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I. Some Problems in the Application of Information Technology in Medical Care: Opportunities and Challenges Within the Veterans Administration

机译:I.信息技术在医疗中的应用中的一些问题:退伍军人管理局内部的机遇与挑战

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摘要

Because the Veterans Administration operates the largest health care delivery system in the nation under the aegis of a single administration, having 172 medical centers and the third largest federal agency budget, it should assume a logical role at the forefront of automated health care application development. During the past three years, two quite different approaches to the development of medical application software have proceeded side-by-side within the Veterans Administration. One approach employed modern methods and techniques, requiring only a minimum amount of personnel and equipment resources and using local facility funds. It has produced a bounty of cost-effective automated health care application systems that are now in active use at a number of VA Medical Centers (VAMCs) nationwide. The other approach followed methods and techniques known to be unproductive, and used all of the centrally administered funds, personnel and equipment resources available. It has produced nothing of value; on the contrary, it has delayed the implementation of automated systems that could be providing important clinical services to veterans.
机译:由于退伍军人管理局在单一政府的支持下运营着美国最大的医疗保健提供系统,拥有172个医疗中心,联邦政府机构预算名列第三,因此它应该在自动化医疗保健应用程序开发的最前沿发挥逻辑作用。在过去的三年中,退伍军人管理局内部并肩进行了两种截然不同的医疗应用软件开发方法。一种方法采用了现代方法和技术,仅需要最少的人员和设备资源,并使用了本地设施的资金。它产生了许多具有成本效益的自动化医疗应用系统,这些系统现在已在全国许多VA医疗中心(VAMC)中积极使用。另一种方法是遵循已知无效的方法和技术,并使用了所有可用的集中管理资金,人员和设备资源。它没有产生任何价值。相反,它延迟了可能为退伍军人提供重要临床服务的自动化系统的实施。

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