Study On The Status And Development Of Health Information Construction Of Shandong Province

Since the operation of deepening the health system reform, the national health information construction in China has further quickened its pace, and Shandong province has also made remarkable progress in this aspect. According to the standards and norms set by the Ministry of Health and the basic rules of the medical and health system reform "Ensuring the essential medical services, strengthening the primary health system construction and establishing effective mechanism", the hospital information construction focused on hospital management and clinical service has made important advances; the public health information construction targeted at enhancing the ability of public health service and health emergency management has made great headway; a lot of useful experience has been gathered in the development of the regional health information construction based on residents’electronic health records and electronic medical records(of both Chinese and western medicines). The effectiveness of the service of information construction for the public, management and decision is gradually emerging.However, over a long time, the health information construction is lacking of top-level design and planning and the standards and norms can’t be effectively used, which has led to the failure of efficient communication of the information system as well as the lag in the construction of residents’electronic health records and other electronic resource database. Now this situation is unable to satisfy the needs of deepening the medical and health system reform or the health security demands of the public. At the same time, the deficiency of professionals in health information management is hindering the health information from fully promoting the development of the medical and health system reform from technique aspect. This thesis starts with the study on the status of the health information construction in Shandong province, and then puts forward some policy recommendations on the development of the information construction for solving the problem of "high expense and difficulties in medical care". As a new type of productivity in the information society, information provides strong support and basic protections for the medical and health system reform and also plays an important role in the contents closely related to the reform. Focusing on the background, aim and implementation of the medical and health system reform, this thesis analyzes deeply the current problem of the health information construction, which contains unbalanced development (which is strong in the eastern, top layer and vertical construction while weak in the western, basic level and horizontal construction), as well as the weakness in planning and normalizing. This thesis analyzes the current problem and challenge from different angles, such as the national policy and the demands of individuals and organizations, and then discusses the feasibility of enhancing the health information construction in the fields of innovating the public health development patterns, promoting the rational allocation of health resources, strengthening the communication of information and business, and easing up the contradiction of supply and demand of the public health service. Then this thesis puts forwards the key points of health information construction--the regional information framework which means to build a provincial platform(which is also called the integrated platform of health information resources of Shandong province or the provincial regional health information platform) and apply it to province-level, city-level and county-level. At the same time, this thesis also presents the important tasks based on the provincial platform, and offers a brief description about the information systems such as residents’health records, electronic medical records, the new rural cooperative medical system, the essential drugs management, the telemedicine, and the residents’health cards, and the information of the primary-level medical and health care institutions. It also provides the construction planning, system goals, basic functions and implement methods of the systems of standards, norms, safety and so on. This thesis puts forwards architecture based on the provincial platform and faced to health management, medical practice and public service, and accentuates the application system based on specialized health networks and the internet. Cloud computing is an important implement method of provincial platform construction in this thesis. Through cloud computing technology and cloud computing application model, it can be realized to strengthen the communication of each health information system through Shandong province and establish the regional health information framework over the whole province based on the provincial platform.In regard to the content of the construction, the emphasis should be put on the transformation from simple health business management to the integration of comprehensive management and information service, so as to highlight the service function, optimize the business process, and normalize the medical service and management. As to the implement method, the single system model should be gradually replaced by integrated multisystem, and the normalization and information sharing construction is worthy attention. In addition, it’s wise and important to avoid repetitive application system development and data collection, and the data warehouse mechanism should be strengthened. Finally the aim is to accomplish the management and applying system of regional information resources on province-level, city-level and county-level, so as to support public health, medical service, the new rural cooperative medical system, the national system for basic drugs and other work field, basically realizing the goal of regional health information.Nowadays, innovating the mode of management, business and service with the aid of information-based means has already become a key task of information construction and is also an effective countermeasure of health information to promote the development of public health. Consequently, aiming at the new demands and environment since the new medical reform, and at the same time taking the status, content, tasks and implement methods of the health information construction in Shandong province into account, this thesis puts forwards the suggestion that it should be dominated by government and involve communal participation, through overall planning and top-level design, to build the cloud computing application model and project management system by stages, which is of considerable realistic and historic significance to further reappraise and make use of health information.