معماری شبکه ملی اطلاعات سلامت در کشورهای امریکا و انگلستان : راهکارهایی برای کشورهای در حال توسعه (1398)

نویسندگان
حسن ابراهیم پور صدقیانی 1
حمید بورقی 2
علی محمد پور 2
اسماعیل زینالی 3
کاملیا صارمی پور 4
1 گروه فناوری اطلاعات سلامت، دانشگاه علوم پزشکی نیشابور، نیشابور، ایران
2 گروه فناوری اطلاعات سلامت، دانشگاه علوم پزشکی همدان، همدان، ایران
3 گروه معارف اسلامی ، دانشکده علوم پزشکی خوی، خوی ، ایران
4 کارشناس ارشد شبکه‌های کامپیوتری و امنیت اطلاعات، دانشگاه علوم پزشکی همدان، همدان، ایران
چکیده
مقدمه

شبکه ملی اطلاعات سلامت (NHIN : Nationwide Health Information Network)،‌ شبکه‌ای است که به‌واسطه آن تمام ‌ارائه‌کنندگان خدمات بهداشتی به تبادل اطلاعات بهداشتی می‌پردازند. معماری چنین شبکه‌ای، از عوامل مهم دخیل در طراحی و ایجاد NHIN است. مطالعه حاضر با هدف تبیین تجربیات دو کشور پیشرو در زمینه طراحی معماری NHIN و ارائه راهکارهایی برای ایجاد NHIN برای کشورهای در حال توسعه انجام شد.

مواد و روش­ها

در این مطالعه توصیفی-تطبیقی، جامعه هدف شبکه‌های ملی اطلاعات سلامت بود که به صورت هدفمند NHIN دو کشور آمریکا و انگستان انتخاب شدند. جهت گردآوری اطلاعات از چک لیست محقق ساخته استفاده شد. سپس با توجه به ابعاد مطرح در معماری NHIN مستندات NHIN کشورهای مورد مطالعه تحلیل شدند و یافته‌های حاصل در قالب جداول تطبیقی ارائه گردید.

یافته­ها

معماری NHIN در کشور آمریکا که از اتصال شبکه‌های منطقه‌ای اطلاعات بهداشتی و سایر سازمان‌های مرتبط در امر سلامت به‌وجود می‌آید، تحت عنوان رویکرد پایین به بالا شناخته می‌شود. شبکه (N3:Network3) از برنامه ملی فناوری اطلاعات سلامت انگلستان و سیستم‌های اطلاعاتی آن‌ها رویکرد بالا به پایین داشتند.

نتیجه­گیری

هر کدام از رویکردهای معماری NHIN در کشورهای منتخب دارای مزایا و معایبی هستند. کشورهای در حال توسعه می‌توانند برای طراحی معماری NHIN، با عنایت به میزان تمرکز و یا عدم تمرکز سیستم بهداشتی خود از یکی از رویکردهای مذکور و یا ترکیبی از آنها استفاده نمایند.
کلیدواژه‌ها
شبکه ملی اطلاعات سلامت
سیستم ملی اطلاعات سلامت
سیستم‌های اطلاعات سلامت
تبادل اطلاعات سلامت

عنوان مقاله English

Nationwide Health Information Network Architecture in the United States and the United Kingdom: Solutions for Developing Countries

نویسندگان English

Hassan Ebrahimpour Sadagheyani 1
hamid bouraghi 2
Ali mohammadpour pour 2
Esmayil Zeynali 3
Kamelia Saremipour 4
1 Department of Health Information Technology, School of Para medicine, Neyshabur University of Medical Sciences, Neyshabur, Iran
2 Department of Health Information Technology, School of Para medicine, Hamadan University of Medical Sciences, Hamadan, Iran
3 Department of Islamic Teachings, Khoy University of Medical Sciences, Khoy, Iran
4 M. tech Computer Networks and Information Security
چکیده English

Introduction

The National Health Information Network (NHIN) is a network through which all healthcare providers exchange health information. Since the architecture of such a network is one of the most important factors involved in the design of NHIN; this study aimed to explore the experiences of leading countries in the development of NHIN architecture and providing solutions to developing countries.

Materials and Methods

In this descriptive-comparative study, the nationwide health information networks of the United States and the United Kingdom were reviewed. A researcher-made checklist was used to collect information. Then, according to the aspects of NHIN architecture, the NHIN documents of the countries under study were analyzed and the findings were presented in comparative tables.

Results

The NHIN architecture in the US, which involves connecting regional health information networks, had a bottom-up approach. The network N3 of the National Health Information Technology Program of the UK with a centralized structure had a top-down approach.

Conclusion

Each of the approaches used in the NHIN architecture in the studied countries has advantages and disadvantages. Developing countries should use one of these approaches or a combination of them to design the NHIN architecture, given the centralization or decentralization of their health systems.

کلیدواژه‌ها English

Nationwide Health Information Network
National Health Information System
Health Information Systems
Health Information Exchange
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