![]() health care system faces challenges on multiple fronts, including rising costs and inconsistent quality. A policy strategy focused on financial support, interoperability, and training of technical support staff may be necessary to spur adoption of electronic-records systems in U.S. hospitals suggest that policymakers face substantial obstacles to the achievement of health care performance goals that depend on health information technology. The very low levels of adoption of electronic health records in U.S. Respondents cited capital requirements and high maintenance costs as the primary barriers to implementation, although hospitals with electronic-records systems were less likely to cite these barriers than hospitals without such systems. Larger hospitals, those located in urban areas, and teaching hospitals were more likely to have electronic-records systems. Computerized provider-order entry for medications has been implemented in only 17% of hospitals. hospitals have a comprehensive electronic-records system (i.e., present in all clinical units), and an additional 7.6% have a basic system (i.e., present in at least one clinical unit). On the basis of responses from 63.1% of hospitals surveyed, only 1.5% of U.S. We also examined the relationship of adoption of electronic health records to specific hospital characteristics and factors that were reported to be barriers to or facilitators of adoption. Using a definition of electronic health records based on expert consensus, we determined the proportion of hospitals that had such systems in their clinical areas. We surveyed all acute care hospitals that are members of the American Hospital Association for the presence of specific electronic-record functionalities. The most trusted, influential source of new medical knowledge and clinical best practices in the world.ĭespite a consensus that the use of health information technology should lead to more efficient, safer, and higher-quality care, there are no reliable estimates of the prevalence of adoption of electronic health records in U.S. Information and tools for librarians about site license offerings. Valuable tools for building a rewarding career in health care. The authorized source of trusted medical research and education for the Chinese-language medical community. The most advanced way to teach, practice, and assess clinical reasoning skills. Information, resources, and support needed to approach rotations - and life as a resident. The most effective and engaging way for clinicians to learn, improve their practice, and prepare for board exams. NEW! Peer-reviewed journal featuring in-depth articles to accelerate the transformation of health care delivery.Ĭoncise summaries and expert physician commentary that busy clinicians need to enhance patient care. ![]() “It’s a lot to ask a patient to keep track of all their medical data.NEW! A digital journal for innovative original research and fresh, bold ideas in clinical trial design and clinical decision-making. “Personal health records can be either linked to electronic health records or stand alone, but linking the two is by far the most useful approach,” says HSPH’s David Bates. Google’s links include Beth Israel Deaconess Medical Center, in Boston the Cleveland Clinic, in Ohio the pharmacy chains CVS Caremark and Walgreens and Medco, a prescription-drug benefit manager. Among Microsoft’s early partners is Kaiser Permanente’s integrated managed care organization. These services house PHRs on secure networks. Google and Microsoft are now promoting Google Health and Microsoft HealthVault, respectively, to hospitals and individuals. Whereas an electronic health record (EHR) is a computer record that originates with and is controlled by doctors, a personal health record (PHR) can be generated by physicians, patients, hospitals, pharmacies, and other sources but is controlled by the patient.
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