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本文引用的文献

1
Perceptions of chief clinical information officers on the state of electronic health records systems interoperability in NHS England: a qualitative interview study.英国国家医疗服务体系中首席临床信息官对电子健康记录系统互操作性现状的看法:一项定性访谈研究。
BMC Med Inform Decis Mak. 2023 Aug 12;23(1):158. doi: 10.1186/s12911-023-02255-8.
2
Fragmented care and chronic illness patient outcomes: A systematic review.碎片化的医疗护理与慢性病患者的结局:一项系统综述。
Nurs Open. 2023 Jun;10(6):3460-3473. doi: 10.1002/nop2.1607. Epub 2023 Jan 9.
3
Staff expectations for the implementation of an electronic health record system: a qualitative study using normalisation process theory.员工对电子健康记录系统实施的期望:使用规范进程理论的定性研究。
BMC Med Inform Decis Mak. 2019 Nov 14;19(1):222. doi: 10.1186/s12911-019-0952-3.
4
The use of Electronic Health Records to Support Population Health: A Systematic Review of the Literature.利用电子健康记录支持人群健康:文献系统评价。
J Med Syst. 2018 Sep 29;42(11):214. doi: 10.1007/s10916-018-1075-6.
5
Cyberattack on Britain's National Health Service - A Wake-up Call for Modern Medicine.对英国国民医疗服务体系的网络攻击——给现代医学的一次警钟。
N Engl J Med. 2017 Aug 3;377(5):409-411. doi: 10.1056/NEJMp1706754. Epub 2017 Jun 7.

统一国民保健服务电子处方与健康记录:弥合数字鸿沟。

Unifying NHS Electronic Prescribing and Health Records: Bridging the Digital Divide.

作者信息

Ahmed Hassan, Rizvi Syeda Aiman

机构信息

Internal Medicine, Queen Elizabeth Hospital, King's Lynn, GBR.

Internal Medicine, Karachi Medical and Dental College, Karachi, PAK.

出版信息

Cureus. 2025 Jun 15;17(6):e86055. doi: 10.7759/cureus.86055. eCollection 2025 Jun.

DOI:10.7759/cureus.86055
PMID:40666567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12262002/
Abstract

The NHS is facing significant challenges in delivering safe, efficient, and high-quality care due to the fragmentation of patient information. A unified electronic health record (EHR) is essential to address several emerging issues, improve patient safety, and deliver better healthcare. Currently, healthcare professionals must navigate multiple systems to access vital patient data, which can lead to ambiguity, miscommunication, errors, and delays in healthcare provision. A single integrated system will enable real-time access to patient records, preventing misdiagnosis, reducing errors, and treatment delays, ultimately resulting in enhanced patient outcomes. Financially, a unified system would reduce software costs and duplicate investigations, resulting in cost savings that can be reinvested in other areas of healthcare. Moreover, the system would benefit medical research by enabling access to comprehensive patient data for tracking healthcare trends and focusing more on evidence-based practice. The NHS's centralized structure positions it well for system-wide implementation. Regional pilot projects demonstrate feasibility and offer a roadmap for national rollout. While challenges remain, including funding, training, and data privacy, the long-term benefits far outweigh them. A unified EHR system is a strategic necessity for a safer, more efficient, and equitable NHS.

摘要

由于患者信息碎片化,英国国家医疗服务体系(NHS)在提供安全、高效和高质量医疗服务方面面临重大挑战。统一的电子健康记录(EHR)对于解决一些新出现的问题、提高患者安全以及提供更好的医疗保健至关重要。目前,医疗保健专业人员必须在多个系统中查找重要的患者数据,这可能导致医疗服务中的信息不明确、沟通不畅、错误以及延误。单一的集成系统将能够实时访问患者记录,防止误诊,减少错误和治疗延误,最终改善患者治疗效果。在财务方面,统一的系统将降低软件成本和重复检查的费用,从而节省成本,可将这些节省的资金重新投入到医疗保健的其他领域。此外,该系统将有助于医学研究,通过提供全面的患者数据来跟踪医疗趋势,并更多地关注循证实践。NHS的集中式结构使其非常适合在全系统实施该系统。区域试点项目证明了其可行性,并为全国推广提供了路线图。虽然挑战依然存在,包括资金、培训和数据隐私,但长期利益远远超过这些挑战。统一的EHR系统对于更安全、高效和公平的NHS来说是一项战略必需品。