The development and application of health decision support system (HDSS) in clinical service and health management is efficient in controlling health expenditure rising from overlapped examinations, and in reducing medical errors rising from insufficient decision-making support tools. Typical HDSS in America includes CPOE, MYCIN, QMR, NEDSS etc., which are mainly used in disease diagnosis and treatment, public health emergency management, hospital management, and health insurance management. The successful experiences accumulated in the development of the US health decision support system are worth referring to, such as, integration of management system, decision-makers and ICT, meeting the urgent needs of clinical service and health management, effective E-health construction, and rational development pathway from clinical decision support system to health management decision support system.
Citation：
LI Xinwei,DAI Tao,HU Hongpu. Research on Development and Application of Health Decision Support System in the US. Chinese Journal of Evidence-Based Medicine, 2012, 12(3): 251-255. doi: 10.7507/1672-2531.20120041
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Copyright © the editorial department of Chinese Journal of Evidence-Based Medicine of West China Medical Publisher. All rights reserved
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- 1. 许琳. 临床不安全用药现象探析. 中国医药报, 2009-11-03.
- 2. MediXTMCDS临床决策支持系统. 2011-01-22. http://wenku.baidu.com/view/b65838eb6294dd88d0d26b89.html.
- 3. 赵霖, 冯振翼, 安建民. 美国突发公共卫生事件应急管理体系一瞥. 继续医学教育, 2007, 21(30): 7-9.
- 4. 陈金雄, 刘雄飞, 王庆森. 数据仓库与医院管理决策. 中国医院, 2004, 10(8): 12-14.
- 5. 赵起超. 论医疗决策支持系统. 中国医院管理, 2001, 21(11): 40-41.
- 6. Graber SE, Seneker JA, Stahl AA, et al. Development of a replicated database of DHCP data for evaluation of drug use. J Am Med Inform Assoc, 1996, 3(2): 149.
- 7. Lloyd SS. Automated information systems provide health information management support to veterans’ health care. JAHIMA, 1992, 63(6): 63.
- 8. Poirier TI, Giudici RA. Drug interaction microcomputer software evaluation: Drug Therapy Screening System (DTSS). Hbsp Pharm, 1990, 25(8): 738.
- 9. 蔡芸, 王睿. 信息及决策支持系统在合理用药中的应用进展. 中国药房, 2006, (18): 1424-1426.
- 10. HHS. American Health Information Community. 2011-01-18. http://www.hhs.gov/healthit/ community/background/.
- 11. HHS. The Office of the National Coordinator for Health Information Technology (ONC). 2011-01-18. http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__onc/1200.
- 12. 缪其浩, 曾原. 完善决策的信息和智力支持系统. 2007-10-10. http://theory.people.com.cn/GB/49150/49152/6359043.html.
- 13. 刘心报. 决策分析与决策支持系统. 北京: 清华大学出版社, 2009.
- 14. 王琳, 编译. 美国2011财政年度预算案继续增加对科技研发及关键技术的投入. 2011-01-19. http://www.sxinfo.net:8080/kjxxw/article.do?curMenu=9&childMenu=5&articleId=23489.
