Joukes Erik, de Keizer Nicolette, Cornet Ronald
Department of Medical Informatics, Academic Medical Center, University of Amsterdam, The Netherlands.
Stud Health Technol Inform. 2013;192:981.
To accurately assess the association between the use of EHR systems and the quality of healthcare we need (composite) measures for quality of healthcare, and a model to measure the maturity of the EHR. This Medline-based literature study therefore focussed on three topics; (1) methods to compose a measure for quality of care based on individual quality indicators (QI), (2) models to measure EHR maturity, and (3) the association between the former two. Composite quality is most often measured using opportunity-based scores, maturity is measured in functionalities or levels. EHR maturity measures are not used extensively in biomedical literature. Most studies found a positive association between EHR use and the quality of care but almost none of them differentiate in maturity of EHR which hampers firm conclusions about this relation.
为了准确评估电子健康记录（EHR）系统的使用与医疗质量之间的关联，我们需要（综合）医疗质量衡量指标，以及一个衡量EHR成熟度的模型。因此，这项基于医学文献数据库（Medline）的文献研究聚焦于三个主题：（1）基于个体质量指标（QI）构建护理质量衡量指标的方法；（2）衡量EHR成熟度的模型；（3）前两者之间的关联。综合质量通常使用基于机会的评分来衡量，成熟度则通过功能或级别来衡量。EHR成熟度衡量指标在生物医学文献中并未得到广泛应用。大多数研究发现EHR的使用与护理质量之间存在正相关，但几乎没有一项研究对EHR的成熟度进行区分，这妨碍了就这种关系得出确凿结论。
