Ross Susan
J Med Pract Manage. 2009 Jan-Feb;24(4):254-6.
A recent publication suggested that only 24% of U.S. doctors use electronic medical records (EMRs), and that physicians in group practices, urban settings, and multispecialty groups are more likely than others to use EMRs. If the widespread adoption of EMRs is to be accomplished in keeping with the President's Health IT goal of universal use by 2014, the reasons for EMR under-utilization must be ascertained and addressed. In order to assess current patterns of EMR use and reasons for non-use, physician opinions were surveyed directly, using an online social network of physicians in the United States called Sermo. In February 2008, 893 physician members of Sermo responded to the author's posting about EMR use. Their responses were notable for two reasons. First, EMR adoption (not just electronic billing or prescribing) may actually be higher (67%) than previous reports. Second, the most important barriers to EMR use were high cost, loss of autonomy, and workflow disruption (from both installation and ongoing use). These responses are discussed in the context of recent proposals by both private and public entities that EMR systems be given away for free to any physician who will use them, as well as the potential for patients' online personal health records to permit integration of data across multiple EMR systems.
最近的一份出版物表明，美国只有24%的医生使用电子病历（EMR），而且在团体执业、城市环境和多专科团体中的医生比其他医生更有可能使用电子病历。如果要按照总统提出的到2014年实现电子病历普遍使用的医疗卫生信息技术目标来广泛采用电子病历，就必须查明并解决电子病历使用不足的原因。为了评估当前电子病历的使用模式和不使用的原因，我们通过一个名为Sermo的美国医生在线社交网络直接调查了医生的意见。2008年2月，Sermo的893名医生会员回复了作者关于电子病历使用情况的帖子。他们的回复值得关注，原因有两点。其一，电子病历的采用率（不仅仅是电子计费或开处方）实际上可能比之前的报告更高（67%）。其二，使用电子病历的最重要障碍是成本高、自主权丧失以及工作流程中断（包括安装过程中和持续使用过程中）。在近期公私实体提出的向任何愿意使用电子病历系统的医生免费提供该系统的提议背景下，以及在患者在线个人健康记录有可能允许跨多个电子病历系统整合数据的背景下，我们对这些回复进行了讨论。
