Burton Lynda C, Anderson Gerard F, Kues Irvin W
Bloomberg School of Public Health, Johns Hopkins University, 624 N. Broadway, Baltimore, MD 21205, USA.
Milbank Q. 2004;82(3):457-81, table of contents. doi: 10.1111/j.0887-378X.2004.00318.x.
The use of electronic health records that can securely transmit patient data among physicians will help coordinate the care of 60 million Americans with multiple chronic conditions. This article summarizes the different organizations in the United States that are developing this technology. It discusses some of the problems encountered and the current initiatives to resolve them. The article concludes with three recommendations for enhancing care coordination: (1) a common health record, such as the Continuity of Care Record, to facilitate the exchange of clinical information among health providers; (2) regional governance structures to encourage the exchange of clinical data; and (3) payment by purchasers of care, both public and private, to physicians for using electronic health records.
能够在医生之间安全传输患者数据的电子健康记录的使用，将有助于协调6000万患有多种慢性病的美国人的护理工作。本文总结了美国正在开发这项技术的不同组织。它讨论了遇到的一些问题以及当前解决这些问题的举措。文章最后提出了加强护理协调的三项建议：（1）一份通用的健康记录，如连续护理记录，以促进医疗服务提供者之间临床信息的交换；（2）区域治理结构，以鼓励临床数据的交换；（3）公共和私人护理购买者向使用电子健康记录的医生付款。
