Roter Debra L
Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205 USA.
Isr J Health Policy Res. 2015 Mar 31;4:17. doi: 10.1186/s13584-015-0012-0. eCollection 2015.
EMR use during medical visits has been found to distract physicians and negatively influence their ability to deliver patient-centered care. In this issue, Assis-Hassid and colleagues propose a redress of this effect by creating a 23-item inventory of communication-related best practices regarding EMR use during medical visits with relevance for medical student training and enhanced clinical practice. This paper and recent initiatives to share physicians' EMR notes with patients through secure portals raise questions regarding the future role of the EMR and its implication for the patient-physician relationship. The purpose of this commentary is to provide a perspective on the EMR as part of the rapidly evolving digital environment and to discuss how the growing movement to provide patients full access to their EMR can act as a catalyst for the forging of a new model of patient-physician collaboration and partnership.
研究发现，在医疗问诊过程中使用电子病历会分散医生的注意力，并对他们提供以患者为中心的医疗服务的能力产生负面影响。在本期杂志中，阿西斯 - 哈西德及其同事提出了一种补救措施，即创建一份包含23项内容的清单，列出在医疗问诊期间使用电子病历的与沟通相关的最佳实践，这对医学生培训和加强临床实践具有重要意义。本文以及最近通过安全门户与患者共享医生电子病历记录的举措，引发了关于电子病历未来作用及其对医患关系影响的问题。本评论的目的是就电子病历作为快速发展的数字环境的一部分提供一种观点，并讨论日益兴起的让患者全面访问其电子病历的运动如何能够成为塑造新型医患合作与伙伴关系模式的催化剂。
