Center for Population Health Informatics, Institute for Informatics, Washington University School of Medicine in St. Louis, Saint Louis, Missouri, USA.
Center for Health Economics & Policy, Institute for Public Health, Washington University School of Medicine in St. Louis, Saint Louis, Missouri, USA.
J Am Med Inform Assoc. 2022 Apr 13;29(5):953-957. doi: 10.1093/jamia/ocac021.
Adoption of electronic health records (EHRs) and health information exchange (HIE) is a key tool to improving the quality of care in assisted living communities (ALC). We examined whether EHRs were being used in ALC to support HIE in 2010 and 2018. We found that adoption of EHR and HIE functions increased substantially over the study period. However, adoption of HIE functions lagged significantly behind EHR functions in both 2010 and 2018 and was accompanied by growing disparities in the adoption of EHR functions among smaller, nonchain, and for-profit communities. To improve the quality of care for this important and growing population, targeted policies are needed to support the adoption of both EHR and HIE functions in ALC.
采用电子健康记录 (EHR) 和健康信息交换 (HIE) 是提高辅助生活社区 (ALC) 护理质量的关键工具。我们研究了 2010 年和 2018 年 EHR 是否用于支持 ALC 中的 HIE。我们发现，在研究期间，EHR 和 HIE 功能的采用率大幅增加。然而，在 2010 年和 2018 年，HIE 功能的采用率明显滞后于 EHR 功能，并且在较小的、非连锁的和营利性社区中，EHR 功能的采用率存在日益扩大的差距。为了提高这一重要且不断增长的人群的护理质量，需要有针对性的政策来支持 ALC 中 EHR 和 HIE 功能的采用。
