Renaissance Health in Cambridge, Massachusetts, USA.
Health Aff (Millwood). 2010 Apr;29(4):622-8. doi: 10.1377/hlthaff.2010.0065.
The American Recovery and Reinvestment Act (ARRA) of 2009 will soon provide billions of dollars to small physician practices nationwide to encourage adoption of electronic health records. Although shifting from paper to computers should lead to better and cheaper care, the transition is complex. In this paper we describe our struggles to adapt a commercial electronic health record to an innovative practice serving high-cost patients with chronic diseases. Limitations in the technology gave rise to medication errors, interruptions in work flow, and other problems common to paper systems. Our experience should encourage providers and policy makers to consider alternative software and informatics models before investing in currently available systems.
2009 年的美国复苏与再投资法案（ARRA）即将为全美小型医师诊所提供数十亿美元，以鼓励采用电子健康记录。虽然从纸质记录转为电子记录应该能带来更好、更廉价的医疗服务，但这一转变非常复杂。在本文中，我们将描述自己在将一款商业化的电子健康记录系统应用于一家创新性诊所时所遇到的困难，这家诊所服务的是患有慢性病、费用高昂的患者。该技术的局限性导致了用药错误、工作流程中断以及其他常见的纸质系统问题。我们的经验应该鼓励服务提供商和政策制定者在投资现有系统之前，考虑替代软件和信息学模型。
