Casper G R, Brennan P F
Case Western Reserve University, Frances Payne Bolton School of Nursing, Cleveland, OH.
Proc Annu Symp Comput Appl Med Care. 1993:8-11.
Patients are an important but overlooked participant in health information management. Patients serve as a source of self-monitoring data and for self-report of essential judgments such as preference for treatment and preferences for clinical outcomes. As the deliberations regarding the Computer-Based Patient Record initiative continue, decisions must be made about what patient-specific information will be entered in the record. In consideration of the mounting evidence that patient preferences represent an essential component in many health care decisions, it is timely to advocate for including patient preferences in the patient record. This represents one aspect of the patient role in health care information management.
患者是健康信息管理中重要但常被忽视的参与者。患者可作为自我监测数据的来源，并用于自我报告一些重要判断，如对治疗的偏好和对临床结果的偏好。随着关于基于计算机的患者记录计划的讨论不断进行，必须就将哪些患者特定信息录入记录做出决策。鉴于越来越多的证据表明患者偏好是许多医疗决策的重要组成部分，现在提倡将患者偏好纳入患者记录恰逢其时。这体现了患者在医疗信息管理中的角色的一个方面。
