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首页> 外文期刊>Journal of medical Internet research >A Case Analysis of INFOMED: The Cuban National Health Care Telecommunications Network and Portal
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A Case Analysis of INFOMED: The Cuban National Health Care Telecommunications Network and Portal

机译：INFOMED的案例分析：古巴国家卫生保健电信网络和门户

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Background: The Internet and telecommunications technologies contribute to national health care system infrastructures and extend global health care services markets. The Cuban national health care system offers a model to show how a national information portal can contribute to system integration, including research, education, and service delivery as well as international trade in products and services.Objective: The objectives of this paper are (1) to present the context of the Cuban national health care system since the revolution in 1959, (2) to identify virtual institutional infrastructures of the system associated with the Cuban National Health Care Telecommunications Network and Portal (INFOMED), and (3) to show how they contribute to Cuban trade in international health care service markets.Methods: Qualitative case research methods were used to identify the integrated virtual infrastructure of INFOMED and to show how it reflects socialist ideology. Virtual institutional infrastructures include electronic medical and information services and the structure of national networks linking such services.Results: Analysis of INFOMED infrastructures shows integration of health care information, research, and education as well as the interface between Cuban national information networks and the global Internet. System control mechanisms include horizontal integration and coordination through virtual institutions linked through INFOMED, and vertical control through the Ministry of Public Health and the government hierarchy. Telecommunications technology serves as a foundation for a dual market structure differentiating domestic services from international trade.Conclusions: INFOMED is a model of interest for integrating health care information, research, education, and services. The virtual infrastructures linked through INFOMED support the diffusion of Cuban health care products and services in global markets. Transferability of this model is contingent upon ideology and interpretation of values such as individual intellectual property and confidentiality of individual health information. Future research should focus on examination of these issues and their consequences for global markets in health care.
机译：背景：互联网和电信技术为国家医疗保健系统基础设施做出了贡献，并扩展了全球医疗保健服务市场。古巴国家卫生保健系统提供了一个模型，以显示国家信息门户网站如何促进系统集成，包括研究，教育和服务提供以及产品和服务的国际贸易。目的：本文的目标是（1 ）展示自1959年革命以来古巴国家医疗保健系统的背景，（2）识别与古巴国家医疗保健电信网络和门户网站（INFOMED）相关的系统的虚拟机构基础架构，以及（3）显示方法：使用定性案例研究方法来识别INFOMED的集成虚拟基础架构，并演示其如何反映社会主义意识形态。虚拟机构基础设施包括电子医疗和信息服务以及将这些服务链接在一起的国家网络的结构。结果：对INFOMED基础设施的分析表明，医疗信息，研究和教育已得到整合，古巴国家信息网络与全球互联网之间也存在接口。系统控制机制包括通过INFOMED链接的虚拟机构进行水平整合和协调，以及通过公共卫生部和政府层次结构进行垂直控制。电信技术是将国内服务与国际贸易区分开的双重市场结构的基础。结论：INFOMED是整合医疗保健信息，研究，教育和服务的一种感兴趣的模型。通过INFOMED链接的虚拟基础架构支持古巴保健产品和服务在全球市场中的传播。该模型的可移植性取决于意识形态和对诸如个人知识产权和个人健康信息的机密性等价值观的解释。未来的研究应集中于检查这些问题及其对全球医疗保健市场的影响。

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