张馨之

[摘要] 医疗卫生事业是关系到社会民生的重点领域，引发全社会的广泛关注，互联网+电子病历大数据跨医院共享是响应国家号召让数据多跑路，群众少跑腿的倡导，以提前跨入病历档案大数据时代的客观需求。本文详细分析了互联网+电子病历档案大数据跨医院共享的总体目标、数据互通、安全监管、人才培养等方面的问题，特别地指出应加强自主研发面向医疗行业的区块链技术，不能错过应用区块链技术的时机，可以预见在不久的将来区块链技术将会改变全球医疗行业，尽快形成一系列国有医疗行业信息安全标准和技术规范，抢占这一医疗领域信息技术应用制高点，将为我国在该领域的未来发展空间谋得一席之地，真正实现信息安全技术为医疗行业提供快速、便捷服务保驾护航。

[关键词] 医疗卫生；区块链技术；大数据；数据共享

[中图分类号] R197 [文献标识码] A [文章编号] 1673-7210（2017）09（c）-0189-04

[Abstract] Health care as one of the key areas which is related to people's livelihood causes widespread concern of the whole society. In order to advance into the objective needs of big data Era， internet based cross hospital electronic case data sharing is in response to the national call for more data run away， fewer people to run errands advocate. This paper gives a detailed analysis of the overall goal of across hospital shared big data exchange， safety supervision， the problems of talent cultivation， especially points out that the block chain technology should strengthen the independent research and development for the medical industry. As it is conceivable that block chain technology will change the global medical industry in the near future， more attention should be paid so as not to miss the opportunity to apply block chaining technology to form a series of the medical industry state information security standards and technical norms as soon as possible. It also will be crucial to seize the commanding heights of the application of information technology in this medical field， which will provide a space for the future development and make the real realization of information security technology for the medical industry to provide fast， convenient service escort.

[Key words] Health care； Block chaining technique； Big data； Data sharing

由于目前我國医疗卫生事业各项资源相对匮乏，资源分配存在严重的地区差异，我国居民看病难和看病贵已经是全国性的难题，“一病回到解放前，一人生病，全家返贫”的现象在全国时常发生。患者每到一个医院都要进行一系列相似的重复性诊断和检查，在经历了困难重重的挂号、排队等待和设备检查之后，耗费了大量的时间、金钱和精力，这些重复性的检查同时也耗费了医院宝贵的设备资源和人力资源[1]。如何做到有效优化医院就诊环境和流程，简化急诊和出入院服务流程，做到改善人民群众看病就医感受，就成为加强和提高医疗服务工作水平的切入点和突破点。……