Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, Maryland, USA.
Health Aff (Millwood). 2012 May;31(5):1100-7. doi: 10.1377/hlthaff.2011.1315. Epub 2012 Apr 24.
As more physicians adopt electronic health record systems in their practices, policy interest is focusing on whether physicians are ready to meet the federal "meaningful use" criteria--a vital threshold to qualify for financial incentives. In our analysis of a 2011 nationally representative survey of office-based physicians, we found that 91 percent of physicians were eligible for Medicare or Medicaid meaningful-use incentives. About half of all physicians intended to apply. However, only 11 percent both intended to apply for the incentives and had electronic health record systems with the capabilities to support even two-thirds of the stage 1 core objectives required for meaningful use. Although the federal Medicare incentives will be available through 2016, and Medicaid incentives through 2021, widespread gaps in readiness throughout the states illustrate the challenges physicians face in meeting the federal schedule for the incentive programs.
随着越来越多的医生在其诊所中采用电子健康记录系统，政策关注点集中在医生是否准备好满足联邦“有意义使用”标准——这是获得财政激励的重要门槛。在对 2011 年全国范围内的办公医生进行的代表性调查进行分析时，我们发现 91%的医生有资格获得医疗保险或医疗补助的有意义使用激励。大约一半的医生打算申请。然而，只有 11%的医生既打算申请激励措施，又拥有电子健康记录系统，这些系统具备支持有意义使用的两个核心目标的三分之二的能力。尽管联邦医疗保险激励措施将持续到 2016 年，而医疗补助激励措施将持续到 2021 年，但各州普遍存在的准备差距表明，医生在满足联邦激励计划时间表方面面临挑战。
