Adoption of Electronic Health Records and Preparations for Demonstrating Meaningful Use An American Academy of Ophthalmology Survey
Adoption of Electronic Health Records and Preparations for Demonstrating Meaningful Use An American Academy of Ophthalmology Survey
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DOI：
10.1016/j.ophtha.2013.04.029
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发表时间：
2013-08-01
期刊：
影响因子：
13.7
通讯作者：
Lum, Flora
中科院分区：
文献类型：
--
作者：
Boland, Michael V.;Chiang, Michael F.;Lum, Flora
目的：评估眼科医生使用电子健康记录（EHR）的现状，包括采用率、用户满意度、功能、益处、障碍和有意义使用标准的知识。设计：基于人群的横断面研究。参与者：美国眼科学会（AAO）的492名成员。方法：随机抽样的1500名AAO成员被选中的基础上，他们的做法的位置，并征求参加EHR使用，实践管理和图像管理系统的使用研究。参与者通过互联网、电话或传真完成调查。调查内容包括电子健康记录的采用率、可用功能、益处、障碍、满意度以及对有意义的使用标准和卫生信息技术概念的理解。主要结果测量：电子健康记录的当前采用率、用户满意度、益处和障碍以及电子健康记录功能的可用性。总体而言，32%的受访者已经实施了EHR，15%的人已经为他们的一些医生实施了EHR或正在实施过程中，另有31%的人计划在两年内这样做。在那些在实践中使用EHR的人中，49%对他们的系统感到满意或非常满意，42%报告总体生产力增加或稳定，19%报告总体成本减少或稳定，55%会向眼科医生推荐EHR。对于那些与电子图像管理系统，只有15%的所有设备集成，33%的图像直接上传到他们的系统，和12%的患者人口统计与image.Conclusions的电子关联：通过EHR眼科实践增加了一倍以上，从2007年到2011年。2011年眼科医生对EHR的满意度以及他们对生产力和成本的有益影响的看法都低于2007年。关于有意义使用的知识很高，但实际收到奖励的医生比例相对较低。鉴于成像在眼科中的重要性，需要解决当前图像管理系统中的缺点。(c)2013年由美国眼科学会。
Objective: To assess the current state of electronic health record (EHR) use by ophthalmologists, including adoption rate, user satisfaction, functionality, benefits, barriers, and knowledge of meaningful use criteria.Design: Population-based, cross-sectional study.Participants: A total of 492 members of the American Academy of Ophthalmology (AAO).Methods: A random sample of 1500 AAO members were selected on the basis of their practice location and solicited to participate in a study of EHR use, practice management, and image management system use. Participants completed the survey via the Internet, phone, or fax. The survey included questions about the adoption of EHRs, available functionality, benefits, barriers, satisfaction, and understanding of meaningful use criteria and health information technology concepts.Main Outcome Measures: Current adoption rate of EHRs, user satisfaction, benefits and barriers, and availability of EHR functionality.Results: Overall, 32% of the practices surveyed had already implemented an EHR, 15% had implemented an EHR for some of their physicians or were in the process of implementation, and another 31% had plans to do so within 2 years. Among those with an EHR in their practice, 49% were satisfied or extremely satisfied with their system, 42% reported increased or stable overall productivity, 19% reported decreased or stable overall costs, and 55% would recommend an EHR to a fellow ophthalmologist. For those with an electronic image management system, only 15% had all devices integrated, 33% had images directly uploaded into their system, and 12% had electronic association of patient demographics with the image.Conclusions: The adoption of EHRs by ophthalmology practices more than doubled from 2007 to 2011. The satisfaction of ophthalmologists with their EHR and their perception of beneficial effects on productivity and costs were all lower in 2011 than in 2007. Knowledge about meaningful use is high, but the percentage of physicians actually receiving incentive payments is relatively low. Given the importance of imaging in ophthalmology, the shortcomings in current image management systems need to be addressed. (c) 2013 by the American Academy of Ophthalmology.