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The computerized patient record: where do we stand ?

M W M Jaspers1, P Knaup, D Schmidt

  • 1Department of Medical Informatics, Academic Medical Center, University of Amsterdam, The Netherlands. m.w.jaspers@amc.uva.nl

Yearbook of Medical Informatics
|October 20, 2006
PubMed
Summary
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Computerized patient records (CPRs) are advancing, with trends in privacy, data quality, and decision support. However, widespread adoption and comprehensive lifelong electronic health records (EHRs) require further development and user acceptance.

Area of Science:

  • Medical Informatics
  • Health Information Technology

Background:

  • The Computerized Patient Record (CPR) is a critical component of modern healthcare.
  • Understanding recent advancements in CPR research and implementation is essential for future healthcare systems.

Purpose of the Study:

  • To review trends in research, development, and implementation of CPRs over a two-year period.
  • To identify key areas of progress and challenges in CPR adoption.

Main Methods:

  • A systematic survey of the medical informatics literature from 2004-2005.
  • Focus on publications specifically addressing CPRs.

Main Results:

  • Key trends include enhanced privacy/security technologies, improved data quality and reuse, integrated decision support functions, impact assessments on users and outcomes, and the development of standards for shared Electronic Health Records (EHRs).

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Conclusions:

  • While CPRs are increasingly integrated into research, achieving comprehensive lifelong EHRs remains a distant goal.
  • Interoperability requires EHR standard convergence, and user acceptance necessitates prioritizing workflow compatibility and organizational investment in development and evaluation.