Wittie Michael, Ngo-Metzger Quyen, Lebrun-Harris Lydie, Shi Leiyu, Nair Suma
J Healthc Qual. 2016 Jan-Feb;38(1):42-51. doi: 10.1111/jhq.12067.
The Health Resources and Services Administration has supported the adoption of electronic health records (EHRs) by federally funded health centers for over a decade; however, little is known about health centers' current EHR adoption rates, progress toward Meaningful Use, and factors related to adoption. We analyzed cross-sectional data from all 1,128 health centers in 2011, which served over 20 million patients during that year. As of 2011, 80% of health centers reported using an EHR, and high proportions reported using many advanced EHR functionalities. There were no indications of disparities in EHR adoption by census region, urban/rural location, patient sociodemographic composition, physician staffing, or health center funding; however, there were small variations in adoption by total patient cost and percent of revenue from grants. Findings revealed no evidence of a digital divide among health centers, indicating that health centers are implementing EHRs, in keeping with their mission to reduce health disparities.
十多年来，卫生资源与服务管理局一直支持由联邦政府资助的医疗中心采用电子健康记录（EHR）；然而，对于医疗中心当前的电子健康记录采用率、在实现有意义使用方面的进展以及与采用相关的因素，我们知之甚少。我们分析了2011年所有1128家医疗中心的横断面数据，这些医疗中心在当年为超过2000万患者提供了服务。截至2011年，80%的医疗中心报告称使用了电子健康记录，并且有很大比例的医疗中心报告称使用了许多先进的电子健康记录功能。没有迹象表明按人口普查区域、城市/农村位置、患者社会人口构成、医生配备或医疗中心资金划分，在电子健康记录采用方面存在差异；然而，按患者总成本和赠款收入百分比划分，在采用率方面存在细微差异。研究结果表明，医疗中心之间不存在数字鸿沟，这表明医疗中心正在实施电子健康记录，以符合其减少健康差距的使命。
