从四重目标重新思考电子健康记录：是时候使其价值与医疗体系保持一致了。
Rethinking the electronic health record through the quadruple aim: time to align its value with the health system.
机构信息
Center for Public Health Research (CreSP), Université de Montréal, P.O. Box 6128, Branch Centre-Ville, Montreal, Quebec, H3C 3J7, Canada.
Institute for Excellence in Health and Social Services (INESSS), Montreal, QC, Canada.
出版信息
BMC Med Inform Decis Mak. 2020 Feb 17;20(1):32. doi: 10.1186/s12911-020-1048-9.
Abstract
Electronic health records (EHRs) are considered as a powerful lever for enabling value-based health systems. However, many challenges to their use persist and some of their unintended negative impacts are increasingly well documented, including the deterioration of work conditions and quality, and increased dissatisfaction of health care providers. The "quadruple aim" consists of improving population health as well as patient and provider experience while reducing costs. Based on this approach, improving the quality of work and well-being of health care providers could help rethinking the implementation of EHRs and also other information technology-based tools and systems, while creating more value for patients, organizations and health systems.
摘要
电子健康记录 (EHR) 被认为是实现基于价值的医疗体系的有力杠杆。然而，其使用仍然存在许多挑战，一些意想不到的负面影响也越来越多地被记录在案，包括工作条件和质量的恶化，以及医疗保健提供者的不满情绪增加。“四重目标”包括改善人口健康以及患者和提供者的体验，同时降低成本。基于这一方法，提高医疗保健提供者的工作质量和幸福感有助于重新思考 EHR 以及其他基于信息技术的工具和系统的实施，同时为患者、组织和医疗体系创造更多价值。
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