Sanford J.Brown

I visited my ob-gyn friend Keevan in his office today to offer a consultation on medical billing software.Keevan′s hardware was archaic:a 286 machine with a monochrome monitor.Using his computer was like tying bleeders instead of using cautery.His software company was out of business.No upgrades were available.He clearly needed a makeover,yet he approached using my system with some trepidation."Will it bill rural health?" he wanted to know."Keevan," I said,"it will bill God if you know the address."

It′s always amazed me how you have to drag doctors kicking and screaming into the electronic information age.You′d think that after getting through medical school,running a medical office would be a snap.It isn′t.I think the fear of it drives some of us to give up on private practice.

我的朋友凱文是婦產(chǎn)科醫(yī)生，為了幫他解決收費(fèi)軟件問(wèn)題，今天去了他的診所。凱文所用的硬件早已過(guò)時(shí)了：286機(jī)器外加單色視頻顯示器。用起來(lái)就像術(shù)中止血還用結(jié)扎而不用電凝似的。他之前的軟件公司已經(jīng)破產(chǎn)，沒(méi)有可用的升級(jí)資源。顯然要更新，可凱文對(duì)我用的系統(tǒng)還心存疑慮。“這系統(tǒng)能用于鄉(xiāng)村保健收費(fèi)嗎？”他問(wèn)。我說(shuō)：“如果你知道地址，它能向上帝收費(fèi)。”

令我不解的是，讓醫(yī)生走進(jìn)電子信息時(shí)代為何如此不情愿。或許有人認(rèn)為完成醫(yī)學(xué)院學(xué)業(yè)后開(kāi)家診所輕而易舉，其實(shí)并非如此。我覺(jué)得有些人就是由于恐懼而打消了私人開(kāi)業(yè)的念頭。

后記：信奉、接納新技術(shù)才能跟上時(shí)代的步伐，電子信息時(shí)代給人們帶來(lái)效益人所共知。醫(yī)院信息系統(tǒng)(hospital information system,HIS)使從業(yè)人員和患者雙方獲益：信息準(zhǔn)確、快捷，減少了差錯(cuò)的幾率；環(huán)環(huán)緊扣，完善了臨床路徑；利于解決看病難的問(wèn)題，遠(yuǎn)程會(huì)診解決了偏遠(yuǎn)地區(qū)疑難病例的會(huì)診；通過(guò)言語(yǔ)和視頻指導(dǎo)下完成手術(shù)已成為事實(shí)，醫(yī)院間、社區(qū)診所或衛(wèi)生所醫(yī)院的聯(lián)網(wǎng)，所帶來(lái)的效益更顯示了電子信息時(shí)代給我們帶來(lái)的欣喜。

在互聯(lián)網(wǎng)上輸入一個(gè)關(guān)鍵詞就可閱讀無(wú)數(shù)條國(guó)內(nèi)外相關(guān)信息：新型病毒和細(xì)菌的出現(xiàn)；局部地區(qū)傳染病的爆發(fā)；新型疾病的臨床表現(xiàn)，檢驗(yàn)指標(biāo)的變化，影像學(xué)的改變；研究發(fā)現(xiàn)；醫(yī)療技術(shù)的發(fā)展與應(yīng)用。用互聯(lián)網(wǎng)抗擊SARS我們有過(guò)體驗(yàn)，適應(yīng)科學(xué)技術(shù)的發(fā)展及時(shí)代的進(jìn)步，才能推進(jìn)醫(yī)療事業(yè)的發(fā)展。設(shè)備的添置和更新是硬件，醫(yī)務(wù)人員知識(shí)、技能、理念綜合素質(zhì)是軟件。兩者同等重要，缺一不可。