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以医疗效果为目标的全面临床预防与信息化
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摘要:
目前美国实施的《平价医疗法案》广为人知的是其提出的健康保险市场,为低收入人群提供更廉价的健康保险。法案的另一个重要方面是在国家层面实施全面预防的全国性预防战略不仅能改善大众的健康预后,还能对国家产生巨大经济效益。文章介绍了《平价医疗法案》中重要但被关在较少的预防部分,探讨了该法案中关于使每个人都可得到全面预防服务的设想对世界可能产生广泛影响;分析了《平价医疗法案》全面预防服务的内容及其实施遇到的主要阻碍;介绍有前景的信息化解决方案。我国可以借鉴美国新医改在疾病预防方面的经验,改善全民以及老龄化人口和流动人口的疾病预防。
关键词:  平价医疗法案  医疗质量  医疗效果  预防服务  卫生信息技术  预防决策支持
DOI:
基金项目:
Complete Clinical Prevention and HIT by Medical Outcome as the Objectives
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Abstract:
The Affordable Care Act(ACA) currently being implemented in the U.S. is widely known for its health insurance marketplace to provide more affordable health insurance to low-income people. One important component is to implement the recommended complete prevention under the National Prevention Strategy,which will not only improve health outcomes for the public buth also make economic sense to the country. This article will introduce the less-known prevention component of ACA preventive services,promising technology approaches will be described. It is concluded that China may learn from the experience of ACA implementation in order to improve disease prevention among the aging population and migrant population or even the public.
Key words:  affordable care act, quality of care, health outcome, preventive services, IT, prevention decision support

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