新型国家公共卫生信息系统建设:提高系统韧性的思考  

The Construction of New National Public Health Information System:Reflections on Improving the System Resilience

作　　者：王青兰 王喆[3,4] 曲强[5,6] WANG Qing-lan;WANG Zhe;QU Qiang

机构地区：[1]中国科学院深圳先进技术研究院 [2]北京大学香港科技大学深圳研修院 [3]国家发展和改革委员会经济体制与管理研究所研究室 [4]中国政法大学法学院 [5]中国科学院大学 [6]中国科学院深圳先进技术研究院实验室

出　　处：《改革》2020年第4期17-27,共11页Reform

基　　金：中国科学院率先行动“百人计划”择优支持项目“区块链系统构建技术研究”(2017-063)。

摘　　要：针对此次新冠肺炎疫情暴露的短板,提出了一个利用区块链、物联网与人工智能等新一代信息技术建设国家公共卫生信息系统的韧性模型,并以技术条件、目标价值与决策机制为变量分析了新型公共卫生信息系统建设的基本原则。分布式的公共卫生数据共享平台是新型国家公共卫生信息系统的底层基础设施,建议通过机构改革,纠正现行卫生系统行政权与专业技术相分离的弊端,以社会、群体与个人的充分协作,将各种表现为数据形式的公共卫生实践,通过数据分析转换为电子病历、临床决策、政务协同、社会治理监督四大类信息,并进一步提炼整合为可供传播与决策的有效公共卫生知识,如此方能提升突发公共卫生事件的应急能力,实现公共卫生的智能化治理。Aiming at the novel coronavirus pneumonia epidemic situation, a new toughness model of national public health information system was constructed by using new generation information technology such as blockchain, internet of things and artificial intelligence. The basic principles of building new public health information system were analyzed based on the technical conditions, target value and decision-making mechanism. The distributed public health data sharing platform is the basic infrastructure of the new national public health information system. It is necessary to correct the institutional defects of the separation of administrative power and professional technology in the current health system through institutional reform, and to fully cooperate with the society, groups and individuals to transform various public health practices in the form of data into electronic medical records through data analysis Clinical decision-making, government coordination and social governance supervision are four kinds of information, and further refine and integrate them into effective public health knowledge for dissemination and decision-making, so as to improve the emergency response capacity of public health emergencies and realize intelligent governance of public health.

关 键 词：公共卫生信息系统 区块链 人工智能 应急管理 新冠肺炎疫情 

分 类 号：R197.1[医药卫生—卫生事业管理]