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整合第三方应用程序与电子健康记录以支持应对新冠疫情。

Integrating third-party apps with electronic health records to support COVID-19 response.

作者信息

Johnson Christian, Barker Wesley

机构信息

Office of the National Coordinator for Health Information Technology, HHS, 330 C St SW, Floor 7, Washington, DC 20024. Email:

出版信息

Am J Manag Care. 2023 Jan 1;29(1):e8-e12. doi: 10.37765/ajmc.2023.89308.

DOI:10.37765/ajmc.2023.89308
PMID:36716158
Abstract

OBJECTIVES

To (1) track the integration of telehealth- and COVID-19-related apps with electronic health records (EHRs) over time, (2) identify the primary functionality of apps designed to support the COVID-19 response, and (3) examine whether apps available prior to the pandemic added new telehealth- or COVID-19-related functionalities during the pandemic.

STUDY DESIGN

Data were collected from public EHR app galleries on a monthly basis from December 31, 2019, through June 1, 2021.

METHODS

Apps were identified as relating to COVID-19 or telehealth using text analysis of the app marketing materials. Descriptive analyses were conducted to characterize telehealth- and COVID-19-related apps discovered through the app galleries, identify their primary functionality, and examine whether any apps added new telehealth- or COVID-19-related functionalities during the pandemic.

RESULTS

The number of COVID-19-related apps increased from 0 in March 2020 to 19 a month later and continued to grow to 62 as of June 2021. The number of telehealth-related apps more than doubled from prepandemic levels (n = 41) to a total of 87 apps by June 2021. These apps were 2 times more likely to contain specialized capabilities used to support COVID-19 response efforts, such as secure messaging, vaccine administration, and laboratory testing, compared with all apps listed in the EHR app galleries.

CONCLUSIONS

These findings demonstrate the potential of integrating third-party apps into EHRs to expand the range of tools that health care providers can use to diagnose, treat, and communicate with patients.

摘要

目标

(1)追踪远程医疗和与新冠疫情相关应用程序随时间推移与电子健康记录(EHR)的整合情况;(2)确定旨在支持新冠疫情应对的应用程序的主要功能;(3)研究疫情之前可用的应用程序在疫情期间是否增加了新的远程医疗或与新冠疫情相关的功能。

研究设计

数据于2019年12月31日至2021年6月1日期间每月从公共电子健康记录应用程序库收集。

方法

通过对应用程序营销材料进行文本分析,确定与新冠疫情或远程医疗相关的应用程序。进行描述性分析,以描述通过应用程序库发现的与远程医疗和新冠疫情相关的应用程序,确定其主要功能,并研究在疫情期间是否有任何应用程序增加了新的远程医疗或与新冠疫情相关的功能。

结果

与新冠疫情相关的应用程序数量从2020年3月的0个增加到一个月后的19个,并持续增长,截至2021年6月达到62个。与疫情前水平(n = 41)相比,与远程医疗相关的应用程序数量增加了一倍多,到2021年6月总数达到87个。与电子健康记录应用程序库中列出的所有应用程序相比,这些应用程序包含用于支持新冠疫情应对工作的专门功能(如安全消息传递、疫苗接种和实验室检测)的可能性高出两倍。

结论

这些发现表明将第三方应用程序集成到电子健康记录中的潜力,可扩大医疗保健提供者用于诊断、治疗和与患者沟通的工具范围。

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