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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.

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。

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