Rattay Karyl Thomas, Ramakrishnan Meena, Atkinson Aguida, Gilson Megan, Drayton Vonna
Nemours Health and Prevention Services, 252 Chapman Rd, Suite 200, Newark, DE 19702, USA.
Pediatrics. 2009 Jan;123 Suppl 2:S100-7. doi: 10.1542/peds.2008-1755J.
Many primary care physicians are not providing care that is consistent with recommendations to prevent, to identify, and to manage childhood obesity. This report presents modifications made to the electronic medical record system of a large pediatric health care system, using a quality improvement approach, to support these recommendations and office system changes. Although it is possible to make practice changes secondary to electronic medical record system enhancements, challenges to development and implementation exist.
许多初级保健医生提供的护理并不符合预防、识别和管理儿童肥胖症的建议。本报告介绍了一个大型儿科医疗系统的电子病历系统所做的改进,采用质量改进方法来支持这些建议和办公系统变革。虽然可以在电子病历系统增强之后进行实践变革,但开发和实施仍存在挑战。