土耳其基本电子健康记录 (EHR) 的采用几乎已经完成,但挑战仍然存在
İlker Köse1, Sinem Cece2, Songül Yener3
1Department of Computer Engineering, Alanya University, Saraybeleni St., No:7, Antalya, Turkey. ilker.kose@alanyauniversity.edu.tr.
BMC health services research
|September 14, 2023
概括
土耳其土耳其土耳其 Türkiye
科学领域:
- 医疗信息学 医疗信息学
- 数字健康数字健康
- 医疗保健管理的管理
背景情况:
- 土耳其公共医院的数字化始于2003年的健康转型计划.
- 自2013年以来,电子健康记录 (EHR) 的采用和有意义的使用一直使用电子医疗记录采用模型 (EMRAM) 来衡量.
- 之前的研究 (2013-2017年) 显示,63.1%的医院具有基本的电子健康记录功能,36%具有综合功能.
研究的目的:
- 测量土耳其公共医院在电子健康医疗的采用水平.
- 评估自2018-2017年研究以来电子健康登记的采用情况的变化.
- 为了比较土耳其在2021年对美国,日本和中国等国家的EHR采用水平.
主要方法:
- 在土耳其的717家公立医院完成了使用EMRAM模型的2021年调查.
- 调查数据涵盖了一般阶段状态,IT安全,EHR/临床数据库,临床文档和闭环管理.
- 数据分析涉及比较医院类型和测量电子健康记录功能的可用性,流行率和使用情况.
主要成果:
- 2021年,66.3%的土耳其公立医院展示了广泛的EHR功能,其中100%至少具有基本的EHR功能.
- 这与2013-2017年期间相比,代表了显著的进步.
- 在2021年,土耳其的EHR采用率 (100%) 超过了美国 (96%),中国 (85.3%) 和韩国 (58.1%).
结论:
- 土耳其的公立医院在EHR采用方面取得了突出进展 (2017年以来增加了50%).
- 需要进一步传播全面的EHR功能 (例如,闭环药物治疗,决策支持,患者参与).
- 定期分析电子健康记录采用阶段的测量是一个有价值的政策工具,土耳其成功地采用了美国式的自下而上的方法.
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