电子健康记录在医学研究中的25年发展历程与障碍及互操作性：全面综述

Twenty-Five Years of Evolution and Hurdles in Electronic Health Records and Interoperability in Medical Research: Comprehensive Review.

作者信息

Shen Yun, Yu Jiamin, Zhou Jian, Hu Gang

机构信息

Chronic Disease Epidemiology, Population and Public Health, Pennington Biomedical Research Center, Baton Rouge, LA, United States.

Department of Endocrinology and Metabolism, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

J Med Internet Res. 2025 Jan 9;27:e59024. doi: 10.2196/59024.

DOI:10.2196/59024

PMID:39787599

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11757985/

Abstract

BACKGROUND

Electronic health records (EHRs) facilitate the accessibility and sharing of patient data among various health care providers, contributing to more coordinated and efficient care.

OBJECTIVE

This study aimed to summarize the evolution of secondary use of EHRs and their interoperability in medical research over the past 25 years.

METHODS

We conducted an extensive literature search in the PubMed, Scopus, and Web of Science databases using the keywords Electronic health record and Electronic medical record in the title or abstract and Medical research in all fields from 2000 to 2024. Specific terms were applied to different time periods.

RESULTS

The review yielded 2212 studies, all of which were then screened and processed in a structured manner. Of these 2212 studies, 2102 (93.03%) were included in the review analysis, of which 1079 (51.33%) studies were from 2000 to 2009, 582 (27.69%) were from 2010 to 2019, 251 (11.94%) were from 2020 to 2023, and 190 (9.04%) were from 2024.

CONCLUSIONS

The evolution of EHRs marks an important milestone in health care's journey toward integrating technology and medicine. From early documentation practices to the sophisticated use of artificial intelligence and big data analytics today, EHRs have become central to improving patient care, enhancing public health surveillance, and advancing medical research.

摘要

背景

电子健康记录（EHRs）促进了患者数据在不同医疗服务提供者之间的可获取性和共享，有助于实现更协调、高效的医疗服务。

目的

本研究旨在总结过去25年电子健康记录的二次使用及其在医学研究中的互操作性的发展历程。

方法

我们在PubMed、Scopus和Web of Science数据库中进行了广泛的文献检索，使用标题或摘要中的关键词“电子健康记录”和“电子病历”以及2000年至2024年所有领域的“医学研究”。针对不同时间段应用了特定术语。

结果

该综述共检索到2212项研究，随后对所有研究进行了结构化筛选和处理。在这2212项研究中，2102项（93.03%）被纳入综述分析，其中1079项（51.33%）研究来自2000年至2009年，582项（27.69%）来自2010年至2019年，251项（11.94%）来自2020年至2023年，190项（9.04%）来自2024年。