Clarke Arabella, Watt Ian, Sheard Laura, Wright John, Adamson Joy
York Trials Unit, Department of Health Sciences, University of York, York, YO10 5DD, UK.
Department of Health Sciences, Faculty of Science, University of York, Area 4 Seebohm Rowntree Building, York, YO10 5DD, UK.
Br Med Bull. 2017 Jan 1;121(1):95-106. doi: 10.1093/bmb/ldw055.
A number of different policies have aimed to introduce electronic records into National Health Service (NHS) secondary care organizations in England over recent years. There has been little formal attempt to explore the overall impact of these policies (as opposed to evaluations of individual initiatives) and how they have developed and progressed over time.
National NHS IT policy documents and evaluations of national NHS IT policy between 1998 and 2015.
There has been limited progress in implementing integrated electronic records in secondary organizations since 1998.
The management and execution of NHS IT policy has been poor, with over ambitious aims contributing to the limited success.
Detailed guidance on how to implement electronic records in secondary care organizations is required. The ambitions of current policy should be revisited.
Research exploring the costs and benefits of different approaches to introducing electronic records is needed.
近年来，许多不同的政策旨在将电子记录引入英格兰国民医疗服务体系（NHS）的二级医疗机构。几乎没有正式尝试去探究这些政策的整体影响（与对个别举措的评估相对）以及它们如何随着时间的推移而发展和推进。
1998年至2015年间的国家NHS IT政策文件及对国家NHS IT政策的评估。
自1998年以来，二级医疗机构在实施综合电子记录方面进展有限。
NHS IT政策的管理和执行情况不佳，过于雄心勃勃的目标导致成效有限。
需要关于如何在二级医疗机构实施电子记录的详细指导。应重新审视当前政策的目标。
需要开展研究，探索引入电子记录的不同方法的成本和效益。
