新的指数可以追踪美国医院之间的互操作性
Catherine E Strawley1, Julia Adler-Milstein2, A Jay Holmgren2
1Office of the Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology, Washington, DC 20201, United States.
Journal of the American Medical Informatics Association : JAMIA
|December 26, 2024
概括
这项研究开发了指数来衡量美国医院的互操作性,随着时间的推移发现了适度的改进. 持续的跟踪将为政策提供信息,并解决卫生IT采用的差异.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
- 卫生信息技术 信息技术
背景情况:
- 测量医院互操作性对于评估医疗IT采用和交流能力至关重要.
- 现有的方法可能无法完全捕捉跨不同医疗保健环境的互操作性细微差别.
- 需要标准化指数来跟踪进展并确定需要改进的领域.
研究的目的:
- 开发和验证用于测量美国医院互操作性的指数.
- 从2021年到2023年评估医院互操作性的现状并跟踪医院互操作性的进展.
- 确定与更高或更低的互操作性性能相关的因素.
主要方法:
- 技术专家小组 (TEP) 指导从美国医院协会健康IT补充调查中选择项目.
- 互操作性概念被汇总成以下指数:核心,Pathfinder和摩擦.
- 这些指数经过心理测量分析和改进,从2021-2023年进行年度计算.
主要成果:
- 核心指数 (基础能力) 在2023年获得61分,Pathfinder (高级能力) 在2022年获得57分,Friction (障碍) 在2023年获得30分.
- 较大的医院,非危急通道设施,大都会医院和使用领先的EHR的医院显示得分明显更高.
- 在研究期间观察到指数值的适度改善.
结论:
- 医院在核心指数上表现最强,这表明基础互操作性更广泛.
- 由于最近的政策和方案举措,所有指数预计将持续改善.
- 对这些指数的持续监测可以评估政策的有效性,并揭示医院之间持续存在的互操作性差异.
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