UHS Hospitals, Johnson City, New York, USA.
Ann Intern Med. 2011 May 17;154(10):690-2. doi: 10.7326/0003-4819-154-10-201105170-00010.
To reduce costs of care and improve quality, the federal government is stimulating adoption of health information technology through meaningful use policy. The legislation, however, is built on several assumptions that are unrealistic from a provider's perspective-the group that is expected to purchase, use, and sustain the information technology infrastructure. A viable meaningful use policy may do better to account for the realities of patient care by using a bottom-up approach for adoption rather than the current top-down strategy.
为了降低医疗成本和提高质量，联邦政府正在通过有意义的使用政策来刺激医疗信息技术的采用。然而，这项立法是基于一些从提供者的角度来看不切实际的假设——即预计将购买、使用和维持信息技术基础设施的群体。一个可行的有意义的使用政策可能会通过采用自下而上的方法来更好地考虑患者护理的实际情况，而不是当前的自上而下的策略。
