J Biomed Inform - Consumer-mediated health information exchanges: the 2012 ACMI debate.

Tópicos

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{ research(1085) discuss(1038) issu(1018) }
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{ studi(1119) effect(1106) posit(819) }
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{ measur(2081) correl(1212) valu(896) }
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{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
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{ signal(2180) analysi(812) frequenc(800) }
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{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
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{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
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{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

The American College of Medical Informatics (ACMI) sponsors periodic debates during the American Medical Informatics Fall Symposium to highlight important informatics issues of broad interest. In 2012, a panel debated the following topic: "Resolved: Health Information Exchange Organizations Should Shift Their Principal Focus to Consumer-Mediated Exchange in Order to Facilitate the Rapid Development of Effective, Scalable, and Sustainable Health Information Infrastructure." Those supporting the proposition emphasized the need for consumer-controlled community repositories of electronic health records (health record banks) to address privacy, stakeholder cooperation, scalability, and sustainability. Those opposing the proposition emphasized that the current healthcare environment is so complex that development of consumer control will take time and that even then, consumers may not be able to mediate their information effectively. While privately each discussant recognizes that there are many sides to this complex issue, each followed the debater's tradition of taking an extreme position in order emphasize some of the polarizing aspects in the short time allotted them. In preparing this summary, we sought to convey the substance and spirit of the debate in printed form. Transcripts of the actual debate were edited for clarity, and appropriate supporting citations were added for the further edification of the reader.

Resumo Limpo

american colleg medic informat acmi sponsor period debat american medic informat fall symposium highlight import informat issu broad interest panel debat follow topic resolv health inform exchang organ shift princip focus consumermedi exchang order facilit rapid develop effect scalabl sustain health inform infrastructur support proposit emphas need consumercontrol communiti repositori electron health record health record bank address privaci stakehold cooper scalabl sustain oppos proposit emphas current healthcar environ complex develop consum control will take time even consum may abl mediat inform effect privat discuss recogn mani side complex issu follow debat tradit take extrem posit order emphas polar aspect short time allot prepar summari sought convey substanc spirit debat print form transcript actual debat edit clariti appropri support citat ad edif reader

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