Applications of electronic health information in public health: uses, opportunities & barriers.
Applications of electronic health information in public health: uses, opportunities & barriers.
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DOI：
10.13063/2327-9214.1019
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Teutsch S
中科院分区：
文献类型：
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作者：
Tomines A;Readhead H;Readhead A;Teutsch S
电子卫生信息系统可以重塑公共卫生实践，包括公共卫生监测、疾病和伤害调查和控制、决策制定、质量保证和政策制定。虽然这些机会具有潜在的变革性，而且联邦电子健康记录（EHR）的有意义使用（MU）计划包括了重要的公共卫生组成部分，但仍然存在重大障碍。与临床护理系统中的激励措施不同，公共卫生部门可用于开发必要的信息基础设施和劳动力能力以利用EHR，个人健康记录或大数据的资金很少。目前的EHR系统主要是为临床系统和实践服务，而不是为公共卫生使用而构建的。此外，还有关于公共卫生官员可以在多大程度上广泛使用这些数据的政策问题。随着这些问题的解决和可行的解决办法的出现，它们应该产生一个更有效率和效力的公共卫生系统。
Electronic health information systems can reshape the practice of public health including public health surveillance, disease and injury investigation and control, decision making, quality assurance, and policy development. While these opportunities are potentially transformative, and the federal program for the Meaningful Use (MU) of electronic health records (EHRs) has included important public health components, significant barriers remain. Unlike incentives in the clinical care system, scant funding is available to public health departments to develop the necessary information infrastructure and workforce capacity to capitalize on EHRs, personal health records, or Big Data. Current EHR systems are primarily built to serve clinical systems and practice rather than being structured for public health use. In addition, there are policy issues concerning how broadly the data can be used by public health officials. As these issues are resolved and workable solutions emerge, they should yield a more efficient and effective public health system.