Logan Julia
Princess Margaret Hospital fro Children, Perth Western Australia.
Stud Health Technol Inform. 2012;178:117-23.
The implementation of clinical information systems and electronic medical records does not have a good track record. It is estimated that more than 50% of implementations fail. A review of electronic health information system (EHIS) models incorporating clinical information systems and electronic medical records was undertaken to determine the models developed and applied in health. Twenty one health and five non-health models were identified. The non-health models were included as a number of health models were derived form these. The findings and evaluation of the models has identified varying contents and results. The models identified were assessed to determine how these related to each other, whether models were tested and how, if benefits were identified and if costsavings were projected or realised. This review of EHIS implementation models has identified a need for clear definition of terms used, careful categorisation and for models to be comprehensive, extensive and rigorous if successful outcomes are to occur.
临床信息系统和电子病历的实施情况并不理想。据估计，超过50%的实施项目会失败。对包含临床信息系统和电子病历的电子健康信息系统（EHIS）模型进行了综述，以确定在医疗卫生领域开发和应用的模型。共识别出21个医疗卫生模型和5个非医疗卫生模型。纳入非医疗卫生模型是因为许多医疗卫生模型源自这些模型。对这些模型的研究结果和评估确定了不同的内容和结果。对识别出的模型进行了评估，以确定它们之间的相互关系、模型是否经过测试以及如何测试、是否确定了益处以及是否预计或实现了成本节约。对EHIS实施模型的这一综述表明，如果要取得成功的结果，就需要对所用术语进行明确定义、进行仔细分类，并且模型要全面、广泛和严谨。
