Implementing health information technology to improve the process of health care delivery: A case study
Implementing health information technology to improve the process of health care delivery: A case study
复制标题
DOI：
10.1089/dis.2007.104706
复制
发表时间：
2007-08-01
期刊：
影响因子：
--
通讯作者：
Higuchi, Keiko
中科院分区：
文献类型：
--
作者：
Follen, Marilyn;Castaneda, Rachel;Higuchi, Keiko
在当今支离破碎的卫生保健系统中，卫生信息的整合对于提供有效、高质量的保健至关重要。慢性病的日益流行和对提供者全面了解患者健康的需求正在推动通过电子健康信息系统整合健康信息的需求。目前在卫生保健领域使用的两种不同的卫生信息系统包括电子病历（EMR）和慢性病管理系统（CDMS）。这些系统的整合很可能使健康信息的有效管理和提高医疗保健的质量，因为它将以协调的方式提供实时的病人信息。缺乏实时信息可能会导致治疗延迟、决策不充分、资源使用效率低下和医疗错误。尽管这些系统非常重要且得到广泛支持，但提供商采用率很低。我们对卫生信息技术如何用于改善医疗保健的理解受到关于这两种系统的采用、集成和实施的研究相对缺乏的限制。本文记录了在马什菲尔德诊所，在美国的多学科小组实践的EMR的使用。我们回顾了同时使用EMR进行临床数据采集和实施专有的CDMS，InformaCare（R），用于慢性病的护理管理。这两个系统允许提供者使用循证指南提供医疗保健，这些指南符合医学研究所提供安全，高效，以患者为中心和及时护理的目标。
Integration of health information is critical to the provision of effective, quality care in today's fragmented health care system. The increasing prevalence of chronic conditions and the demand for a comprehensive understanding of patient health on the part of providers are driving the need for the integration of health information through electronic health information systems. Two distinct health information systems currently utilized in the health care field include electronic medical records (EMR) and chronic disease management systems (CDMS). The integration of these systems is likely to enable the efficient management of health information and improve the quality of health care as it would provide real-time patient information in a coordinated manner. The lack of real-time information may result in delayed treatment, uninformed decisions, inefficient resource use, and medical errors. Despite their importance and widespread support, these systems have slow provider adoption rates. Our understanding of how health information technology may be used to improve health care is limited by the relative paucity of research on the adoption, integration, and implementation of these 2 types of systems. This paper documents the use of an EMR at Marshfield Clinic, a multidisciplinary group practice in the United States. We review the concomitant use of an EMR for clinical data capture and the implementation of a proprietary CDMS, InformaCare (R), for care management of chronic diseases. These 2 systems allow providers to deliver health care using evidence-based guidelines that meet the Institute of Medicine's aim of providing safe, efficient, patient-centered, and timely care.