Diehl M
Proc Annu Symp Comput Appl Med Care. 1995:688-92.
The fundamental problem with the health care delivery system remains too little health delivered for too great a cost. Information essential to sound clinical and administrative decision making is too frequently missing at the time and place of decision. Automated systems offer opportunities both to improve health and to reduce cost through effective and efficient information management. Information systems are the enabling technology for those business practice changes which improve the benefit-cost profile of a re-engineered delivery system. The Computer-based Patient Record (CPR) is the organizing framework of an enterprise-wide health information system. Since information management is a core function of the health care enterprise, evaluation of the CPR should include its impact on the value of health outcomes and contribution to the organizational mission, rather than solely by benefits which accrue within the delivery system. This paper proposes a model to measure the impact of information technology and specifically a CPR on a re-engineered health care delivery system.
医疗保健服务体系的根本问题仍然是，以过高的成本提供的健康服务却太少。对于合理的临床和管理决策至关重要的信息，在决策之时和之地却常常缺失。自动化系统通过有效且高效的信息管理，提供了改善健康状况和降低成本的机会。信息系统是那些能够改善重新设计的服务体系效益成本状况的商业实践变革的使能技术。基于计算机的患者记录（CPR）是企业范围的健康信息系统的组织框架。由于信息管理是医疗保健企业的核心功能，对CPR的评估应包括其对健康结果价值的影响以及对组织使命的贡献，而不仅仅依据在服务体系内部产生的效益。本文提出了一个模型，用于衡量信息技术，特别是CPR对重新设计的医疗保健服务体系的影响。
