跨家庭医生实践表型的健康互操作性
Jordan Everson1,2, Catherine Strawley1
1Assistant Secretary for Technology Policy and Office of the National Coordinator for Health Information Technology, US Department of Health and Human Services, Washington, DC 20201, United States.
Journal of the American Medical Informatics Association : JAMIA
|October 27, 2025
概括
独立和安全网络实践中的医生面临着更大的医疗保健数据互操作性挑战. 有针对性的举措可以改善数据共享,但所有类型的医生都需要广泛改进.
科学领域:
- 医疗信息学 医疗信息学
- 医疗实践管理 医疗实践管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗保健数据的互操作性仍然是一个重大挑战.
- 了解医生与外部数据的经验对于改进系统至关重要.
- 不同的医生群体可能面临着独特的障碍,无法无地交换信息.
研究的目的:
- 描述不同的医生表型在访问外部医疗保健数据时的经验.
- 为旨在加强医疗保健数据互操作性的战略提供信息.
主要方法:
- 基于实践和个体特征,使用隐性类别分析对6175名美国家庭医生进行了分组.
- 医生报告的获取和使用外部健康信息的经验在确定组之间进行了比较.
- 数据是通过美国家庭医学委员会持续认证问卷在2022-2023年收集的.
主要成果:
- 确定了四种医生表型:安全网,卫生系统,独立实践和大型实践.
- 与独立实践医生相比,卫生系统和大型实践医生 (通常是Epic EHR用户) 报告说,与独立实践医生相比,来自相同EHR来源的数据集成和可用性更好.
- 安全网的医生报告了最不适合使用的外部数据,所有组中都有很高的百分比遇到了低价值的外部记录.
结论:
- 独立和安全网医生遇到更大的互操作性困难,可能是由于从同一EHR组织访问数据的差异.
- 一致的挑战,例如处理低价值数据,影响所有医生群体.
- 改进互操作性的举措应考虑针对独立和安全网络实践的有针对性的支持,以及更广泛的全系统改进.
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