A proposal for electronic medical records in US primary care
A proposal for electronic medical records in US primary care
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DOI：
10.1197/jamia.m1097
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发表时间：
2003-01-01
影响因子：
6.4
通讯作者：
Mullins, HC
中科院分区：
文献类型：
--
作者：
Bates, DW;Ebell, M;Mullins, HC
提供优质的初级保健--这是整体医疗保健的核心--要求提供者在提供护理时获得必要的信息。这篇由全国初级保健信息学联盟开发的论文认为，只有初级保健提供者使用电子病历(EMR)，才能满足提供者和患者的信息和决策支持需求。尽管现在有强大的急诊室，但只有大约5%的美国初级保健提供者使用它们。最近，澳大利亚、新西兰和英国只需少量投资，就在初级保健中实施急救措施方面取得了重大突破。通过常规使用电子病历可以实现的实质性好处包括提高质量、安全和效率，以及增强进行教育和研究的能力。然而，收养的障碍仍然存在，必须克服。实施特定政策可以加快EMR在美国的利用。
Delivery of excellent primary care-central to overall medical care-demands that providers have the necessary information when they give care. This paper, developed by the National Alliance for Primary Care Informatics, a collaborative group sponsored by a number of primary care societies, argues that providers' and patients' information and decision support needs can be satisfied only if primary care providers use electronic medical records (EMRs). Although robust EMRs are now available, only about 5% of U.S. primary care providers use them. Recently, with only modest investments, Australia, New Zealand, and England have achieved major breakthroughs in implementing EMRs in primary care. Substantial benefits realizable through routine use of electronic medical records include improved quality, safety, and efficiency, along with increased ability to conduct education and research. Nevertheless, barriers to adoption exist and must be overcome. Implementing specific policies can accelerate utilization of EMRs in the U.S.