Ethical dimensions of meaningful use requirements for electronic health records.
Ethical dimensions of meaningful use requirements for electronic health records.
复制标题
电子健康记录有意义使用要求的道德维度。
DOI：
10.1001/virtualmentor.2011.13.3.pfor1-1103
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发表时间：
2011
期刊：
影响因子：
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通讯作者：
MacGregor,Alastair
中科院分区：
文献类型：
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作者：
Miller,StephenT;MacGregor,Alastair
美国复苏和再投资法案（ARRA）[1]将刺激医学在卫生组织内部和跨卫生组织[2]采用和“有意义地”使用电子健康记录（EHR），以改善患者结果和问责制，帮助协调护理，促进跨组织的有效健康管理，并将激励措施与良好的患者和人口结果相结合。因为看起来符合伦理原则的原因但是，合乎伦理的“有意义的使用”是什么样子的呢？要成为电子健康记录的“有意义的用户”并有资格获得奖励金以及持续的医疗保险和医疗补助报销，私人诊所和医院的医生必须满足EHR系统实施和流程升级三个阶段中每个阶段的措施。这些措施源于预期的质量和安全改进，这些改进可能来自广泛采用EHR、组织间沟通、临床决策支持以及患者护理的分析和报告。医生实践和大型医疗保健组织的要求略有不同，但一般来说，第1阶段标准的三分之二是强制性的，另外三分之一是从10个额外选择的“菜单”中选择[3，4]。
The American Recovery and Reinvestment Act (ARRA)[1] will stimulate medicine to adopt and “meaningfully” use electronic health records (EHR) within and across health organizations [2] to improve patient outcomes and accountability, aid in coordination of care, promote effective health management across organizations, and align incentives with good patient and population outcomes—in short, for reasons that appear to be in line with ethical principles. But what does ethical “meaningful use” look like?To qualify as a “meaningful user” of electronic health records and become eligible for incentive payments and continued Medicare and Medicaid reimbursements, physicians in private practice and hospitals must meet measures for each of three stages of EHR system implementation and process upgrades. These measures derive from projected quality and safety improvements that could result from widespread adoption of EHR, interorganization communication, clinical decision support, and analysis and reporting of patient care. The requirements for physician practices and larger health care organizations differ slightly, but in general, two-thirds of the Stage 1 criteria are mandatory, and the other one-third are to be chosen from a “menu” of 10 additional choices [3, 4].