Bates David W, Ebell Mark, Gotlieb Edward, Zapp John, Mullins H C
Center for Applied Medical Information Systems, Partners Healthcare System, Harvard Medical School, Boston, Massachusetts, USA.
J Am Med Inform Assoc. 2003 Jan-Feb;10(1):1-10. doi: 10.1197/jamia.m1097.
Delivery of excellent primary care-central to overall medical care-demands that providers have the necessary information when they give care. This paper, developed by the National Alliance for Primary Care Informatics, a collaborative group sponsored by a number of primary care societies, argues that providers' and patients' information and decision support needs can be satisfied only if primary care providers use electronic medical records (EMRs). Although robust EMRs are now available, only about 5% of U.S. primary care providers use them. Recently, with only modest investments, Australia, New Zealand, and England have achieved major breakthroughs in implementing EMRs in primary care. Substantial benefits realizable through routine use of electronic medical records include improved quality, safety, and efficiency, along with increased ability to conduct education and research. Nevertheless, barriers to adoption exist and must be overcome. Implementing specific policies can accelerate utilization of EMRs in the U.S.
提供优质的初级保健——这是整体医疗护理的核心——要求医疗服务提供者在提供护理时掌握必要的信息。本文由初级保健信息学全国联盟撰写，该联盟是一个由多个初级保健协会赞助的合作组织，文中指出，只有初级保健提供者使用电子病历（EMR），才能满足医疗服务提供者和患者的信息及决策支持需求。尽管现在已有功能强大的电子病历，但美国只有约5%的初级保健提供者在使用。最近，澳大利亚、新西兰和英国仅投入了少量资金，就在初级保健领域实施电子病历方面取得了重大突破。通过日常使用电子病历可实现的显著益处包括提高质量、安全性和效率，以及增强开展教育和研究的能力。然而，采用电子病历存在障碍，必须加以克服。实施具体政策可以加速美国电子病历的使用。
