Department of Clinical Effectiveness and Performance Measurement, St. Luke’s Episcopal Health System, Houston, TX, USA.
BMC Med Inform Decis Mak. 2012 Sep 13;12:107. doi: 10.1186/1472-6947-12-107.
Electronic health records are increasingly being used to facilitate referral communication in the outpatient setting. However, despite support by technology, referral communication between primary care providers and specialists is often unsatisfactory and is unable to eliminate care delays. This may be in part due to lack of attention to how information and communication technology fits within the social environment of health care. Making electronic referral communication effective requires a multifaceted "socio-technical" approach. Using an 8-dimensional socio-technical model for health information technology as a framework, we describe ten recommendations that represent good clinical practices to design, develop, implement, improve, and monitor electronic referral communication in the outpatient setting. These recommendations were developed on the basis of our previous work, current literature, sound clinical practice, and a systems-based approach to understanding and implementing health information technology solutions. Recommendations are relevant to system designers, practicing clinicians, and other stakeholders considering use of electronic health records to support referral communication.
电子健康记录越来越多地被用于促进门诊环境中的转诊沟通。然而，尽管有技术支持，但初级保健提供者和专家之间的转诊沟通往往不尽如人意，无法消除护理延误。这可能部分是由于缺乏对信息和通信技术如何适应医疗保健社会环境的关注。要使电子转诊沟通有效，需要采用多方面的“社会技术”方法。我们使用健康信息技术的 8 维社会技术模型作为框架，描述了十个建议，这些建议代表了良好的临床实践，用于设计、开发、实施、改进和监测门诊环境中的电子转诊沟通。这些建议是基于我们以前的工作、当前的文献、合理的临床实践以及系统方法来理解和实施健康信息技术解决方案而制定的。这些建议与考虑使用电子健康记录来支持转诊沟通的系统设计人员、执业临床医生和其他利益相关者有关。
