Using Delphi Method to Study the Requirements of Medical Information System in China - A case Study of Ningbo City

• Main Authors: YANG,SHANG-DONG, 楊尚東
• Other Authors: HSU，CHIEN-YEH
• Format: Others
• Language: zh-TW
• Published: 2018
• Online Access: http://ndltd.ncl.edu.tw/handle/3zv54b

碩士 === 國立臺北護理健康大學 === 資訊管理研究所 === 106 === ABSTRACT Since the beginning of the 21st century, with the continuous progress of science and technology, hospital information systems have been developed rapidly. In the process of globalization, medical information system is regarded as an essential information system and has been recognized as an international standard needed to be applied in all countries. It has been emphasized the importance of medical information development in the 12th and 13th Five-Year Plan for the National Economic and Social Development of the People's Republic of China. However, there are also many obstacles in the development of medical information in China. We are using Ningbo City, Zhejiang Province as an example scenario, to analyze the current situation, problems, prospects and possible impacts of the deployment and promotion of medical information systems in Ningbo China. Through the literature, we explored the medical information development in countries such as Japan, Taiwan, Singapore, India, and other countries in the Asia-Pacific region, and learn from the experience of developed countries such as USA. We analyzed the current policies, status, and development trends of their medical information. We considered the current situation of China and referred lots of literature in the Asia-Pacific region. Based on our conclusion, we formulated a long-term plan for the future development of medical information in China. This study collected many literatures regarding medical informatics from academic journals and government reports in the Asia Pacific region. In addition to the literature study, we also referred to some important countries in Asia Pacific region for which have high development of medical information systems. References and supplements are also obtained from the government websites for public health policy. Through the interviews of experts in various fields, we analyzed the current situation, problems and challenges of the development in medical information systems for the Asia-Pacific region and for Ningbo. By using the Delphi method, we summarized the collusions of the experts to formulate recommendations. Finally, after analyzed the history and development of medical information systems in the Asia-Pacific region and combined with the suggestions from the Delphi method, we conclude the following three working items which are proposed to Ningbo city: 1. Using Electronic Medical Records with medical information standards in the systems, such as: Continuity Care Records, Personal Health Records, Medical Decision-Making and Clinical Research. 2. Establishing data exchange system with privacy regulations, data security and protection applying on storage and applications. 3. Using big data technologies in healthcare data Analysis and processing. Cooperating with the international community to improve the quality of medical services of Ningbo City.