How common are electronic health records in the United States? A summary of the evidence
How common are electronic health records in the United States? A summary of the evidence
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DOI：
10.1377/hlthaff.25.w496
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发表时间：
2006-11-01
期刊：
影响因子：
9.7
通讯作者：
Blumenthal, David
中科院分区：
文献类型：
--
作者：
Jha, Ashish K.;Ferris, Timothy G.;Blumenthal, David
电子健康记录（EHR）是提高医疗保健质量和效率的有前途的工具，但关于其采用率的数据有限。我们确定了关于EHR采用的调查，并评估了它们的质量。虽然调查返回的EHR使用的广泛不同的估计，当可用的信息仅限于高或中等质量的研究，国家的估计是可能的：通过2005年，约23.9%的医生使用EHR在门诊设置，而5%的医院使用计算机化的医嘱输入。安全网提供者在知识方面存在巨大差距，包括关于电子健康记录使用情况的信息，这对制定旨在加快采用的政策构成了重大挑战。
Electronic health records (EHRs) are promising tools to improve quality and efficiency in health care, but data on their adoption rate are limited. We identified surveys on EHR adoption and assessed their quality. Although surveys returned widely different estimates of EHR use, when available information is limited to studies of high or medium quality, national estimates are possible: Through 2005, approximately 23.9 percent of physicians used EHRs in the ambulatory setting, while 5 percent of hospitals used computerized physician order entry. Large gaps in knowledge, including information about EHR use among safety-net providers, pose critical challenges for the development of policies aimed at speeding adoption.