Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas, USA.
Health Aff (Millwood). 2011 Mar;30(3):481-9. doi: 10.1377/hlthaff.2010.0768.
The incentives in the American Recovery and Reinvestment Act to expand the "meaningful use" of electronic health record systems have many health care professionals searching for information about the cost and staff resources that such systems require. We report the cost of implementing an electronic health record system in twenty-six primary care practices in a physician network in north Texas, taking into account hardware and software costs, as well as the time and effort invested in implementation. For an average five-physician practice, implementation cost an estimated $162,000, with $85,500 in maintenance expenses during the first year. We also estimate that the HealthTexas network implementation team and the practice implementation team needed 611 hours, on average, to prepare for and implement the electronic health record system, and that "end users"-physicians, other clinical staff, and nonclinical staff-needed 134 hours per physician, on average, to prepare for use of the record system in clinical encounters.
美国复苏与再投资法案中的激励措施旨在推动电子健康记录系统的“有效使用”，这促使许多医疗保健专业人员寻找有关这些系统所需成本和人员资源的信息。我们报告了在德克萨斯州北部的一个医师网络中的 26 个初级保健诊所实施电子健康记录系统的成本，其中考虑了硬件和软件成本，以及实施过程中投入的时间和精力。对于一个平均有 5 名医生的诊所，实施成本估计为 16.2 万美元，第一年的维护费用为 8.55 万美元。我们还估计，HealthTexas 网络实施团队和实践实施团队平均需要 611 个小时来准备和实施电子健康记录系统，而“最终用户”——医生、其他临床人员和非临床人员——平均每位医生需要 134 个小时来准备在临床接触中使用该记录系统。
