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电子健康记录实施的最佳实践:一个不列颠哥伦比亚省第一民族社区的经验。

Best practices for EHR implementation: A BC First Nations community's experience.

作者信息

Wilkinson Susi, Borycki Elizabeth, Kushniruk Andre

机构信息

Interior Health Authority, Kelowna, British Columbia, Canada.

School of Health Information Science, University of Victoria, Victoria, British Columbia, Canada.

出版信息

Healthc Manage Forum. 2020 Jan;33(1):39-46. doi: 10.1177/0840470419860863. Epub 2019 Aug 1.

Abstract

First Nations and other health leaders are looking to Electronic Health Records (EHRs) to improve the quality of health information, efficiency of health services, and health outcomes for Indigenous people in Canada. This study used qualitative and quantitative methods to identify the success factors in an EHR implementation at a First Nations health centre in British Columbia, Canada. The Best Practices EHR Implementation Framework (EHRIF) was used to analyze the success factor data and found that all of the success factors from the planning and implementation phases in the framework were important. Provincial and federal government commitment and collaboration with key stakeholders including a local physician champion were also critically important for the electronic medical record implementation to proceed. This study suggests the EHRIF can be used to promote successful EHR implementations in Aboriginal communities and can contribute to building health informatics expertise and capacity in First Nations communities.

摘要

加拿大原住民及其他卫生领域领导人期望借助电子健康记录(EHRs)提高加拿大原住民健康信息的质量、卫生服务的效率及健康成果。本研究运用定性和定量方法,确定了加拿大不列颠哥伦比亚省一家原住民健康中心实施电子健康记录的成功因素。采用最佳实践电子健康记录实施框架(EHRIF)分析成功因素数据,发现该框架规划和实施阶段的所有成功因素都很重要。省级和联邦政府的承诺以及与包括当地医生倡导者在内的关键利益相关者的合作,对于电子病历的实施推进也至关重要。本研究表明,EHRIF可用于促进原住民社区成功实施电子健康记录,并有助于在原住民社区建立健康信息学专业知识和能力。

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