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电子处方、效率与质量:英国家庭医疗计算机化的经验教训

e-Prescribing, efficiency, quality: lessons from the computerization of UK family practice.

作者信息

Schade Charles P, Sullivan Frank M, de Lusignan Simon, Madeley Jean

机构信息

West Virginia Medical Institute, Charleston, WV 25304, USA.

出版信息

J Am Med Inform Assoc. 2006 Sep-Oct;13(5):470-5. doi: 10.1197/jamia.M2041. Epub 2006 Jun 23.

Abstract

Nearly all general practice physicians (GPs) in the United Kingdom (UK) have electronic health record (EHR) systems in their practices compared with perhaps 15% of primary care physicians in the United States (U.S.). Based on interviews of 13 general GPs and review of current literature, the authors argue that the historical experience of widespread electronic health record uptake in the UK provides insight into features that might motivate broad adoption in the United States. These features include electronic prescribing, improved quality and consistency of care, practice efficiencies that have both timesaving and revenue generating effects, and potential shielding from malpractice claims.

摘要

与美国约15%的初级保健医生相比,英国几乎所有的全科医生诊所都配备了电子健康记录(EHR)系统。基于对13名普通全科医生的访谈以及对当前文献的回顾,作者认为英国广泛采用电子健康记录的历史经验有助于深入了解可能推动美国广泛采用该系统的特征。这些特征包括电子处方、改善医疗质量和一致性、具有节省时间和创收效果的实践效率,以及可能免受医疗事故索赔。

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