医院可以通过电子方式获取治疗COVID-19所需的信息
Chelsea Richwine1, Jordan Everson1, Vaishali Patel1
1Office of Technology, Office of the National Coordinator for Health Information Technology, Washington, DC 20201, United States.
JAMIA open
|November 30, 2023
概括
2021年,许多美国医院对关键的COVID-19患者信息的电子访问受到限制. 资源较强的医院和使用互操作交换的医院获得更好的服务,突出了护理方面的差异.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 对COVID-19患者的有效治疗依赖于及时获得全面的患者信息.
- 电子健康记录 (EHR) 系统对于管理患者数据至关重要,但互操作性挑战仍然存在.
研究的目的:
- 评估在美国医院治疗COVID-19患者的基本信息的电子可用性.
- 识别与电子信息获取变化的相关因素.
主要方法:
- 2021年美国医院协会IT补充数据分析1976年美国非联邦急性护理医院的数据.
- 检查医院的特点,并参与互操作数据交换.
主要成果:
- 只有38%的医院通过电子方式获得必要的COVID-19治疗信息.
- 参与互操作交换的医院获得所需信息的可能性增加了140% (RR=2.40).
- 资源较强,系统成员和教学医院获得更好的机会,而营利性和高社会贫困地区的医院获得更少的机会.
结论:
- 对外部患者数据的有限电子访问阻碍了有效的COVID-19护理和公共卫生紧急响应.
- 解决信息获取差异对于改善患者的治疗结果和准备工作至关重要.
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