Health Information Technology: Laying The Infrastructure For National Health Reform

Health Information Technology: Laying The Infrastructure For National Health Reform
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DOI:
10.1377/hlthaff.2010.0503
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发表时间:
2010-06-01
期刊:
影响因子:
9.7
通讯作者:
Blumenthal, David
Blumenthal, David
中科院分区:
医学1区
文献类型:
--
作者:
Buntin, Melinda Beeuwkes;Jain, Sachin H.;Blumenthal, David

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《患者保护和平价医疗法案》的颁布是改革道路上的一项标志性成就,可以说,改革始于2009年《美国复苏和再投资法案》的通过。该法规的卫生信息技术促进经济和临床卫生(HITECH)条款为重组卫生保健提供和实现提高卫生保健质量、降低成本以及通过更好的存储、分析和共享卫生信息的方法增加获取机会等关键目标奠定了重要基础。本文讨论了HITECH下支持医疗改革的一系列举措,包括关于“有意义的使用”和标准的拟议法规;为区域推广中心和Beacon社区提供资金;以及支持临床登记和相关健康结果研究网络的开发和使用,所有这些都对开展在医疗改革下将扩大的比较临床有效性研究至关重要。
The enactment of the Patient Protection and Affordable Care Act is a signal achievement on the road to reform, which arguably began with the passage of the American Recovery and Reinvestment Act of 2009. That statute's Health Information Technology for Economic and Clinical Health (HITECH) provisions created an essential foundation for restructuring health care delivery and for achieving the key goals of improving health care quality; reducing costs; and increasing access through better methods of storing, analyzing, and sharing health information. This article discusses the range of initiatives under HITECH to support health reform, including proposed regulations on "meaningful use" and standards; funding of regional extension centers and Beacon communities; and support for the development and use of clinical registries and linked health outcomes research networks, all of which are critical to carrying out the comparative clinical effectiveness research that will be expanded under health reform.