Janssen Anna, Kay Judy, Talic Stella, Pusic Martin, Birnbaum Robert J, Cavalcanti Rodrigo, Gasevic Dragan, Shaw Tim
Faculty of Medicine and Health, The University of Sydney, Level 2, Charles Perkins Centre D17, Sydney, NSW Australia.
Faculty of Engineering, The University of Sydney, Sydney, Australia.
J Healthc Inform Res. 2023 Jan 20;6(4):375-384. doi: 10.1007/s41666-022-00123-0. eCollection 2022 Dec.
A foundational component of digital health involves collecting and leveraging electronic health data to improve health and wellbeing. One of the central technologies for collecting these data are electronic health records (EHRs). In this commentary, the authors explore intersection between digital health and data-driven reflective practice that is described, including an overview of the role of EHRs underpinning technology innovation in healthcare. Subsequently, they argue that EHRs are a rich but under-utilised source of information on the performance of health professionals and healthcare teams that could be harnessed to support reflective practice and behaviour change. EHRs currently act as systems of data collection, not systems of data engagement and reflection by end users such as health professionals and healthcare organisations. Further consideration should be given to supporting reflective practice by health professionals in the design of EHRs and other clinical information systems.
数字健康的一个基础组成部分是收集和利用电子健康数据以改善健康状况和福祉。收集这些数据的核心技术之一是电子健康记录（EHRs）。在这篇评论中，作者探讨了数字健康与数据驱动的反思性实践之间的交叉点，包括对支撑医疗保健技术创新的电子健康记录作用的概述。随后，他们认为电子健康记录是关于健康专业人员和医疗团队表现的丰富但未充分利用的信息来源，可以利用这些信息来支持反思性实践和行为改变。电子健康记录目前充当数据收集系统，而非健康专业人员和医疗保健组织等最终用户的数据参与和反思系统。在设计电子健康记录和其他临床信息系统时，应进一步考虑支持健康专业人员的反思性实践。
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