Chung Arlene E, Basch Ethan M
School of Medicine, University of North Carolina, Chapel Hill, NC, 27599, USA
School of Medicine, University of North Carolina, Chapel Hill, NC, 27599, USA Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, 27599, USA.
J Am Med Inform Assoc. 2015 Jul;22(4):914-6. doi: 10.1093/jamia/ocu007. Epub 2015 Jan 21.
Owing to lack of standardization for eliciting patient symptoms, the limited time available during clinical encounters, and the often-competing priorities of patients and providers, providers may not appreciate the full spectrum of the patient's symptom experience. Using electronically collected patient-reported outcomes to capture the review of system outside of the clinic visit may not only improve the efficiency, completeness, and accuracy of data collection for the review of system, but also provide the opportunity to operationalize incorporating the patient's voice into the electronic health record. While the necessary technology is already available, multiple stakeholders, including electronic health record vendors, clinicians, researchers, and professional societies, need to align their interests before this can become a widespread reality.
由于在引出患者症状方面缺乏标准化、临床会诊期间可用时间有限以及患者和医疗服务提供者的优先事项常常相互冲突，医疗服务提供者可能无法充分了解患者症状体验的全貌。使用电子收集的患者报告结局来获取门诊就诊之外的系统回顾，不仅可以提高系统回顾数据收集的效率、完整性和准确性，还能提供将患者声音纳入电子健康记录的操作机会。虽然必要的技术已经具备，但包括电子健康记录供应商、临床医生、研究人员和专业协会在内的多个利益相关者，需要在这成为广泛现实之前协调他们的利益。
