Electronic health record use and preventive counseling for US children and adolescents.
Electronic health record use and preventive counseling for US children and adolescents.
复制标题
美国儿童和青少年的电子健康记录使用和预防咨询。
DOI：
10.1136/amiajnl-2013-002260
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
Szilagyi,PeterG
中科院分区：
文献类型：
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作者：
Rand,CynthiaM;Blumkin,Aaron;Szilagyi,PeterG
目的是评估有基本的、完全功能的或没有电子健康记录(EHR)的儿童探视(WCVS)中提供的预防性咨询的比率是否不同。对纳入《全国非卧床医疗护理调查》和《全国医院非卧床医疗护理调查电子病历增刊》的WCVS进行横断面分析。有完整功能的电子病历的实践证明，与没有电子病历的人相比，提供的咨询主题多34%。具有全功能EHR的WCVS持续时间比具有基本EHR的WCVS多3.5分钟。总体而言，无论EHR的功能如何，每增加10分钟，涵盖的主题就会增加12%。进一步的研究应评估这种系统在预防性护理访问期间对病人护理质量的影响以及对健康结果的影响。
The objective was to assess whether rates of preventive counseling delivered at well child visits (WCVs) differ for practices with basic, fully functional, or no electronic health record (EHR). Cross-sectional analyses of WCVs included in the National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey Electronic Medical Records Supplement, 2007–2010 were performed. Practices with fully functional EHRs documented delivery of 34% more counseling topics than those without an EHR. WCVs with a fully functional EHR lasted 3.5 more minutes than those with a basic EHR. Overall, for each additional 10 min, 12% more topics were covered, regardless of EHR functionality. Further studies should assess the impact of such systems on the quality of patient care during preventive care visits and on health outcomes.