Braunstein M L
Mercer University School of Pharmacy.
Comput Nurs. 1994 Sep-Oct;12(5):232-8.
Electronic patient records have been the subject of research by academic and business organizations for at least 25 years. Despite a notable lack of progress, the time for broad acceptance of the concept may well be near. Important driving forces include 1) the external pressures being placed on the health care industry to lower costs and to provide standardized care with measures of outcome; and 2) new computer and communications technologies that can support the evolving "continuum of care," including the needs of even the most highly mobile clinicians. Home care nurses are ideal candidates to be early adapters of electronic patient records because of the high degree of mobility in their profession, their front-line role in the new health care system, their lack of a support structure at the point of care, and the excessive nursing time spent on documentation. Successful systems will be based on consideration of the clinician's working environment and computer skills, the interaction between the patient and the clinician, and the need for a record capable of supporting the sophisticated requirements of managed care.
至少25年来，电子病历一直是学术机构和商业组织的研究对象。尽管进展明显不足，但广泛接受这一概念的时机可能即将到来。重要的推动因素包括：1）医疗保健行业面临的降低成本和通过结果指标提供标准化护理的外部压力；2）能够支持不断发展的“连续护理”的新计算机和通信技术，包括满足即使是流动性最强的临床医生的需求。家庭护理护士因其职业的高度流动性、在新医疗保健系统中的一线角色、在护理点缺乏支持结构以及在文档记录上花费的护理时间过长，成为电子病历早期采用者的理想人选。成功的系统将基于对临床医生工作环境和计算机技能、患者与临床医生之间的互动以及支持管理式护理复杂要求的记录需求的考虑。
