Department of Health Policy, School of Public Health and Health Services, George Washington University, Washington, DC, USA.
Health Aff (Millwood). 2011 Mar;30(3):472-80. doi: 10.1377/hlthaff.2010.0932.
Our analyses of federal survey data show that more than four in five office-based physicians could qualify for new federal incentive payments to encourage the adoption and "meaningful use" of electronic health records, based on the numbers of Medicare or Medicaid patients they see. The incentives are thus likely to accelerate the spread of electronic health records. However, our analyses also indicate that eligibility for the incentives is likely to vary by specialty: 90.6 percent of physicians working in general or family practice or internal medicine could qualify for incentives, but fewer than two-thirds of pediatricians, obstetrician-gynecologists, and psychiatrists may qualify. Eligibility and use will also vary by factors such as size and type of practice; physicians in solo practice are much less likely to use electronic health records than physicians in other practice settings. We suggest actions that policy makers can take to lessen disparities and increase the adoption and meaningful use of electronic health records.
我们对联邦调查数据的分析表明，根据他们所看 Medicare 或 Medicaid 患者的数量，超过五分之四的基础医疗机构医生有资格获得新的联邦激励性付款，以鼓励采用和“有意义地使用”电子健康记录。因此，这些激励措施可能会加速电子健康记录的普及。然而，我们的分析还表明，获得激励的资格可能因专业而异：从事普通或家庭实践或内科的医生中有 90.6%有资格获得激励，但不到三分之二的儿科医生、妇产科医生和精神科医生可能有资格获得激励。资格和使用情况还将因实践规模和类型等因素而异；个体执业医生使用电子健康记录的可能性远远低于其他执业环境中的医生。我们提出了政策制定者可以采取的行动，以减少差距，增加电子健康记录的采用和有意义的使用。
