Despite Substantial Progress In EHR Adoption, Health Information Exchange And Patient Engagement Remain Low In Office Settings
Despite Substantial Progress In EHR Adoption, Health Information Exchange And Patient Engagement Remain Low In Office Settings
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DOI：
10.1377/hlthaff.2014.0445
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发表时间：
2014-09-01
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：
Furukawa, Michael F.;King, Jennifer;Jha, Ashish K.
美国正在进行大量投资，以加快采用和使用可互操作的电子健康记录(EHR)系统。使用2009-13年电子健康记录调查的数据，我们发现电子健康记录的采用持续增长：2013年，78%的办公室医生采用了某种类型的电子健康记录，48%的医生拥有基本电子健康记录系统所需的功能。然而，我们也发现在采用电子病历方面存在持续的差距，单独执业的医生和非初级保健专业的医生落后于其他医生。医生与其他提供者的电子健康信息交流有限，只有14%的医生与组织外的提供者共享数据。最后，我们发现，30%的医生经常使用与患者进行安全消息传递的功能，24%的医生经常为患者提供在线查看、下载或传输他们的健康记录的能力。这些发现表明，尽管电子病历的采用继续增长，但支持卫生信息交流和患者参与的政策将需要持续关注。
The United States is making substantial investments to accelerate the adoption and use of interoperable electronic health record (EHR) systems. Using data from the 2009-13 Electronic Health Records Survey, we found that EHR adoption continues to grow: In 2013, 78 percent of office-based physicians had adopted some type of EHR, and 48 percent had the capabilities required for a basic EHR system. However, we also found persistent gaps in EHR adoption, with physicians in solo practices and non-primary care specialties lagging behind others. Physicians' electronic health information exchange with other providers was limited, with only 14 percent sharing data with providers outside their organization. Finally, we found that 30 percent of physicians routinely used capabilities for secure messaging with patients, and 24 percent routinely provided patients with the ability to view online, download, or transmit their health record. These findings suggest that although EHR adoption continues to grow, policies to support health information exchange and patient engagement will require ongoing attention.