Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, California.
Laryngoscope. 2013 Oct;123(10):2418-22. doi: 10.1002/lary.24104. Epub 2013 Apr 25.
OBJECTIVES/HYPOTHESIS: To estimate the usage of electronic medical records (EMRs) in ambulatory otolaryngology and to compare the usage trends between otolaryngologists and physicians in other specialties.
Cross-sectional analysis of data taken from the National Ambulatory Medical Care Survey (NAMCS).
The 2005 to 2010 NAMCS datasets were analyzed for whether storage of patient records in otolaryngology practices were completely electronic, partly electronic, or paper based. The trend of EMR utilization in the studied period was compared between otolaryngology and other specialties. Furthermore, the usage of different EMR functions (e.g., ordering tests) was also evaluated.
The proportion of otolaryngology practices with complete or partial EMR usage increased from 27.0% in 2005 to 2006, to 48.5% in 2009 to 2010 (P < .001), and was projected to increase to 80.3% in 2015 to 2016. Otolaryngologists had variable usage of different functions of EMRs. Neither the overall use of EMRs nor their different functions were statistically different between otolaryngologists and other specialists. Further exploration of data revealed that 34.0% of otolaryngologists intended to install new EMR systems within the following years. Finally, 39.9% of otolaryngologists had plans to apply for Medicare or Medicaid incentive payments, of which 92.3% expected to start meaningful use in 2011.
The increasing utilization of EMRs in ambulatory otolaryngology is an important marker of progress in compliance with health care reform. Despite this upward trend, however, <50% of ambulatory offices had adopted EMRs in 2009 to 2010, and it remains to be seen how the field will adapt to the evolving challenge of EMR adoption and implementation.
目的/假设：评估电子病历（EMR）在门诊耳鼻喉科的使用情况，并比较耳鼻喉科医生与其他专科医生的使用趋势。
对国家门诊医疗调查（NAMCS）数据进行的横断面分析。
分析 2005 年至 2010 年 NAMCS 数据集，以确定耳鼻喉科实践中患者记录的存储是完全电子化、部分电子化还是基于纸质。比较研究期间耳鼻喉科与其他专科之间 EMR 使用的趋势。此外，还评估了不同 EMR 功能（例如，检验医嘱）的使用情况。
从 2005 年至 2006 年完全或部分使用 EMR 的耳鼻喉科实践比例从 27.0%增加到 2009 年至 2010 年的 48.5%（P<0.001），预计到 2015 年至 2016 年将增加到 80.3%。耳鼻喉科医生对 EMR 的不同功能的使用情况存在差异。耳鼻喉科医生与其他专科医生之间，EMR 的总体使用情况及其不同功能均无统计学差异。对数据的进一步探索表明，34.0%的耳鼻喉科医生计划在未来几年内安装新的 EMR 系统。最后，39.9%的耳鼻喉科医生计划申请医疗保险或医疗补助激励付款，其中 92.3%预计在 2011 年开始进行有意义的使用。
电子病历在门诊耳鼻喉科的应用日益增加，这是医疗改革合规性方面取得进展的重要标志。尽管呈上升趋势，但在 2009 年至 2010 年，<50%的门诊办公室采用了 EMR，电子病历的采用和实施仍然是一个需要适应的挑战。
