuba icandelo labucala liqalisa uhlobo lokuzilawula-bavulekile ukuba basebenze ngokusondeleyo kunye noorhulumente-kodwa ngelo xesha, abafuni ukulawulwa.
> Imithombo
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> Batra U, Sachdeva S, Mukherjee S. Ukuphunyezwa kokunakekelwa kwempilo kwezempilo usebenzisa i-SOA kunye ne-arhente yokutshintsha idatha. Umgaqo-nkqubo wezeMpilo kunye neTheknoloji , 2015; 4 (3): 241-255
> Engelhardt M. Hitching Ukunakekelwa kwezeMpilo kwiCandelo: Intshayelelo yeBlockchain Technology kwiCandelo lezeMpilo . Ukubuyiselwa kobuGcisa boBuchule boMbane, 2017; 7 (10): 22-34.
> Fragidis L, Chatzoglou P. Uphuhliso lweRekhodi yezeMpilo ye-elektroniki (ΝEHR): uphando lwamazwe ngamazwe. Umgaqo-nkqubo wezeMpilo kunye neThekhnoloji 2017; 6 (2): 124-133.
> Gaynor M, Yu F, Andrus C, uBradner S, uRawn J. Isikhokelo esipheleleyo sokusebenzisana kunye nezicelo zononophelo lwezempilo. Umgaqo-nkqubo wezeMpilo kunye neThekhnoloji 2014; 3 (1): 3-12