Integrating clinical practice and public health surveillance using electronic medical record systems.
Integrating clinical practice and public health surveillance using electronic medical record systems.
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DOI：
10.2105/ajph.2012.300811
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发表时间：
2012-06-01
影响因子：
12.7
通讯作者：
Platt, Richard
中科院分区：
文献类型：
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作者：
Klompas, Michael;McVetta, Jason;Platt, Richard
电子病历（EMR）系统具有丰富的潜力，可以改善初级保健和公共卫生系统之间的整合。电子病历使临床医生能够向公共卫生从业人员提供及时、临床详细的监测数据，而无需改变其现有工作流程或承担额外工作。新的监测系统可以从供应商的电子病历中提取原始数据，分析它们是否符合公共卫生利益，并自动将结果传达给卫生部门。本文介绍了一个基于电子病历的公共卫生监测平台，称为电子病历支持公共卫生（ESP）的模型。ESP平台提供实时、自动化的监测，以监测应报告的疾病、流感样疾病和糖尿病的患病率、护理和并发症。电子病历（EMR）系统具有丰富的潜力，可以改善初级保健和公共卫生系统之间的整合。电子病历使临床医生能够向公共卫生从业人员提供及时、临床详细的监测数据，而无需改变其现有工作流程或承担额外工作。新的监测系统可以从供应商的电子病历中提取原始数据，分析它们是否符合公共卫生利益，并自动将结果传达给卫生部门。我们描述了一个基于电子病历的公共卫生监测平台模型，称为公共卫生电子病历支持（ESP）。ESP平台提供实时、自动化的监测，以监测应报告的疾病、流感样疾病和糖尿病的患病率、护理和并发症。结果将自动传送到州卫生部门。
Electronic medical record (EMR) systems have rich potential to improve integration between primary care and the public health system at the point of care. EMRs make it possible for clinicians to contribute timely, clinically detailed surveillance data to public health practitioners without changing their existing workflows or incurring extra work. New surveillance systems can extract raw data from providers' EMRs, analyze them for conditions of public health interest, and automatically communicate results to health departments. The current paper describes a model EMR-based public health surveillance platform called Electronic Medical Record Support for Public Health (ESP). The ESP platform provides live, automated surveillance for notifiable diseases, influenza-like illness, and diabetes prevalence, care, and complications. Results are automatically transmitted to state health departments.Electronic medical record (EMR) systems have rich potential to improve integration between primary care and the public health system at the point of care. EMRs make it possible for clinicians to contribute timely, clinically detailed surveillance data to public health practitioners without changing their existing workflows or incurring extra work. New surveillance systems can extract raw data from providers' EMRs, analyze them for conditions of public health interest, and automatically communicate results to health departments. We describe a model EMR-based public health surveillance platform called Electronic Medical Record Support for Public Health (ESP). The ESP platform provides live, automated surveillance for notifiable diseases, influenza-like illness, and diabetes prevalence, care, and complications. Results are automatically transmitted to state health departments.