电子健康记录系统是否“降低”了临床医生的水平？
Do electronic health record systems "dumb down" clinicians?
机构信息
Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
Center for Learning Health System Sciences, University of Minnesota, Minneapolis, Minnesota, USA.
出版信息
J Am Med Inform Assoc. 2022 Dec 13;30(1):172-177. doi: 10.1093/jamia/ocac163.
A panel sponsored by the American College of Medical Informatics (ACMI) at the 2021 AMIA Symposium addressed the provocative question: "Are Electronic Health Records dumbing down clinicians?" After reviewing electronic health record (EHR) development and evolution, the panel discussed how EHR use can impair care delivery. Both suboptimal functionality during EHR use and longer-term effects outside of EHR use can reduce clinicians' efficiencies, reasoning abilities, and knowledge. Panel members explored potential solutions to problems discussed. Progress will require significant engagement from clinician-users, educators, health systems, commercial vendors, regulators, and policy makers. Future EHR systems must become more user-focused and scalable and enable providers to work smarter to deliver improved care.
美国医学信息学院（ACMI）在 2021 年 AMIA 研讨会上赞助的一个小组讨论了一个发人深省的问题：“电子健康记录是否使临床医生变得愚蠢？” 在回顾了电子健康记录（EHR）的发展和演变之后，该小组讨论了 EHR 的使用如何会影响医疗服务的提供。EHR 使用过程中的功能不完善以及 EHR 使用之外的长期影响，都会降低临床医生的工作效率、推理能力和知识水平。小组成员探讨了讨论中所提出问题的潜在解决方案。要取得进展，临床医生用户、教育工作者、医疗系统、商业供应商、监管机构和政策制定者必须进行大量的参与。未来的 EHR 系统必须更加以用户为中心和可扩展，并使提供者能够更智能地工作，以提供更好的医疗服务。
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