With the improvement of data abilities and the development of emerging technologies, there are profound changes occurring in economic patterns and competitive structure of industries.In order to better respond to future opportunities and challenges, and to improve competitiveness of enterprises in new situations, it is necessary to understand and master the knowledge of digital transformation.The new competitive situation was discussed in which traditional enterprises would gradually be replaced by digital-transformed ones, digital transformation was differentiated from digitalization.Main challenges facing traditional enterprises while undergoing digital transformation were pinpointed, which were the lack of funds, talents, data and consciousness.A digital transformation service platform oriented to new competitive situation was proposed, which provided a feasible solution to enhancing enterprise competitiveness and conducting digital transformation.

目的 通过数字化医疗基本要素分析,构建数字化医疗应用系统体系架构,为国内外数字化医疗应用系统比较和建立数字化医疗应用系统的信息标准体系和评价体系提供依据.方法 通过文献调查、专家咨询和问卷调研,提出数字化医疗的概念架构.通过对美国退伍军人医院(United States Department of Veterans Affairs,VA)和我国华北地区17家样本医院数字化医疗应用系统及功能模块的调查,提出数字化医疗应用系统的领域和系统功能的分类体系.结果 (1)数字化医疗的概念框架是在医疗系统(医疗服务机构、医疗服务机构人员、医疗服务对象、医疗服务管理等)的基础上,增加3个信息化基本要素:计算/通信技术、智能化/数字化设备、计算分析技术/通信介质;(2)医院数字化医疗应用系统分类框架,一级类目4个,分别为临床服务、管理服务、患者服务和公共基础;(3)样本医院应用系统(功能模块)调研结果显示,临床服务45个功能模块;管理服务37个功能模块;患者服务18个功能模块;公共基础31个功能模块;(4)美国VA医院4级一级类目的功能模块数量依次为63,24,9,47.结论 数字化医疗的概念框架中信息化3个要素是数字化医疗应用系统开发、应用及评价的基本出发点.数字化医疗应用系统分类框架为建立数字化医疗的信息标准体系、技术标准体系和安全标准的评价提供了基础.

医用高值耗材是医院医疗服务的重要物资,其管理水平直接影响医院的业务开展与成本效益.在军队数字化卫勤建设不断深入的条件下[1],应用条形码技术对医用高值耗材实施管理,是比较简单实用的方式.现就基于条形码技术管理医用高值耗材的设计与应用探讨如下. 1医用高值耗材管理现状 1.1使用科室主导 目前,大部分医用高值耗材是由科室直接提出.比如,骨科在择期手术之前,向供应商提出所需耗材,供应商根据手术需要于手术前提供[2].