Gates P, Urquhart J
Neuroscience Department and Department of Clinical and Biomedical Science, Barwon Health, Geelong, Victoria, Australia.
Intern Med J. 2007 Feb;37(2):108-11. doi: 10.1111/j.1445-5994.2007.01267.x.
Modern information technology offers efficiencies in medical practice, with a reduction in secretarial time in maintaining, filing and retrieving the paper medical record. Electronic requesting of investigations allows tracking of outstanding results. Less storage space is required and telephone calls from pharmacies, pathology and medical imaging service providers to clarify the hand-written request are abolished. Voice recognition software reduces secretarial typing time per letter. These combined benefits can lead to significantly reduced costs and improved patient care. The paperless office is possible, but requires commitment and training of all staff; it is preferable but not absolutely essential that at least one member of the practice has an interest and some expertise in computers. More importantly, back-up from information technology providers and back-up of the electronic data are absolutely crucial and a paperless environment should not be considered without them.
现代信息技术提高了医疗实践的效率，减少了维护、归档和检索纸质病历所需的秘书时间。电子申请检查便于追踪未出的结果。所需存储空间减少，药房、病理科和医学影像服务提供商为澄清手写申请而打的电话也不再需要。语音识别软件减少了每封信的秘书打字时间。这些综合效益可显著降低成本并改善患者护理。无纸化办公是可行的，但需要所有员工的投入和培训；诊所中至少有一名员工对计算机有兴趣并具备一定专业知识更好，但并非绝对必要。更重要的是，信息技术供应商的支持以及电子数据的备份绝对至关重要，没有这些就不应考虑无纸化环境。
