The Challenge of Measuring Quality of Care From the Electronic Health Record
The Challenge of Measuring Quality of Care From the Electronic Health Record
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DOI：
10.1177/1062860609336627
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发表时间：
2009-09-01
影响因子：
1.4
通讯作者：
McGlynn, Elizabeth A.
中科院分区：
文献类型：
--
作者：
Roth, Carol P.;Lim, Yee-Wei;McGlynn, Elizabeth A.
电子健康记录（EHR）被许多人视为衡量医疗保健质量和监测持续提供者绩效的理想工具。预计电子健康记录提取数据的可用性将允许质量评估，而无需昂贵且耗时的医疗记录提取过程。对质量评估工具系统中指标的数据要求进行的审查表明，只有大约三分之一的指标可以从电子健康记录数据中轻松获取。涉及所需数据元素的复杂性、提供者文档习惯和EHR可变性的其他因素使得质量测量的任务比可能认识到的更困难。准确识别合格的质量评估案例并使用EHR提取的数据对这些案例进行有效评分将带来重大挑战，但可能会大幅降低成本，从而扩大质量评估的使用范围。（Am J Med Qual 2009;24;385-394）
The electronic health record (EHR) is seen by many as an ideal vehicle for measuring quality of health care and monitoring ongoing provider performance. It is anticipated that the availability of EHR-extracted data will allow quality assessment without the expensive and time-consuming process of medical record abstraction. A review of the data requirements for the indicators in the Quality Assessment Tools system suggests that only about a third of the indicators would be readily accessible from EHR data. Other factors involving complexity of required data elements, provider documentation habits, and EHR variability make the task of quality measurement more difficult than may be appreciated. Accurately identifying eligible cases for quality assessment and validly scoring those cases with EHR-extracted data will pose significant challenges but could potentially plummet the cost and therefore expand the use of quality assessment. ( Am J Med Qual 2009;24;385-394)