新兴的电子健康记录单一文化对医院和医疗系统的影响。
Implications of an emerging EHR monoculture for hospitals and healthcare systems.
机构信息
Sociology Department, School of Medicine, Leonard Davis Institute (Wharton) University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Departments of Pediatrics and Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, USA.
出版信息
J Am Med Inform Assoc. 2015 Mar;22(2):465-71. doi: 10.1136/amiajnl-2014-003023. Epub 2014 Oct 23.
Abstract
In many hospitals and health systems, a 'new' electronic health record means a shift to one vendor: Epic, a vendor that dominates in large and medium hospital markets and continues its success with smaller institutions and ambulatory practices. Our paper examines the implications of this emerging monoculture: its advantages and disadvantages for physicians and hospitals and its role in innovation, professional autonomy, implementation difficulties, workflow, flexibility, cost, data standards, interoperability, and interactions with other information technology (IT) systems.
摘要
在许多医院和医疗系统中，“新”的电子健康记录意味着转向一家供应商：Epic，这家供应商在大型和中型医院市场占据主导地位，并在小型机构和流动医疗实践中继续取得成功。我们的论文探讨了这种新兴单一文化的影响：它对医生和医院的优缺点，以及它在创新、专业自主权、实施困难、工作流程、灵活性、成本、数据标准、互操作性以及与其他信息技术 (IT) 系统的交互方面的作用。
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本文引用的文献
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