在退伍军人卫生管理局的电子健康记录过渡期间,初级保健遭遇率的变化
Ashok Reddy1, Jonathan Staloff2, Jorge Rojas3
1Center for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA, USA; Department of Health Systems and Population Health, University of Washington, Seattle, WA, USA; Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle, WA, USA; General Medicine Service, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA.
电子健康记录 (EHR) 转换显著减少了一次VHA地点的初级保健接触超过40%,在另一个VHA地点减少了19%. 这些发现强调了需要制定策略,以减轻EHR实施期间的干扰.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健信息学 医疗保健信息学
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 电子健康记录 (EHR) 的转换可能严重破坏初级保健服务.
- 退伍军人健康管理局 (VHA) 是一个大型的综合医疗保健系统,在两个设施中经历了重大的EHR过渡.
- 关于EHR转换对初级保健服务线的影响的数据有限.
研究的目的:
- 描述和量化EHR过渡后初级保健服务提供的变化.
- 分析EHR过渡对初级保健接触量的影响.
主要方法:
- 这是一项回顾性研究,分析了12个月前和12个月后的初级保健经历.
- 经济结构变化分析使用10年的先前遭遇数据.
- 数据来源于VHA公司数据仓库 (CDW) 和Cerner千年 (CDW2) 数据库.
主要成果:
- 斯波坎站点:每月的初级保健接触减少了41.6% (7155到4181) 过渡后.
- 第二个地点:每月的初级保健接触在过渡后下降了19.1% (8029至6495).
- 结构变化分析证实了EHR过渡是遭遇数量显著下降的一个点.
结论:
- VHA EHR过渡导致初级保健服务大幅减少.
- 紧急需要VHA制定策略,缓解在EHR过渡期间减少初级保健接触的程度和持续时间.
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