Dambro M R, Weiss B D, McClure C L, Vuturo A F
Harris Methodist Health Systems, Ft. Worth, Texas.
J Med Educ. 1988 Aug;63(8):617-23. doi: 10.1097/00001888-198808000-00005.
Computerized medical records systems are used in only a small percentage of U.S. health care facilities, despite predictions that they would be widely used. The authors here report on their experience with the Computer Stored Ambulatory Record (COSTAR), a computerized medical records system, installed at a large primary care clinic at a university medical center. Although some equipment and computer resources were provided by the medical center, ongoing operations were financed by clinic revenues. After four months, use of the system was terminated because clinic revenues could not cover operating costs. The operating costs accounted for 17 percent of the average charge for an office visit. The major component of the operating costs was personnel expenses for data entry.
尽管有人预测计算机化医疗记录系统会得到广泛应用，但在美国只有一小部分医疗保健机构使用该系统。本文作者报告了他们在一所大学医学中心的大型初级保健诊所安装的计算机化医疗记录系统——计算机存储门诊记录（COSTAR）上的经验。虽然一些设备和计算机资源由医学中心提供，但日常运营由诊所收入资助。四个月后，该系统的使用被终止，因为诊所收入无法覆盖运营成本。运营成本占门诊平均收费的17%。运营成本的主要组成部分是数据录入的人员费用。
