Department of Pediatrics, David Geffen School of Medicine, University of California Los Angeles.
Appl Clin Inform. 2012 Nov 28;3(4):437-47. doi: 10.4338/ACI-2012-06-RA-0023. Print 2012.
Growth chart recording is a key component of pediatric care. EHR systems could provide several growth charting functionalities compared to paper methods. To our knowledge, there has been no U.S. study exploring clinicians' perceptions and practices related to recording of growth parameters as they adapt to electronic methods.
To explore clinician practices regarding recording growth parameters as they adapt to electronic health records (EHR) and to investigate clinician perceptions of electronic growth charting using EHR.
An online survey of pediatricians and family practitioners in Kentucky inquiring about EHR usage, specifically use of growth charting with EHR, was conducted.
Forty-six percent of respondents utilized EHRs, with pediatricians lagging family practitioners, and academic pediatricians lagging non-academicians. There was no consensus on EHR platforms being used. Almost a third of those who used EHR did not utilize electronic growth charting. Clinicians using EHR reported that electronic growth charts would improve clinician satisfaction and clinical efficiency as well as parent satisfaction and parent education. Only 12% of respondents provided copies of growth charts to parents at the end of their visit and discussed growth parameters with parents, with clinicians using EHR more likely to engage in these activities than non-EHR users.
Although Kentucky clinicians continue to slowly adopt EHRs, clinician perceptions and practices reflect enduring barriers to widespread use of electronic growth charting in pediatric and family practice. However, our results suggest that electronic growth charting has important benefits for both clinicians and patients, and greater adoption is expected as EHRs become standard across health care systems.
生长图表记录是儿科护理的关键组成部分。与纸质方法相比，电子健康记录（EHR）系统可以提供多种生长图表功能。据我们所知，在美国还没有研究探索临床医生在适应电子方法时记录生长参数的看法和实践。
探索临床医生在适应电子病历（EHR）时记录生长参数的实践，并调查临床医生对使用 EHR 进行电子生长图表记录的看法。
对肯塔基州的儿科医生和家庭医生进行了一项在线调查，询问他们关于 EHR 使用的情况，特别是使用 EHR 进行生长图表记录的情况。
46%的受访者使用 EHR，儿科医生落后于家庭医生，学术儿科医生落后于非学术医生。使用的 EHR 平台没有达成共识。将近三分之一使用 EHR 的人没有使用电子生长图表。使用 EHR 的临床医生报告说，电子生长图表将提高临床医生的满意度和临床效率，以及家长的满意度和家长教育。只有 12%的受访者在就诊结束时向家长提供生长图表副本，并与家长讨论生长参数，使用 EHR 的临床医生比非 EHR 用户更有可能进行这些活动。
尽管肯塔基州的临床医生继续缓慢采用 EHR，但临床医生的看法和实践反映了电子生长图表在儿科和家庭实践中广泛使用的持久障碍。然而，我们的结果表明，电子生长图表对临床医生和患者都有重要的好处，随着 EHR 在整个医疗保健系统中成为标准，预计采用率将会提高。
