Physicians' use of electronic medical records: Barriers and solutions
Physicians' use of electronic medical records: Barriers and solutions
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DOI：
10.1377/hlthaff.23.2.116
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发表时间：
2004-03-01
期刊：
影响因子：
9.7
通讯作者：
Sim, I
中科院分区：
文献类型：
--
作者：
Miller, RH;Sim, I
电子病历（EMR）是一种使能技术，它允许医生实践追求比纸质记录更强大的质量改进计划。然而，通过使用EMR实现质量改进既不低成本也不容易。基于一项对实施EMR的医生实践的定性研究，我们发现质量的提高在很大程度上取决于医生在日常工作中对EMR的使用，而不是纸张。我们确定了医生使用电子病历的主要障碍。然后，我们建议采取政策干预措施来克服这些障碍，包括提供工作/实践支持系统，改善电子临床数据交换，并为质量改进提供经济奖励。
The electronic medical record (EMR) is an enabling technology that allows physician practices to pursue more powerful quality improvement programs than is possible with paper-based records. However, achieving quality-improvement through EMR use is neither low-cost nor easy. Based on a qualitative study-of physician practices that had implemented an EMR, we found that quality improvement depends heavily on physicians' use of the EMR-and not paper-for most of their daily tasks. We identified key barriers to physicians' use of EMRs. We then suggest policy interventions to overcome these barriers, including providing work/practice support systems, improving electronic clinical data exchange, and providing financial rewards for quality improvement.