Center for Healthcare Improvement and Patient Safety, Center for Therapeutic Effectiveness Research, Philadelphia VA Medical Center, Philadelphia, Pennsylvania, USA.
Am J Prev Med. 2013 Apr;44(4 Suppl 4):S357-63. doi: 10.1016/j.amepre.2012.12.020.
The U.S. health system has historically been poorly equipped to confront the growing impact of diabetes on the nation's health. The Affordable Care Act legislates a number of new strategies--such as innovative payment and delivery models and increased public health funding--intended to improve diabetes prevention and care quality. Health information technology (IT) is often cited as a critical part of these strategies. Through the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, the federal government has been supporting the rapid adoption of health IT, and more specifically of electronic health records (EHRs) through the Centers for Medicare and Medicaid Services (CMS) EHR Incentive Program. Health IT has the potential to contribute to diabetes prevention and improved quality of care, but the evidence supporting its benefits is mixed. This article provides a brief overview of the CMS EHR Incentive Program and meaningful-use criteria. Then it examines health IT strategies for diabetes prevention in the context of current evidence and identifies areas of needed research and innovation.
美国的医疗体系在应对糖尿病对国民健康的日益严重影响方面一直准备不足。《平价医疗法案》制定了一些新的策略，例如创新的支付和交付模式，以及增加公共卫生资金，旨在改善糖尿病的预防和护理质量。医疗信息技术（Health Information Technology，简称 HIT）通常被认为是这些策略的重要组成部分。通过 2009 年的《健康信息技术经济临床健康法案》（HITECH Act），联邦政府一直在支持医疗信息技术的快速采用，更具体地说是通过医疗保险和医疗补助服务中心（CMS）的电子健康记录（Electronic Health Records，简称 EHRs）激励计划。医疗信息技术有可能有助于预防糖尿病和提高护理质量，但支持其效益的证据参差不齐。本文简要介绍了 CMS 的电子健康记录激励计划和有意义使用的标准。然后，它根据当前的证据考察了预防糖尿病的医疗信息技术策略，并确定了需要研究和创新的领域。
