较低的电子健康记录采用和在农村与城市医生参与者的互操作性:CMS质量支付计划的横截面分析
A Jerrod Anzalone1, Carol R Geary2, Ran Dai3
1Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA. alfred.anzalone@unmc.edu.
BMC health services research
|January 24, 2025
概括
与城市同行相比,农村医生的电子健康记录 (EHR) 采用率和互操作性得分较低. 需要有针对性的干预措施来弥合医疗保健技术中的数字沟.
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
- 数字健康 公平数字健康 公平
背景情况:
- 2009年"经济和临床健康健康健康信息技术法案"在美国促进了电子健康记录 (EHR) 的采用.
- 像MACRA和21世纪治疗法案这样的联邦计划继续塑造医疗IT采用.
- 了解EHR采用和互操作性的差异对于公平的医疗保健至关重要.
研究的目的:
- 调查农村和城市医生之间的电子健康记录采用和互操作性的差异.
- 分析联邦激励计划对这些差异的影响.
- 在不同的实践环境中识别影响电子健康记录采用和互操作性的因素.
主要方法:
- "2021年质量支付计划经验报告"的横截面分析 公共用途文件.
- 城市和农村医生之间的电子健康记录采用和促进互操作性评分 (PIS) 的比较.
- 将数据与认证卫生IT产品清单联系起来,以评估认证的EHR采用和互操作性.
主要成果:
- 与城市 (74%) 相比,在农村 (64%) 采用EHR的比例较低.
- 农村医生有明显较低的促进互操作性得分 (PIS).
- 在农村医生中观察到电子健康记录采用率较低 (OR:0.79) 和PIS较低,受困难和位置的影响.
结论:
- 农村和城市医生之间在电子健康记录的采用和互操作性方面仍然存在显著的差异.
- 有针对性的干预措施是必要的,以改善农村医疗保健机构的EHR采用和互操作性.
- 解决这些差异对于公平获得医疗技术和改善患者治疗结果至关重要.
相关概念视频
01:29Issues And Trends In Healthcare Delivery System
6.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.5K
01:20Integrated Healthcare System
2.4K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.4K
01:11Purpose of Health Records I
1.7K
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
1.7K
01:19Purpose of Health Records II
1.3K
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
1.3K
01:30Methods of Documentation VII: EMR
1.5K
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
1.5K
01:30Health Information Technology and Healthcare Information System
1.6K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
1.6K