Adoption Of Electronic Health Records Grows Rapidly, But Fewer Than Half Of US Hospitals Had At Least A Basic System In 2012
Adoption Of Electronic Health Records Grows Rapidly, But Fewer Than Half Of US Hospitals Had At Least A Basic System In 2012
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DOI：
10.1377/hlthaff.2013.0308
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发表时间：
2013-08-01
期刊：
影响因子：
9.7
通讯作者：
Jha, Ashish K.
中科院分区：
文献类型：
--
作者：
DesRoches, Catherine M.;Charles, Dustin;Jha, Ashish K.
美国医疗保健系统正处于医疗保健提供者和医院记录、监测和共享有关健康和护理服务的信息的方式的巨大变化之中。这一转变的一部分涉及从纸质记录到电子健康记录(EHR)系统的大规模转移，但目前并不平衡。我们使用了对美国医院的最新纵向调查来跟踪他们是如何采用和使用EHR系统的。只有44%的医院报告拥有并使用我们定义的至少基本的EHR系统。尽管42.2%的人符合联邦第一阶段所有的“有意义的使用”标准，但只有5.1%的人可以满足更广泛的第二阶段标准。大型城市医院在采用EHR系统方面继续超过农村和非教学医院。总体上，采用率的增加表明，美国医疗保健系统目前实施的积极和消极的财务激励措施正在发挥预期的作用。然而，要实现全国性的卫生信息技术基础设施，可能需要针对较小的农村医院做出努力。
The US health care system is in the midst of an enormous change in the way health care providers and hospitals document, monitor, and share information about health and care delivery. Part of this transition involves a wholesale, but currently uneven, shift from paper-based records to electronic health record (EHR) systems. We used the most recent longitudinal survey of US hospitals to track how they are adopting and using EHR systems. Only 44 percent of hospitals report having and using what we define as at least a basic EHR system. And although 42.2 percent meet all of the federal stage 1 "meaningful-use" criteria, only 5.1 percent could meet the broader set of stage 2 criteria. Large urban hospitals continue to outpace rural and nonteaching hospitals in adopting EHR systems. The increase in adoption overall suggests that the positive and negative financial incentives currently in place across the US health care system are working as intended. However, achieving a nationwide health information technology infrastructure may require efforts targeted at smaller and rural hospitals.