What It Will Take To Achieve The As-Yet-Unfulfilled Promises Of Health Information Technology
What It Will Take To Achieve The As-Yet-Unfulfilled Promises Of Health Information Technology
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DOI：
10.1377/hlthaff.2012.0693
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发表时间：
2013-01-01
期刊：
影响因子：
9.7
通讯作者：
Jones, Spencer S.
中科院分区：
文献类型：
--
作者：
Kellermann, Arthur L.;Jones, Spencer S.
兰德公司的一个研究小组在2005年预测，快速采用卫生信息技术（IT）每年可以为美国节省810亿美元以上。七年后，关于该技术对医疗保健效率和安全性影响的经验数据喜忧参半，美国的年度医疗保健支出增长了8000亿美元。我们认为，迄今为止，卫生信息技术的表现令人失望，这在很大程度上可归因于以下几个因素：卫生信息技术系统采用缓慢，加上选择的系统既不互操作也不容易使用;以及卫生保健提供者和机构未能重新设计保健流程以充分利用卫生信息技术的好处。我们相信，如果系统通过创建更标准化的系统来解决这些缺陷，这些系统更易于使用，真正具有互操作性，并为患者提供更多访问和控制其健康数据的机会。提供商必须通过重新设计护理流程来尽自己的一份力量，以充分利用医疗IT提供的效率，重新设计的支付模式更倾向于价值而不是数量。
A team of RAND Corporation researchers projected in 2005 that rapid adoption of health information technology (IT) could save the United States more than $81 billion annually. Seven years later the empirical data on the technology's impact on health care efficiency and safety are mixed, and annual health care expenditures in the United States have grown by $800 billion. In our view, the disappointing performance of health IT to date can be largely attributed to several factors: sluggish adoption of health IT systems, coupled with the choice of systems that are neither interoperable nor easy to use; and the failure of health care providers and institutions to reengineer care processes to reap the full benefits of health IT. We believe that the original promise of health IT can be met if the systems are redesigned to address these flaws by creating more-standardized systems that are easier to use, are truly interoperable, and afford patients more access to and control over their health data. Providers must do their part by reengineering care processes to take full advantage of efficiencies offered by health IT, in the context of redesigned payment models that favor value over volume.