Schneider Henning
Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland,
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2015 Jan;58(1):61-6. doi: 10.1007/s00103-014-2081-6.
Recent studies indicate again that there is a deficit in the use of electronic health records (EHR) in German hospitals. Despite good arguments in favour of their use, such as the rapid availability of data, German hospitals shy away from a wider implementation. The reason is the high cost of installing and maintaining the EHRs, for the benefit is difficult to evaluate in monetary terms for the hospital. Even if a benefit can be shown it is not necessarily evident within the hospital, but manifests itself only in the health system outside. Many hospitals only manage to partly implement EHR resulting in increased documentation requirements which reverse their positive effect.In the United States, electronic medical records are also viewed in light of their positive impact on patient safety. In particular, electronic medication systems prove the benefits they can provide in the context of patient safety. As a result, financing systems have been created to promote the digitalisation of hospitals in the United States. This has led to a large increase in the use of IT systems in the United States in recent years. The Universitätsklinikum Eppendorf (UKE) introduced electronic patient records in 2009. The benefits, in particular as regards patient safety, are numerous and there are many examples to illustrate this position. These positive results are intended to demonstrate the important role EHR play in hospitals. A financing system of the ailing IT landscape based on the American model is urgently needed to benefit-especially in terms of patient safety-from electronic medical records in the hospital.
最近的研究再次表明,德国医院在电子健康记录(EHR)的使用方面存在不足。尽管有充分的理由支持使用电子健康记录,比如数据能快速获取,但德国医院仍不愿更广泛地实施。原因在于安装和维护电子健康记录的成本高昂,因为其对医院的益处难以用金钱来评估。即便能证明存在益处,在医院内部也不一定明显,而仅在外部医疗系统中才会显现。许多医院仅能部分实施电子健康记录,这导致文档要求增加,从而抵消了其积极作用。在美国,电子病历也因其对患者安全的积极影响而受到关注。特别是电子用药系统证明了它们在患者安全方面所能提供的益处。因此,美国创建了融资体系以促进医院的数字化。这使得近年来美国的信息技术系统使用量大幅增加。埃彭多夫大学医院(UKE)于2009年引入了电子病历。其益处众多,尤其是在患者安全方面,有许多例子可说明这一点。这些积极成果旨在证明电子健康记录在医院中所起的重要作用。迫切需要一个基于美国模式的、针对状况不佳的信息技术格局的融资体系,以便医院能从电子病历中受益,尤其是在患者安全方面。