Vuokko Riikka, Mäkelä-Bengs Päivi, Hyppönen Hannele, Doupi Persephone
National Institute for Health and Welfare in Finland (THL).
Stud Health Technol Inform. 2015;210:291-5.
In addition to patient care, EHR data are increasingly in demand for secondary purposes, e.g. administration, research and enterprise resource planning. We conducted a systematic literature review and subsequent analysis of 85 articles focusing on the secondary use of structured patient records. We grounded the analysis on how patient records have been structured, how these structures have been evaluated and what are the main results achieved from the secondary use viewpoint. We conclude that secondary use requires complete and interoperable patient records, which in turn depend on better alignment of primary and secondary users' needs and benefits.
除了患者护理之外,电子健康记录(EHR)数据对于诸如管理、研究和企业资源规划等次要目的的需求也日益增加。我们进行了一项系统的文献综述,并随后对85篇关注结构化患者记录的二次使用的文章进行了分析。我们的分析基于患者记录是如何构建的、这些结构是如何评估的以及从二次使用的角度来看取得的主要成果是什么。我们得出结论,二次使用需要完整且可互操作的患者记录,而这又反过来依赖于主要用户和次要用户的需求与利益能更好地协调一致。