Cusack Caitlin M
National Opinion Research Center at the University of Chicago, 4350 East-West HWY, Suite 800, Bethesda, MD 20814, USA.
Obstet Gynecol Clin North Am. 2008 Mar;35(1):63-79, ix. doi: 10.1016/j.ogc.2007.12.010.
Health information technology (health IT), especially technology related to electronic health records (EHRs) and electronic prescription (e-prescribing) systems, is believed to be the cornerstone for improvements in quality of care, patient safety, and efficiencies, all leading to cost benefits. With increasing requirements for quality reporting and with new pay-for-performance programs being initiated by insurers, many physicians are asking if it is time to invest in health IT. However, as those who have already made this decision have found, adopting EHRs and e-prescribing systems is not an easy task: Our colleagues resist their use, they are costly, the case for a return on investment for an ambulatory practice has not been well established, incentives to use are misaligned, implementations may be difficult, and often such systems disrupt or inhibit workflow.
健康信息技术（健康IT），尤其是与电子健康记录（EHR）和电子处方（e-处方）系统相关的技术，被认为是改善医疗质量、患者安全和效率的基石，所有这些最终都能带来成本效益。随着对质量报告的要求不断提高，以及保险公司启动新的按绩效付费计划，许多医生都在问，是否到了投资健康IT的时候了。然而，正如那些已经做出这一决定的人所发现的那样，采用电子健康记录和电子处方系统并非易事：我们的同事抵制使用这些系统，它们成本高昂，门诊业务的投资回报率尚无定论，使用激励措施不一致，实施可能困难，而且这些系统常常会扰乱或阻碍工作流程。
