将医疗IT纳入初级保健转型中
Genna Cohen1, Tim Lake, Mynti Hossain
1Mathematica, 1100 1st St NE, 12th Floor, Washington, DC 20002-4221.
The American journal of managed care
|January 25, 2024
概括
医疗IT供应商和实践改善了信息管理,但在互操作性和协调方面面临挑战. 供应商的投资受到开发时间和特定先进的初级保健模式内的小客户群的限制.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 主要护理医学 医疗保健
背景情况:
- 先进的初级保健模式需要强大的健康信息技术 (IT) 才能取得成功.
- 综合初级保健加 (CPC+) 倡议正式确定了医疗IT供应商的作用,并为实践制定了特定的IT要求.
研究的目的:
- 评估医疗IT供应商和功能在支持先进初级保健方面的作用.
- 在CPC+模式中确定卫生IT实施的挑战和促进者.
主要方法:
- 2017-2022年使用调查和采访进行混合方法评估.
- 来自实践和供应商的定性数据的内容分析,以确定主题.
主要成果:
- 实践和供应商报告了信息管理的注册表和仪表板的改进.
- 在协调护理的互操作健康信息交换方面仍然存在重大挑战.
- 供应商对新功能的投资受到开发周期和对其更广泛的客户群的有限战略相关性的限制.
结论:
- 利益相关者之间的持续合作对于推进医疗IT至关重要.
- 在不同模型中对IT要求进行调整,可以减轻供应商的风险,并鼓励创新.
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