采用电子病历的道德与审慎考量。

Moral and prudential considerations in adopting electronic medical records.

作者信息

Phillips Win, Fleming David A

机构信息

Department of Health Management and Informatics, University of Missouri School of Medicine, Columbia, USA.

出版信息

Mo Med. 2010 Jul-Aug;107(4):234-9.

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6188368/

Abstract

One might argue that beneficence entails a moral obligation for health care providers and systems to adopt electronic medical records (EMR). But this argument is thwarted because EMR systems are currently not required to meet existing standards of care for health care services. Yet using EMR systems may still be prudent if benefits of adoption significantly outweigh burdens. Future moral questions regarding EMR systems will shift from obligations of adoption to that of proper use.

摘要

有人可能会说，行善要求医疗保健提供者和医疗系统采用电子病历（EMR），这是一种道德义务。但这一观点受到了阻碍，因为目前电子病历系统并不需要达到医疗保健服务的现有护理标准。然而，如果采用电子病历系统的好处显著超过负担，那么使用它可能仍然是明智的。未来关于电子病历系统的道德问题将从采用的义务转向合理使用的义务。

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本文引用的文献

1

Copy and paste: a remediable hazard of electronic health records.

Am J Med. 2009 Jun;122(6):495-6. doi: 10.1016/j.amjmed.2009.02.010.

2

Finding the ROI in EMRs.

Healthc Financ Manage. 2008 Jul;62(7):76-81.

3

Electronic health records in ambulatory care--a national survey of physicians.

N Engl J Med. 2008 Jul 3;359(1):50-60. doi: 10.1056/NEJMsa0802005. Epub 2008 Jun 18.

4

Ambulatory electronic medical records for large practices.

Healthc Q. 2008;11(1):122-5.

5

Productivity and cost implications of implementing electronic medical records into an ambulatory surgical subspecialty clinic.

Urology. 2008 Feb;71(2):173-7. doi: 10.1016/j.urology.2007.09.024.

6

Self assessment for practices considering electronic medical record systems.

J Med Pract Manage. 2007 Sep-Oct;23(2):80-3.

7

Patient data downsizing. A Kansas City practice saves time, money and space with an EMR.

Health Manag Technol. 2007 Apr;28(4):26, 28.

8

Health Manag Technol. 2007 May;28(5):36-7.

9

Watch out for EHR audit pitfalls.

Med Econ. 2007 Apr 20;84(8):32-4, 37.

10

Can electronic medical record systems transform health care? Potential health benefits, savings, and costs.

Health Aff (Millwood). 2005 Sep-Oct;24(5):1103-17. doi: 10.1377/hlthaff.24.5.1103.

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