转型总监Justin Hassall Informed Solutions
With Integrated Care Systems (ICSs) becoming a reality as an essential ingredient of the NHS Long Term Plan, 需要确保数据和信息在中央之间方便安全地流动, 区域, 当地的护理机构也至关重要.
The global health care sector was already using new technologies and processes to extend care delivery outside the hospital setting when COVID-19 forced providers to transform operations overnight and dramatically adopt virtual consultations, 访问, 远程病人监护.
This enforced shift in patient engagement and care delivery has brought many opportunities and benefits, not least the potential to deliver physical and virtual care in a meaningful and integrated way that delivers better patient experiences and better clinical outcomes regardless of where patients are.
虽然未来仍需要实体医院, much care provision outside of procedure delivery could shift away from this setting and be delivered in the community and enabled through interoperable data, 以及数字化交付. This is also required to deliver the Governments wider ambition of achieving a whole system approach to health and social care, 其中，数据和信息在提供护理和预防性干预方面发挥关键作用.
使这一愿景成为有效的现实, NHS和整个供应商社区必须提供整合, 协作, 沟通, and information sharing needed to serve the needs of the whole population and a growing body of patients that require care in remote settings - receiving care where they need it most, 以及他们的需求最能得到满足的地方. This care will be delivered by multidisciplinary teams collaborating remotely to deliver a whole system approach to care throughout communities.
现有的NHS的碎片化和分化程度, interoperability remains a fundamental building block for new digitally enabled integrated care services. 当与向物理病房外提供护理相抵触时, 我们的观点是，数据共享平台不应该仅仅由现有技术来定义, 而是由平台用户的需求决定的, 比如病人, 临床医生, 以及更广泛的健康和社会关怀社区.
A truly effective interoperability ecosystem should provide an information infrastructure that uses technical standards, 政策, 以及实现无缝安全捕获的协议, 发现, 交换, 健康信息的利用, 有适当的控制，以确保正确和有效的使用. 它还必须更好地应对共享非结构化数据的挑战, for example by employing AI and ML techniques to discover and provide relevant information at the point of use.
We can see through our work with NHS England (NHSE) on the national Learn from Patient Safety 事件 (LFPSE) service, that industry sign up to and membership of technical standards such as FHIR is already having a significant and positive impact on data sharing, 学习和改善护理服务. We also welcome and support the work that is being done by NHS Digital in the UK to make integration easier for health and care providers and systems suppliers, for example via the Digital Onboarding Service and Developer Hub as two very practical initiatives to help accelerate delivery of a more integrated future.
一如既往地, the complexity of delivering a more effective interoperability ecosystem against a background of a constantly changing priorities for our national health systems will remain a challenge, however the need to deliver more care outside of the traditional hospital setting looks set to remain a consistent theme. 像这样, the need to deliver a more effective interoperability ecosystem is now an urgent priority towards making the hospitals without walls vision an effective and trusted reality.
