美国执业护士使用电子健康记录的相关因素。
Factors Associated With Electronic Health Record Use Among Nurse Practitioners in the United States.
作者信息
Jones Emily B
机构信息
Division of Behavioral Health and Intellectual Disabilities Policy, Office of Disability, Aging, and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation, United States Department of Health and Human Services, Washington, and Department of Health Policy and Management, George Washington University, District of Columbia.
出版信息
J Ambul Care Manage. 2017 Jan/Mar;40(1):48-58. doi: 10.1097/JAC.0000000000000169.
Widespread use of electronic health records (EHRs) among all provider types is foundational to delivery system transformation. Three in 4 nurse practitioners used EHRs in 2012 (76.0%), and 60.3% of nonusers planned to adopt within 18 months. Practice setting, younger age, and colocation with physicians were associated with EHR use. In hospitals and in settings without on-site physicians, EHR use lagged in rural areas. Implementation assistance should be targeted to nonadopters, particularly those who never or infrequently work alongside physicians and those in rural hospitals. Sustained technical assistance with using EHRs for performance improvement and care coordination is also needed.
在所有医疗服务提供者类型中广泛使用电子健康记录（EHR）是医疗服务体系转型的基础。2012年，四分之三的执业护士使用了电子健康记录（76.0%），60.3%的未使用者计划在18个月内采用。执业环境、年龄较小以及与医生同处一地与电子健康记录的使用相关。在医院以及没有驻院医生的机构中，农村地区的电子健康记录使用滞后。实施援助应针对未采用者，特别是那些从未或很少与医生共事的人以及农村医院的人员。还需要提供持续的技术援助，以利用电子健康记录改善医疗绩效和协调医疗服务。
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