Solberg Leif I, Scholle Sarah Hudson, Asche Stephen E, Shih Sarah C, Pawlson L Gregory, Thoele Merry Jo, Murphy Amy L R
HealthPartners Research Foundation, Minneapolis MN, USA.
Am J Manag Care. 2005 Dec;11(12):789-96.
To document the presence and functioning of different practice systems in a small sample of medical groups in Minnesota and to examine the relationship between the presence of practice systems and prior adoption of an electronic medical record (EMR).
Descriptive study of the frequency of practice systems in 11 medical groups.
We recruited 11 medical groups for the study. Four groups had an EMR; the other groups used paper medical records, often supplemented by electronic ordering or data systems. Using an on-site audit team, we validated the presence of practice systems organized under 8 categories.
All of the medical groups had implemented a substantial number of practice systems for care management of patients with chronic conditions. Although the medical groups with an EMR tended to have more comprehensive practice systems in place, the medical groups without an EMR also had most of the practice systems.
Although required in some functions, an EMR may not be necessary in facilitating practice systems that support consistent management of patients with chronic illness. Approaches are needed that will encourage the implementation of practice systems in medical groups with and without an EMR.
记录明尼苏达州一小部分医疗集团中不同实践系统的存在情况及运行情况，并研究实践系统的存在与先前采用电子病历（EMR）之间的关系。
对11个医疗集团中实践系统的频率进行描述性研究。
我们招募了11个医疗集团进行研究。其中4个集团使用电子病历；其他集团使用纸质病历，通常辅以电子医嘱或数据系统。我们组建了一个现场审计团队，对按照8个类别组织的实践系统的存在情况进行了验证。
所有医疗集团都为慢性病患者的护理管理实施了大量实践系统。虽然拥有电子病历的医疗集团往往有更全面的实践系统，但没有电子病历的医疗集团也拥有大多数实践系统。
虽然在某些功能中是必需的，但电子病历对于促进支持慢性病患者持续管理的实践系统可能并非必要。需要采取一些方法来鼓励有电子病历和没有电子病历的医疗集团实施实践系统。
