布朗醫(yī)生日記
——擁抱新技術(shù)

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)軟件問題，今天去了他的診所。凱文所用的硬件早已過時了：286機(jī)器外加單色視頻顯示器。用起來就像術(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)，沒有可用的升級資源。顯然要更新，可凱文對我用的系統(tǒng)還心存疑慮?！斑@系統(tǒng)能用于鄉(xiāng)村保健收費(fèi)嗎？”他問。我說：“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)電子信息時代為何如此不情愿?；蛟S有人認(rèn)為完成醫(yī)學(xué)院學(xué)業(yè)后開家診所輕而易舉，其實(shí)并非如此。我覺得有些人就是由于恐懼而打消了私人開業(yè)的念頭。

后記：信奉、接納新技術(shù)才能跟上時代的步伐，電子信息時代給人們帶來效益人所共知。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題，遠(yuǎn)程會診解決了偏遠(yuǎn)地區(qū)疑難病例的會診；通過言語和視頻指導(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)，所帶來的效益更顯示了電子信息時代給我們帶來的欣喜。

在互聯(lián)網(wǎng)上輸入一個關(guān)鍵詞就可閱讀無數(shù)條國內(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我們有過體驗，適應(yīng)科學(xué)技術(shù)的發(fā)展及時代的進(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、技能、理念綜合素質(zhì)是軟件。兩者同等重要，缺一不可。