衡量基层医疗中电子健康记录的使用情况：一项范围综述。
Measuring Electronic Health Record Use in Primary Care: A Scoping Review.
作者信息
Huang Michael Z, Gibson Candace J, Terry Amanda L
出版信息
Appl Clin Inform. 2018 Jan;9(1):15-33. doi: 10.1055/s-0037-1615807. Epub 2018 Jan 10.
BACKGROUND
Simple measures of electronic health record (EHR) adoption may be inadequate to evaluate EHR use; and positive outcomes associated with EHRs may be better gauged when varying degrees of EHR use are taken into account. In this article, we aim to assess the current state of the literature regarding measuring EHR use.
OBJECTIVE
This article conducts a scoping review of the literature to identify and classify measures of primary care EHR use with a focus on the Canadian context.
METHODS
We conducted a scoping review. Multiple citation databases were searched, as well as gray literature from relevant Web sites. Resulting abstracts were screened for inclusion. Included full texts were reviewed by two authors. Data from the articles were extracted; we synthesized the findings. Subsequently, we reviewed these results with seven EHR stakeholders in Canada.
RESULTS
Thirty-seven articles were included. Eighteen measured EHR function use individually, while 19 incorporated an overall level of use. Eight frameworks for characterizing overall EHR use were identified.
CONCLUSION
There is a need to create standardized frameworks for assessing EHR use.
背景
电子健康记录（EHR）采用情况的简单衡量指标可能不足以评估EHR的使用情况；当考虑到不同程度的EHR使用时，与EHR相关的积极结果可能会得到更好的衡量。在本文中，我们旨在评估有关衡量EHR使用情况的文献现状。
目的
本文对文献进行范围综述，以识别和分类初级保健EHR使用情况的衡量指标，重点关注加拿大的情况。
方法
我们进行了范围综述。搜索了多个引文数据库以及相关网站的灰色文献。对所得摘要进行筛选以确定是否纳入。纳入的全文由两位作者进行评审。提取文章中的数据；我们对研究结果进行了综合。随后，我们与加拿大的七位EHR利益相关者对这些结果进行了评审。
结果
纳入了37篇文章。18篇单独衡量了EHR功能的使用情况，而19篇纳入了总体使用水平。确定了八个用于描述EHR总体使用情况的框架。
结论
需要创建用于评估EHR使用情况的标准化框架。
Zotero 插件