Grossman Joy M, Reed Marie C
Issue Brief Cent Stud Health Syst Change. 2006 Nov(106):1-4.
Physicians in smaller practices continue to lag well behind physicians in larger practices in reporting the availability of clinical information technology (IT) in their offices, according to a new national study from the Center for Studying Health System Change (HSC). The proportion of physicians reporting access to IT for each of five clinical activities increased across all practice settings between 2000-01 and 2004-05. Adoption gaps between small and large practices persisted, however, for two of the clinical activities--obtaining treatment guidelines and exchanging clinical data with other physicians--and widened for the other three--accessing patient notes, generating preventive care reminders and writing prescriptions. In contrast, clinical IT was generally as likely or more likely to be available to physicians in practices treating larger proportions of vulnerable and underserved patients as other physicians, a pattern that did not change between the two periods
根据医疗体系变革研究中心（HSC）的一项新的全国性研究，在报告其办公室临床信息技术（IT）可用性方面，规模较小诊所的医生仍远远落后于规模较大诊所的医生。在2000 - 01年至2004 - 05年期间，所有执业环境中，报告在五项临床活动中每项都能使用IT的医生比例均有所增加。然而，小型和大型诊所之间在两项临床活动（获取治疗指南以及与其他医生交换临床数据）方面的采用差距依然存在，而在其他三项活动（访问患者病历、生成预防性护理提醒和开处方）方面差距则有所扩大。相比之下，在治疗较大比例弱势和服务不足患者的诊所中，临床IT通常与其他医生一样或更有可能为医生所用，这一模式在两个时期之间没有变化。
