Gabriel Meghan Hufstader, Jones Emily B, Samy Leila, King Jennifer
Meghan Hufstader Gabriel (
Emily B. Jones was a public health analyst at the ONC when this article was written. She is a social science analyst in the Office of the Assistant Secretary of Planning and Evaluation, HHS.
Health Aff (Millwood). 2014 Jul;33(7):1262-70. doi: 10.1377/hlthaff.2014.0279.
Despite major national investments to support the adoption of health information technology (IT), concerns persist that barriers are inhibiting that adoption and the use of advanced health IT capabilities in rural areas in particular. Using a survey of Medicare-certified critical-access hospitals, we examined electronic health record (EHR) adoption, key EHR functionalities, telehealth, and teleradiology, as well as challenges to EHR adoption. In 2013, 89 percent of critical-access hospitals had implemented a full or partial EHR. Adoption of key EHR capabilities varied. Critical-access hospitals that had certain types of technical assistance and resources available to support health IT were more likely to have adopted health IT capabilities and less likely to report significant challenges to EHR implementation and use, compared to other hospitals in the survey. It is important to ensure that the necessary resources and support are available to critical-access hospitals, especially those that operate independently, to assist them in adopting health IT and becoming able to electronically link to the broader health care system.
尽管国家投入了大量资金来支持健康信息技术（IT）的应用，但人们仍然担心存在一些障碍阻碍了其应用，尤其是在农村地区先进健康信息技术能力的使用。通过对医疗保险认证的临界接入医院进行调查，我们研究了电子健康记录（EHR）的采用情况、关键的EHR功能、远程医疗和远程放射学，以及EHR采用过程中面临的挑战。2013年，89%的临界接入医院已经实施了完整或部分的EHR。关键EHR功能的采用情况各不相同。与调查中的其他医院相比，那些有特定类型技术援助和资源来支持健康IT的临界接入医院更有可能采用健康IT功能，并且报告EHR实施和使用中重大挑战的可能性更小。确保向临界接入医院，特别是那些独立运营的医院提供必要的资源和支持，以帮助它们采用健康IT并能够以电子方式连接到更广泛的医疗保健系统，这一点很重要。
