Center for Medical Informatics, Peking University, Beijing, China.
BMC Med Inform Decis Mak. 2013 Aug 28;13:96. doi: 10.1186/1472-6947-13-96.
In accordance with the People's Republic of China's (China) National Health Reform Plan of 2009, two of the nation's leading hospitals, located in Beijing, have implemented electronic medical record (EMR) systems from different vendors.To inform future EMR adoption and policy in China, as well as informatics research in the US, this study compared the United State's Hospital Meaningful Use (MU) Objectives (phase 1) objectives to the EMR functionality of two early hospital EMR adopters in China.
At both hospitals, the researchers observed a physician using the EMR and noted MU functionality that was seen and functionality that was not seen yet was available in the EMR. The information technology department was asked about the availability of functionality neither observed nor known to the physician.
Approximately half the MU objectives were available in each EMR. Some differences between the EMRs in the study and MU objectives were attributed to operational differences between the health systems and the cultures in the two countries.
根据中国 2009 年国家卫生改革计划,北京的两家领先医院已分别从不同供应商处采用电子病历(EMR)系统。为了为中国未来的 EMR 采用和政策提供信息,并为美国的信息学研究提供信息,本研究将美国医院的有意义使用(MU)目标(第一阶段)与中国两家早期医院 EMR 采用者的 EMR 功能进行了比较。
在这两家医院,研究人员观察了一名医生使用 EMR 的情况,并记录了 MU 功能,这些功能是已经看到的,而尚未看到的功能则在 EMR 中可用。向信息技术部门询问了医生既未观察到也不知道的功能的可用性。
每个 EMR 中大约有一半的 MU 目标可用。研究中的 EMR 与 MU 目标之间的一些差异归因于两个国家的卫生系统和文化之间的运营差异。