Department of Health Professions, Medical University of South Carolina, 151 Rutledge Ave, Charleston, SC 29425, USA.
Health Care Manag Sci. 2011 Dec;14(4):307-13. doi: 10.1007/s10729-011-9165-8. Epub 2011 May 26.
There has been national focus on increasing the use of electronic medical records (EMR) in hospitals because of their potential to improve care. Previous research has examined EMR use and reported an inconsistent relationship between EMR use and performance. This study examines the agreement between and the internal consistency of two national datasets that measure hospital EMR use. Data include the Health Information Management Systems Society (HIMSS) and the American Hospital Association (AHA). This analysis is essential to determine the strength and challenges of the nationally available EMR measures that are used in research, which informs national policy and practice. The results show very poor agreement between the two national datasets on hospital EMR use. The datasets demonstrate some internal consistency. In the absence of a gold standard measure of EMR use, researchers must be aware of the limitations of national EMR measures, and future research may validate the datasets.
由于电子病历 (EMR) 在改善医疗服务方面具有潜在的优势，因此国家一直关注提高医院对其的使用。先前的研究已经检验了 EMR 的使用情况，并报告了 EMR 使用与绩效之间的关系不一致。本研究检验了两个衡量医院 EMR 使用情况的全国性数据集之间的一致性和内部一致性。数据包括医疗信息管理系统协会 (HIMSS) 和美国医院协会 (AHA)。这一分析对于确定在研究中使用的、全国范围内可用的 EMR 衡量标准的优势和挑战至关重要，这些衡量标准为国家政策和实践提供了信息。结果表明，这两个全国性数据集在医院 EMR 使用方面的一致性非常差。这两个数据集具有一定的内部一致性。在缺乏 EMR 使用的黄金标准衡量标准的情况下，研究人员必须意识到国家 EMR 衡量标准的局限性，未来的研究可能会验证这些数据集。
