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计算机化的患者记录对医生办公室有益。

Computerized patient records benefit physician offices.

作者信息

Bingham A

机构信息

Clinical NetwoRx, Inc., Waltham, MA, USA.

出版信息

Healthc Financ Manage. 1997 Sep;51(9):68-70.

Abstract

The use of computerized patient record systems in ambulatory settings is still a relatively new concept; however, such systems offer a variety of benefits to physician practices. Computerized patient record systems can help improve the quality of care provided, for example, by providing real-time patient status reports, test results as soon as they are available, and graphs and flowsheets of test trends. They can help reduce costs by eliminating many manual functions and the supply and staff expenses associated with these functions. Finally, they can provide practices the data necessary to attract and negotiate favorable managed care contracts. Because computerized patient record technology is still new, substantive empirical evidence upon which to base payback calculations is scarce. Time and motion studies were conducted at a model five-physician, primary care clinic to determine where efficiencies and cost savings could be realized through the use of a computerized patient record system. In addition, actual and anecdotal information from several clinics of comparable size that have such systems was used to reach some preliminary conclusions. Findings suggest that computerized patient record systems may return productivity gains and help physicians attain their patient care and financial goals.

摘要

在门诊环境中使用计算机化患者记录系统仍是一个相对较新的概念;然而,此类系统为医生执业提供了诸多益处。例如,计算机化患者记录系统可通过提供实时患者状态报告、测试结果一经可得便立即提供,以及测试趋势的图表和流程图,来帮助提高所提供护理的质量。它们可通过消除许多手工操作以及与这些操作相关的供应和人员费用来帮助降低成本。最后,它们可为执业机构提供吸引和协商有利的管理式医疗合同所需的数据。由于计算机化患者记录技术仍很新,用于计算投资回报的实质性实证证据很少。在一家由五名医生组成的示范初级保健诊所进行了时间和动作研究,以确定通过使用计算机化患者记录系统可在哪些方面实现效率提升和成本节约。此外,还利用了来自几家规模相当且拥有此类系统的诊所的实际信息和传闻信息,以得出一些初步结论。研究结果表明,计算机化患者记录系统可能会带来生产力的提高,并帮助医生实现其患者护理和财务目标。

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