臨牀透析 Vol.19 No.9(1)


特集名 透析医療におけるIT化はどこまで進んでいるか
題名 医療におけるIT革命
発刊年月 2003年 08月
著者 本多 正幸 長崎大学医学部附属病院医療情報部
【 要旨 】 内閣府に設置された総合規制改革会議では,IT化推進がうたわれ,医療分野においても日本版DRG/PPSに相当する診断群別定額報酬支払い方式の導入が示され,厚生労働省のグランドデザインでも数値目標を掲げて電子カルテの推進を示している.このIT化の流れに先立つ形で,平成11年に「診療録等の電子媒体による保存について(通知)」が出された.この通知にある3条件のうち,情報の真正性をどのようにシステムが保証していくのかが大きな課題であるが,技術的・組織的問題を解決しながら進めていかなければならない.
Theme How far have the Progress of Information Technology been made in Dialysis Therapy?
Title Information technology revolution in medical practice
Author Masayuki Honda Department of Medical Informatics, Nagasaki University, School of Medicine Hospital and Clinics
[ Summary ] The council for Regulatory Reform (a cabinet office) has stated its support of promotion of IT (Information Technology). In the medical field, a new payment system based on DPC (Diagnosis Procedure Combination) which is a Japanese version of DRG/PPS, has been implemented. The overall design of the Ministry of Health, Labour and Welfare indicated a percentage goal would be introduced for the Electronic Patient Record system for hospitals by 2006. Before that time, "The Electronic Storage of Clinical Records" criteria required by the Ministry of Health and Welfare in 1999, and the storage of documents in electronic form would be permitted for records falling into three criteria. The most important criteria is; "Authenticity and accuracy of information". We must promote the introducion of an Electronic Patient Record system with technical and organizational approaches.
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