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贫困患者收治医院间出现数字鸿沟。

Evidence of an emerging digital divide among hospitals that care for the poor.

机构信息

Harvard School of Public Health in Boston, Massachusetts, USA.

出版信息

Health Aff (Millwood). 2009 Nov-Dec;28(6):w1160-70. doi: 10.1377/hlthaff.28.6.w1160. Epub 2009 Oct 26.

DOI:10.1377/hlthaff.28.6.w1160
PMID:19858142
Abstract

Some hospitals that disproportionately care for poor patients are falling behind in adopting electronic health records (EHRs). Data from a national survey indicate early evidence of an emerging digital divide: U.S. hospitals that provide care to large numbers of poor patients also had minimal use of EHRs. These same hospitals lagged others in quality performance as well, but those with EHR systems seemed to have eliminated the quality gap. These findings suggest that adopting EHRs should be a major policy goal of health reform measures targeting hospitals that serve large populations of poor patients.

摘要

一些不成比例地照顾贫困患者的医院在采用电子健康记录 (EHR) 方面落后了。来自全国性调查的数据显示,一种新的数字鸿沟正在出现:为大量贫困患者提供服务的美国医院,对电子健康记录的使用也最少。这些医院在质量表现上同样落后于其他医院,但那些拥有电子健康系统的医院似乎已经消除了质量差距。这些发现表明,采用电子健康记录应该成为针对服务大量贫困患者的医院的卫生改革措施的一个主要政策目标。

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