Adoption of Electronic Health Records (EHRs) in China During the Past 10 Years: Consecutive Survey Data Analysis and Comparison of Sino-American Challenges and Experiences.
Adoption of Electronic Health Records (EHRs) in China During the Past 10 Years: Consecutive Survey Data Analysis and Comparison of Sino-American Challenges and Experiences.
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过去10年中国电子健康记录（EHR）的采用：连续调查数据分析及中美挑战与经验比较
DOI：
10.2196/24813
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发表时间：
2021-02-18
影响因子：
7.4
通讯作者：
Zhang J
中科院分区：
文献类型：
--
作者：
Liang J;Li Y;Zhang Z;Shen D;Xu J;Zheng X;Wang T;Tang B;Lei J;Zhang J
背景：医院电子病历的使用率已成为衡量各国医学数字化程度的主要指标。目的总结和分享中国和美国采用电子病历的经验。方法利用中国卫生信息管理协会(CHIMA)2007年-2018年年度医院调查数据和2008年-2017年美国医院协会信息技术补充调查数据，比较中国和美国在电子病历采用率方面的变化趋势。然后，我们使用Bass模型对这些数据进行了拟合，并分析了这两个国家EHR的扩散模式。最后，利用2007年、2010年和2014年CHIMA和医疗信息与管理系统服务调查数据，我们分析了中国医院和美国医院在发展医疗信息技术方面面临的主要挑战。结果从2007年到2018年，中国被抽样医院的平均采用率从18.6%上升到85.3%，而美国医院的平均采用率从2008年的9.4%上升到2017年的96%。中国和美国医院的年平均采用率分别为6.1%和9.6%。然而，中国每年平均有1500家医院采用电子病历，美国有534家，这表明前者可能需要付出更多努力。两国在医院数字化方面都面临着类似的重大挑战。结论近10年来，中国和美国的医院电子病历采用率均有显著提高。中国采用电子病历的医院超过16,000家，是美国4814家非联邦医院的3.3倍。这一更快的采用结果可能得益于顶层设计和政府主导的政策，特别是将电子健康记录的采用作为绩效评估和公立医院任命的重要指标。
Background The adoption rate of electronic health records (EHRs) in hospitals has become a main index to measure digitalization in medicine in each country. Objective This study summarizes and shares the experiences with EHR adoption in China and in the United States. Methods Using the 2007-2018 annual hospital survey data from the Chinese Health Information Management Association (CHIMA) and the 2008-2017 United States American Hospital Association Information Technology Supplement survey data, we compared the trends in EHR adoption rates in China and the United States. We then used the Bass model to fit these data and to analyze the modes of diffusion of EHRs in these 2 countries. Finally, using the 2007, 2010, and 2014 CHIMA and Healthcare Information and Management Systems Services survey data, we analyzed the major challenges faced by hospitals in China and the United States in developing health information technology. Results From 2007 to 2018, the average adoption rates of the sampled hospitals in China increased from 18.6% to 85.3%, compared to the increase from 9.4% to 96% in US hospitals from 2008 to 2017. The annual average adoption rates in Chinese and US hospitals were 6.1% and 9.6%, respectively. However, the annual average number of hospitals adopting EHRs was 1500 in China and 534 in the US, indicating that the former might require more effort. Both countries faced similar major challenges for hospital digitalization. Conclusions The adoption rates of hospital EHRs in China and the United States have both increased significantly in the past 10 years. The number of hospitals that adopted EHRs in China exceeded 16,000, which was 3.3 times that of the 4814 nonfederal US hospitals. This faster adoption outcome may have been a benefit of top-level design and government-led policies, particularly the inclusion of EHR adoption as an important indicator for performance evaluation and the appointment of public hospitals.
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DOI：
10.1093/jamia/ocx080
发表时间：
2017-11-01
影响因子：
6.4
作者：
Adler-Milstein, Julia;Holmgren, A. Jay;Patel, Vaishali
通讯作者：
Patel, Vaishali
影响因子：
7.4
作者：
Ford EW;Hesse BW;Huerta TR
通讯作者：
Huerta TR
DOI：
10.1287/mnsc.15.5.215
发表时间：
1969-01-01
期刊：
MANAGEMENT SCIENCE SERIES A-THEORY
影响因子：
--
作者：
BASS, FM
通讯作者：
BASS, FM
影响因子：
9.7
作者：
Furukawa, Michael F.;King, Jennifer;Jha, Ashish K.
通讯作者：
Jha, Ashish K.
DOI：
10.1197/jamia.m3042
发表时间：
2009-05-01
影响因子：
6.4
作者：
Ford, Eric W.;Menachemi, Nir;Huerta, Timothy R.
通讯作者：
Huerta, Timothy R.