López Andrea, Patterson Andie Martinez, John Vanesscia, Sarkar Urmimala
Center for Vulnerable Populations at San Francisco General Hospital, University of California, USA.
J Health Care Poor Underserved. 2012 Nov;23(4):1421-30. doi: 10.1353/hpu.2012.0154.
Health information technology (HIT) is a cornerstone of health care reform, is critical for transformation of current outpatient practices to patient-centered health homes (PCHHs), and has potential to improve health outcomes. To determine the current level of electronic health record (EHR) implementation in California's outpatient safety-net, we conducted a web-based survey of the California Primary Care Association's member clinics (response rate 127/181 (70%)). Seventy-two (59%) clinics had not implemented electronic health records (EHR), 26 (21%) were all electronic, 23 (19%) were both paper and electronic, and two (2%) had no plans to implement EHR; the remaining four responses are missing. The majority of clinics allotted less than 6% of their budget to health information technology and 64% of those planning on implementing an EHR reported needing additional staff. California's safety net systems are likely to need additional support to successfully benefit from health care reform incentives.
健康信息技术（HIT）是医疗改革的基石，对于将当前门诊实践转变为以患者为中心的健康之家（PCHH）至关重要，并且具有改善健康结果的潜力。为了确定加利福尼亚州门诊安全网中电子健康记录（EHR）的当前实施水平，我们对加利福尼亚初级保健协会的会员诊所进行了一项基于网络的调查（回复率为127/181（70%））。72家（59%）诊所尚未实施电子健康记录（EHR），26家（21%）全部为电子化，23家（19%）既有纸质记录也有电子记录，两家（2%）没有实施EHR的计划；其余四份回复缺失。大多数诊所将其预算的不到6%分配给健康信息技术，并且计划实施EHR的诊所中有64%报告需要额外的工作人员。加利福尼亚州的安全网系统可能需要额外的支持，以便从医疗改革激励措施中成功受益。
