Physicians and ambulatory electronic health records

被引：108

作者：

Bates, DW ^{[1
]}

机构：

[1] Brigham & Womens Hosp, Div Gen Internal Med, Boston, MA 02115 USA

[2] Harvard Univ, Sch Med, Cambridge, MA 02138 USA

[3] Harvard Univ, Sch Publ Hlth, Program Clin Effectiveness, Cambridge, MA 02138 USA

来源：

HEALTH AFFAIRS | 2005年 / 24卷 / 05期

关键词：

D O I：

10.1377/hlthaff.24.5.1180

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Few U.S. physicians use outpatient electronic health records (EHRs), although it appears that most would like to begin. The main barriers are not technical, because adoption rates in other countries are high. The biggest barrier is reimbursement, because physicians must pay for EHRs, but most of the benefits accrue to payers and purchasers. The lack of interoperability is also pivotal. Others include capital and risk tolerance; physicians' resistance related to time concerns, fears about privacy, system maintenance, the number of vendors in the marketplace, and the transience of vendors. The key initial policy changes will be those addressing financial incentives and interoperability.

引用

页码：1180 / 1189

页数：10

共 20 条

[1]

[Anonymous], 1962, DIFFUSION INNOVATION

[2]

Audet A.-M., 2004, MEDSCAPE GEN MED, V6

[3] Measure, learn, and improve: Physicians' involvement in quality improvement [J].

Audet, AMJ ;

Doty, MM ;

Shamasdin, J ;

Schoenbaum, SC .

HEALTH AFFAIRS, 2005, 24 (03) :843-853

[4]

BAINBRIDGE M, 2004, COMMUNICATION 0216

[5] A proposal for electronic medical records in US primary care [J].

Bates, DW ;

Ebell, M ;

Gotlieb, E ;

Zapp, J ;

Mullins, HC .

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2003, 10 (01) :1-10

[6] Commentary: Quality, costs, privacy and electronic medical data [J].

Bates, DW .

JOURNAL OF LAW MEDICINE & ETHICS, 1997, 25 (2-3) :111-112

[7]

BOMBA D, 1998, MEDINFO 1, V9, P55

[8]

BRIGHT B, 2005, WALL STREET J 0301

[9] Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial [J].

Eccles, M ;

McColl, E ;

Steen, N ;

Rousseau, N ;

Grimshaw, J ;

Parkin, D ;

Purves, I .

BMJ-BRITISH MEDICAL JOURNAL, 2002, 325 (7370) :941-944

[10] The unreliability of individual physician "report cards" for assessing the costs and quality of care of a chronic disease [J].

Hofer, TP ;

Hayward, RA ;

Greenfield, S ;

Wagner, EH ;

Kaplan, SH ;

Manning, WG .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 281 (22) :2098-2105

← 1 2 →