The Kaiser Permanente Electronic Health Record: Transforming And Streamlining Modalities Of Care
The Kaiser Permanente Electronic Health Record: Transforming And Streamlining Modalities Of Care
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DOI：
10.1377/hlthaff.28.2.323
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发表时间：
2009-03-01
期刊：
影响因子：
9.7
通讯作者：
Liang, Louise
中科院分区：
文献类型：
--
作者：
Chen, Catherine;Garrido, Terhilda;Liang, Louise
我们研究了在一个拥有225，000多名成员的综合医疗保健提供系统中实施全面的电子健康记录（EHR）系统对门诊护理使用的影响。2004年至2007年，经年龄/性别调整的年度总就诊率下降了26.2%，经调整的初级保健就诊率下降了25.3%，经调整的专科保健就诊率下降了21.5%。预定的电话访问增加了八倍多，2005年底开始的安全电子邮件到2007年增加了近六倍。引入EHR通过提供非传统的、以患者为中心的护理方式来提高运营效率。[Health Affairs 28，no. 2（2009）：323-333; 10.1377/hlthaff.28.2.323]
We examined the impact of implementing a comprehensive electronic health record (EHR) system on ambulatory care use in an integrated health care delivery system with more than 225,000 members. Between 2004 and 2007, the annual age/sex-adjusted total office visit rate decreased 26.2 percent, the adjusted primary care office visit rate decreased 25.3 percent, and the adjusted specialty care office visit rate decreased 21.5 percent. Scheduled telephone visits increased more than eightfold, and secure e-mail messaging, which began in late 2005, increased nearly sixfold by 2007. Introducing an EHR creates operational efficiencies by offering nontraditional, patient-centered ways of providing care. [Health Affairs 28, no. 2 (2009): 323-333; 10.1377/hlthaff.28.2.323]