电子医疗记录可提高保健质量降低成本
文章来源:未知 文章作者:meng 发布时间:2010-08-27 01:39 字体: [ ]  进入论坛
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Transforming the U.S. health care system from paper-based to electronic-based may improve health care quality and reduce costs, but a new study by researchers from the Harvard School of Public Health (HSPH) suggests that goal is far off. The adoption1 of basic or comprehensive electronic health records (EHR) by U.S. hospitals increased modestly(谨慎地,适当地) from 8.7% in 2008 to 11.9% in 2009, but only 2% of hospitals met the federal "meaningful use" standard needed to qualify for government financial incentives2(激励,奖励) . The researchers also found that smaller, rural, and public hospitals fell further behind their larger, private, and urban counterparts in adopting EHRs, further widening the gap between the two groups in receiving the benefits of health information technology.

The study appears August 26, 2010, in an advance online edition of Health Affairs.

"Getting hospitals to start using EHRs is critical," said lead author Ashish Jha, associate professor of Health Policy and Management. "Paper-based medical records lead to hundreds of thousands of errors each year in American hospitals and probably contribute to the deaths of tens of thousands of Americans. This is not acceptable. There is overwhelming evidence that EHRs can help, yet the expense and the disruption that implementing4(实施,执行) these systems can cause has forced many hospitals to move slowly."

The researchers drew from a survey by the American Hospital Association, which asked 4,493 acute-care non-federal hospitals about their health information technology efforts as of March 1, 2009; 3,101 (69%) responded. A representative from each hospital reported on the presence or absence of 32 clinical functions of an EHR and how widely they had been implemented5 throughout the hospital. Responses were statistically6 adjusted to balance for hospitals that did not respond.

They found that hospitals' adoption of basic or comprehensive EHR systems increased by 3.2% between 2008 and 2009. Based on the measures examined by the authors, only approximately 2% of U.S. hospitals described EHRs that would allow them to meet the criteria7(标准,条件) in the American Recovery and Reinvestment Act for "meaningful use," which doctors and hospitals must meet by 2012 in order to receive financial incentives through Medicare and Medicaid reimbursements8(退还,偿还) . These meaningful use guidelines include 14 core functions, such as prescribing electronically and keeping an active medication list for patients.

Given the state of the economy at the time the survey was conducted, Jha is not surprised that adoption rates for EHR systems, which can cost tens of millions of dollars to purchase and implement3, remain low. He notes that the government's financial incentives may go primarily to larger, academic hospitals, further widening an already large digital divide.

"The problem is that the bonuses that hospitals get for meeting meaningful use are front-loaded, meaning hospitals have to implement and use EHRs by 2012 in order to get the bulk of the incentives," Jha said. "This is an aggressive timeline, and many hospitals may not make it. If they miss out(错过,遗漏) , it may be years before many of these hospitals will be able to afford to purchase and install their own EHR systems."



点击收听单词发音收听单词发音  

1 adoption UK7yu     
n.采用,采纳,通过;收养
参考例句:
  • An adoption agency had sent the boys to two different families.一个收养机构把他们送给两个不同的家庭。
  • The adoption of this policy would relieve them of a tremendous burden.采取这一政策会给他们解除一个巨大的负担。
2 incentives 884481806a10ef3017726acf079e8fa7     
激励某人做某事的事物( incentive的名词复数 ); 刺激; 诱因; 动机
参考例句:
  • tax incentives to encourage savings 鼓励储蓄的税收措施
  • Furthermore, subsidies provide incentives only for investments in equipment. 更有甚者,提供津贴仅是为鼓励增添设备的投资。 来自英汉非文学 - 环境法 - 环境法
3 implement WcdzG     
n.(pl.)工具,器具;vt.实行,实施,执行
参考例句:
  • Don't undertake a project unless you can implement it.不要承担一项计划,除非你能完成这项计划。
  • The best implement for digging a garden is a spade.在花园里挖土的最好工具是铁锹。
4 implementing be68540dfa000a0fb38be40d32259215     
v.实现( implement的现在分词 );执行;贯彻;使生效
参考例句:
  • -- Implementing a comprehensive drug control strategy. ――实行综合治理的禁毒战略。 来自汉英非文学 - 白皮书
  • He was in no hurry about implementing his unshakable principle. 他并不急于实行他那不可动摇的原则。 来自辞典例句
5 implemented a0211e5272f6fc75ac06e2d62558aff0     
v.实现( implement的过去式和过去分词 );执行;贯彻;使生效
参考例句:
  • This agreement, if not implemented, is a mere scrap of paper. 这个协定如不执行只不过是一纸空文。 来自《现代汉英综合大词典》
  • The economy is in danger of collapse unless far-reaching reforms are implemented. 如果不实施影响深远的改革,经济就面临崩溃的危险。 来自辞典例句
6 statistically Yuxwa     
ad.根据统计数据来看,从统计学的观点来看
参考例句:
  • The sample of building permits is larger and therefore, statistically satisfying. 建筑许可数的样本比较大,所以统计数据更令人满意。
  • The results of each test would have to be statistically independent. 每次试验的结果在统计上必须是独立的。
7 criteria vafyC     
n.标准
参考例句:
  • The main criterion is value for money.主要的标准是钱要用得划算。
  • There are strict criteria for inclusion in the competition.参赛的标准很严格。
8 reimbursements 7bea0397703fe448f3962669d3140bfb     
n.偿还( reimbursement的名词复数 );退款;补偿;赔偿
参考例句:
  • We had to put in for the food reimbursements again. 我们不得不再次申请食物赔偿。 来自互联网
  • Have you figured up the total of the reimbursements I gave you? 你有没有把我给你的报销账目全部加总了呢? 来自互联网
TAG标签: health financial care system
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