医疗保健提供者的负担减轻和估计的成本节省,实现了电子病例报告在3个医疗保健组织的实施
Oscar Rincón-Guevara1, Abdulhakeem A Olorukooba2, Grace Eau1
1Office of Public Health Data, Surveillance, and Technology, Centers for Disease Control and Prevention, Atlanta, GA 30333, United States.
Journal of the American Medical Informatics Association : JAMIA
|February 11, 2026
概括
转向COVID-19的电子病例报告 (eCR) 显著减少了医疗保健提供者的时间和成本. 这项IT创新减少了16倍以上的行政负担,为医疗机构提供了巨大的节省.
科学领域:
- 公共卫生信息学 公共卫生信息学
- 医疗保健管理局的管理.
- 健康 信息技术 创新 医疗保健
背景情况:
- 对COVID-19等传染病的手动病例报告对医疗保健组织 (HCO) 造成了巨大的行政负担.
- 过渡到电子案例报告 (eCR) 是简化报告流程和降低相关成本的潜在解决方案.
研究的目的:
- 通过在一年内从手动COVID-19病例报告转向eCR,评估HCOs减少的时间和财务成本.
- 量化通过实施eCR实现的行政负担减轻.
主要方法:
- 这项研究涉及三个不同州的HCO,涵盖了204个医疗保健设施,提供不同类型的提供者.
- 通过半结构面试和分析提供者为手动报告和eCR实施和维护所花费的时间来收集数据.
- 计算了两个报告方法的时间成本负担,以确定采用eCR的净减少.
主要成果:
- 切换到eCR的结果是减少了16942小时 (HCO1),14145小时 (HCO2) 和2933小时 (HCO3) 的时间.
- 这些节省时间转化为估计的成本削减827,120美元 (HCO1),569,424美元 (HCO2) 和78,540美元 (HCO3).
- HCO3,一个小型的联邦合格健康中心,也经历了显著的成本节约,证明了eCR的广泛适用性.
结论:
- 这项研究首次证明,全国范围的IT创新直接减少了HCO手动案例报告的行政时间和成本负担.
- 通过eCR自动报告患者病例导致医疗服务提供者工作时间减少至少16倍,并在一年内节省了4倍或更多的成本.
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