美国医疗信息技术的发展,以改善以患者为中心的护理:数据驱动的描述性研究
Wesley Barker1, Wei Chang1, Jordan Everson1
1Office of the Assistant Secretary for Technology Policy, US Department of Health and Human Services, Washington, DC, United States.
Journal of medical Internet research
|October 28, 2024
概括
医疗信息技术的采用迅速增加,改善了数据交换,电子处方和患者对健康记录的访问. 互操作性和公平访问仍然存在挑战,需要合作解决方案.
科学领域:
- 医疗信息学 医疗信息学
- 数字化健康转型
- 医疗数据管理 医疗数据管理
背景情况:
- 健康信息技术 (健康IT) 通过数据交换,电子处方,公共卫生报告和患者访问,改变了美国的医疗保健.
- 关键的进步包括可互操作的临床护理数据交换和患者对健康信息的电子访问.
研究的目的:
- 评估卫生IT采用进展情况.
- 评估与国家目标的协调,以改善医疗保健数据获取和交换.
主要方法:
- 对终端用户参与健康IT的分析.
- 利用美国医院协会,Surescripts,国家癌症研究所和国家卫生统计中心调查 (2008-2023) 的数据.
- 研究了互操作数据交换,电子处方,公共卫生报告和患者访问能力的趋势.
主要成果:
- 自2009年以来,医院和医生采用电子健康记录 (EHR) 显著增加.
- 电子处方能力的广泛采用和提供商之间加强的互操作数据交换.
- 患者获得电子健康信息的实质性改进,大多数人获得了患者门户的访问权限.
结论:
- 联邦政府的激励措施推动了EHR的采用和医疗保健的数字化,促进了互操作性和协作.
- 可互操作的数据交换,电子处方,公共卫生报告和患者获取改善了健康结果.
- 持续的挑战包括互操作性,可用性,数据安全性和公平的患者访问,需要利益相关方的合作.
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