Gray Bradford H, Bowden Thomas, Johansen Ib, Koch Sabine
Urban Institute, USA.
Issue Brief (Commonw Fund). 2011 Nov;28:1-18.
Research has shown that the United States lags many other countries in the adoption of electronic health records (EHRs). The U.S. has now embarked on a major effort to achieve "meaningful use" of health information technology by clinicians and hospitals. This issue brief describes the extent of meaningful use in three countries with very high levels of health information technology adoption—Denmark, New Zealand, and Sweden. While all three have achieved high levels of meaningful use, none has reached 100 percent in all categories. The brief find[sic] high levels of meaningful use for EHR items and substantial information-sharing with other organizations or health authorities, although less information is shared with patients. Insights that may prove useful to the United States include providing economic incentives to encourage adoption and designating an organization to take responsibility for standardization and interoperability.
研究表明，美国在采用电子健康记录（EHR）方面落后于许多其他国家。美国现已展开一项重大努力，以实现临床医生和医院对健康信息技术的“有意义使用”。本问题简报描述了在健康信息技术采用水平非常高的三个国家——丹麦、新西兰和瑞典——的有意义使用程度。虽然这三个国家都已实现了较高水平的有意义使用，但在所有类别中都没有达到100%。简报发现电子健康记录项目的有意义使用水平很高，并且与其他组织或卫生当局进行了大量信息共享，不过与患者共享的信息较少。对美国可能有用的见解包括提供经济激励措施以鼓励采用，并指定一个组织负责标准化和互操作性。
