电子健康记录使用的临床效益:全国性发现。
Clinical benefits of electronic health record use: national findings.
机构信息
Office of the National Coordinator for Health Information Technology, Washington, DC.
出版信息
Health Serv Res. 2014 Feb;49(1 Pt 2):392-404. doi: 10.1111/1475-6773.12135. Epub 2013 Dec 21.
OBJECTIVE
To assess whether physicians' reported electronic health record (EHR) use provides clinical benefits and whether benefits depend on using an EHR meeting Meaningful Use criteria or length of EHR experience.
DATA SOURCE
The 2011 Physician Workflow study, representative of U.S. office-based physicians.
STUDY DESIGN
Cross-sectional data were used to examine the association of EHR use with enhanced patient care overall and nine specific clinical benefits.
PRINCIPAL FINDINGS
Most physicians with EHRs reported EHR use enhanced patient care overall (78 percent), helped them access a patient's chart remotely (81 percent), and alerted them to a potential medication error (65 percent) and critical lab values (62 percent). Between 30 and 50 percent of physicians reported that EHR use was associated with clinical benefits related to providing recommended care, ordering appropriate tests, and facilitating patient communication. Using EHRs that met Meaningful Use criteria and having 2 or more years of EHR experience were independently associated with reported benefits. Physicians with EHRs meeting Meaningful Use criteria and longer EHR experience were most likely to report benefits across all 10 measures.
CONCLUSIONS
Physicians reported EHR use enhanced patient care overall. Clinical benefits were most likely to be reported by physicians using EHRs meeting Meaningful Use criteria and longer EHR experience.
目的
评估医生报告的电子健康记录 (EHR) 使用是否提供临床效益,以及这些效益是否取决于使用符合意义使用标准的 EHR 或 EHR 经验的长短。
数据来源
2011 年医师工作流程研究,代表了美国的基层医疗机构医生。
研究设计
使用横断面数据来检查 EHR 使用与整体增强的患者护理以及九项具体临床效益之间的关联。
主要发现
大多数使用 EHR 的医生报告说,EHR 使用整体上增强了患者护理(78%),帮助他们远程访问患者的图表(81%),并提醒他们潜在的药物错误(65%)和关键的实验室值(62%)。30%至 50%的医生报告说,EHR 使用与提供建议护理、订购适当的测试以及促进患者沟通相关的临床效益有关。使用符合意义使用标准的 EHR 并具有 2 年或更长的 EHR 经验与报告的效益独立相关。符合意义使用标准且 EHR 经验较长的医生最有可能报告所有 10 项措施的效益。
结论
医生报告说 EHR 使用增强了整体患者护理。使用符合意义使用标准和更长 EHR 经验的医生最有可能报告临床效益。