电子病历对初级保健的结构、流程和结果的影响：系统评价证据。
The impact of the electronic medical record on structure, process, and outcomes within primary care: a systematic review of the evidence.
机构信息
Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
出版信息
J Am Med Inform Assoc. 2011 Nov-Dec;18(6):732-7. doi: 10.1136/amiajnl-2010-000019. Epub 2011 Jun 9.
Abstract
BACKGROUND
The electronic medical record (EMR)/electronic health record (EHR) is becoming an integral component of many primary-care outpatient practices. Before implementing an EMR/EHR system, primary-care practices should have an understanding of the potential benefits and limitations.
OBJECTIVE
The objective of this study was to systematically review the recent literature around the impact of the EMR/EHR within primary-care outpatient practices.
MATERIALS AND METHODS
Searches of Medline, EMBASE, CINAHL, ABI Inform, and Cochrane Library were conducted to identify articles published between January 1998 and January 2010. The gray literature and reference lists of included articles were also searched. 30 studies met inclusion criteria.
RESULTS AND DISCUSSION
The EMR/EHR appears to have structural and process benefits, but the impact on clinical outcomes is less clear. Using Donabedian's framework, five articles focused on the impact on healthcare structure, 21 explored healthcare process issues, and four focused on health-related outcomes.
摘要
背景
电子病历（EMR）/电子健康记录（EHR）正在成为许多基层医疗门诊实践不可或缺的一部分。在实施 EMR/EHR 系统之前，基层医疗门诊应该了解其潜在的益处和局限性。
目的
本研究旨在系统地回顾近期关于 EMR/EHR 在基层医疗门诊实践中的影响的文献。
材料和方法
对 Medline、EMBASE、CINAHL、ABI Inform 和 Cochrane Library 进行了检索，以确定 1998 年 1 月至 2010 年 1 月期间发表的文章。还检索了纳入文章的灰色文献和参考文献列表。有 30 项研究符合纳入标准。
结果和讨论
EMR/EHR 似乎具有结构和流程上的益处，但对临床结果的影响尚不明确。使用 Donabedian 的框架，有五篇文章侧重于医疗结构的影响，21 篇探讨了医疗流程问题，四篇则侧重于与健康相关的结果。
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