电子健康记录实施过程的25年:范围审查
Harriet Finnegan1, Nicola Mountford1
1School of Business, Maynooth University, Kildare, Ireland.
Journal of medical Internet research
|March 7, 2025
概括
本次审查审查了电子健康记录 (EHR) 实施过程,确定了沟通,培训和成本等关键因素. 它提出了七个建议,以改善未来的EHR系统采用,以便更好地提供医疗保健.
科学领域:
- 医疗信息学 医疗信息学
- 信息系统管理 信息系统管理
- 医疗保健管理部门的管理.
背景情况:
- 电子健康记录 (EHR) 系统在过去25年里发生了显著的发展,成为现代医疗保健的关键.
- 虽然电子健康记录提供了提高效率和改善患者护理的潜力,但了解其实施过程至关重要.
研究的目的:
- 从1999年到2024年对EHR实施流程进行范围审查.
- 根据历史研究,为未来的EHR实施制定以过程为中心的建议.
主要方法:
- 通过使用5个数据库 (EBSCO,PubMed,Embase,IEEE Explore,Scopus) 进行了系统的范围文献审查.
- 包括在1999年至2024年期间发表的研究,重点关注电子健康记录实施流程.
- 使用NVivo进行主题编码,根据PRISMA-ScR指南,分析了90项选定的研究.
主要成果:
- 九十项研究详细介绍了不同环境中的EHR实施情况.
- 确定的关键因素包括政府/供应商角色,沟通,培训,支持,方法和成本.
- 四个新兴的类别是:合规性,协作性,能力发展性和流程成本.
结论:
- 电子健康记录在患者护理,研究和效率方面具有重大潜力.
- 为了成功采用,需要对实施过程有更深入的了解.
- 从文献分析中得出了七个可操作的,以过程为重点的推,以实施EHR.
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