Harvard Medical School, and Harvard Pilgrim Health Care Institute, Boston, MA 02215, USA.
Am J Public Health. 2012 Jun;102 Suppl 3(Suppl 3):S325-32. doi: 10.2105/AJPH.2012.300811.
Electronic medical record (EMR) systems have rich potential to improve integration between primary care and the public health system at the point of care. EMRs make it possible for clinicians to contribute timely, clinically detailed surveillance data to public health practitioners without changing their existing workflows or incurring extra work. New surveillance systems can extract raw data from providers' EMRs, analyze them for conditions of public health interest, and automatically communicate results to health departments. We describe a model EMR-based public health surveillance platform called Electronic Medical Record Support for Public Health (ESP). The ESP platform provides live, automated surveillance for notifiable diseases, influenza-like illness, and diabetes prevalence, care, and complications. Results are automatically transmitted to state health departments.
电子病历（EMR）系统在改善初级保健和公共卫生系统在护理点的整合方面具有巨大潜力。EMR 使临床医生能够在不改变现有工作流程或增加额外工作的情况下，及时向公共卫生从业人员提供详细的临床监测数据。新的监测系统可以从提供者的 EMR 中提取原始数据，分析与公共卫生相关的条件，并自动将结果传达给卫生部门。我们描述了一种名为电子病历支持公共卫生（ESP）的基于 EMR 的公共卫生监测平台模型。ESP 平台提供实时、自动化的监测，用于监测传染病、流感样疾病和糖尿病的患病率、护理和并发症。结果自动传输到州卫生部门。
