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本文引用的文献

1
Delivering person-centered care with an electronic health record.提供以电子健康记录为基础的以患者为中心的护理。
BMC Med Inform Decis Mak. 2019 Aug 22;19(1):168. doi: 10.1186/s12911-019-0897-6.
2
Implementation of Electronic Health Records Among Community Mental Health Agencies.社区心理健康机构中电子健康记录的实施情况。
J Behav Health Serv Res. 2018 Jan;45(1):133-142. doi: 10.1007/s11414-017-9556-9.
3
The Value of Electronic Medical Record Implementation in Mental Health Care: A Case Study.电子病历在精神卫生保健中的应用价值:一项案例研究
JMIR Med Inform. 2017 Jan 5;5(1):e1. doi: 10.2196/medinform.6512.
4
Enabling patient-centered care through health information technology.通过健康信息技术实现以患者为中心的医疗服务。
Evid Rep Technol Assess (Full Rep). 2012 Jun(206):1-1531.
5
The road toward fully transparent medical records.通往完全透明医疗记录的道路。
N Engl J Med. 2014 Jan 2;370(1):6-8. doi: 10.1056/NEJMp1310132. Epub 2013 Dec 4.
6
Impact of person-centered planning and collaborative documentation on treatment adherence.以患者为中心的计划和协作式记录对治疗依从性的影响。
Psychiatr Serv. 2013 Jan;64(1):76-9. doi: 10.1176/appi.ps.201100489.
7
A web application to support recovery and shared decision making in psychiatric medication clinics.一个用于支持精神科药物治疗诊所康复和共享决策的网络应用程序。
Psychiatr Rehabil J. 2010 Summer;34(1):23-8. doi: 10.2975/34.1.2010.23.28.
8
What 'patient-centered' should mean: confessions of an extremist.以患者为中心应该意味着什么:一个极端主义者的自白。
Health Aff (Millwood). 2009 Jul-Aug;28(4):w555-65. doi: 10.1377/hlthaff.28.4.w555. Epub 2009 May 19.

电子健康记录和以患者为中心的护理计划的承诺与陷阱。

The Promise and Pitfalls of Electronic Health Records and Person-Centered Care Planning.

机构信息

Yale Program for Recovery and Community Health, Yale School of Medicine, New Haven, CT, USA.

Silver School of Social Work, New York University, New York, NY, USA.

出版信息

J Behav Health Serv Res. 2021 Jul;48(3):487-496. doi: 10.1007/s11414-020-09743-z. Epub 2021 Jan 4.

DOI:10.1007/s11414-020-09743-z
PMID:33398591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8254826/
Abstract

Person-Centered Care Planning is a recovery-oriented practice designed to meet the increasing demand to deliver person-centered care. Despite widespread dissemination efforts to train providers in person-centered care, behavioral health agencies are still struggling to implement person-centered care approaches. One of the barriers is poorly designed electronic health records that are not aligned to reflect the goal of providing individuals with meaningful choices and self-determination. The pitfalls of EHR design include service planning templates that rely on automated formats that are problem-driven and preclude the entry of unique information, whereas a well-designed EHR can become a key strategy for the delivery of person-centered care by having the functionality to reflect individual goals, actions, and natural supports. The promise and pitfalls of EHR design demonstrates the importance of having a treatment planning platform that allows providers to actualize person-centered care.

摘要

以人为中心的护理计划是一种以康复为导向的实践,旨在满足提供以人为中心的护理的需求不断增加。尽管为培训护理人员进行以人为中心的护理做出了广泛的传播努力,但行为健康机构仍在努力实施以人为中心的护理方法。其中一个障碍是电子健康记录设计不佳,无法反映提供个人有意义的选择和自我决定的目标。电子健康记录设计的缺陷包括服务计划模板依赖于自动化格式,这些格式是问题驱动的,并且排除了独特信息的输入,而一个设计良好的电子健康记录可以通过具有反映个人目标、行动和自然支持的功能,成为提供以人为中心的护理的关键策略。电子健康记录设计的承诺和缺陷表明,拥有一个允许护理人员实现以人为中心的护理的治疗计划平台非常重要。