e-Prescribing, efficiency, quality: Lessons from the computerization of UK family practice

被引:70
作者
Schade, Charles P.
Sullivan, Frank M.
De Lusignan, Simon
Madeley, Jean
机构
[1] W Virginia Med Inst, Charleston, WV 25304 USA
[2] Univ Dundee, Hlth Informat Ctr, Div Community Hlth Sci, Dundee, Scotland
[3] Univ London, Sch Med, St Georges Hosp, Div Community Hlth Sci, London, England
[4] Manor Surg, Nottingham, England
关键词
D O I
10.1197/jamia.M2041
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
Nearly all general practice physicians (GPs) in the United Kingdom (UK) have electronic health record (EHR) systems in their practices compared with perhaps 15% of primary care physicians in the United States (U.S.). Based on interviews of 13 general GPs and review of current literature, the authors argue that the historical experience of widespread electronic health record uptake in the UK provides insight into features that might motivate broad adoption in the United States. These features include electronic prescribing, improved quality and consistency of care, practice efficiencies that have both timesaving and revenue generating effects, and potential shielding from malpractice claims.
引用
收藏
页码:470 / 475
页数:6
相关论文
共 48 条
  • [1] [Anonymous], INS AM HLTH PRINC RE
  • [2] [Anonymous], 1999, HLTH CARE SYSTEMS TR
  • [3] Factors and forces affecting EHR system adoption: Report of a 2004 ACMI discussion
    Ash, JS
    Bates, DW
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2005, 12 (01) : 8 - 12
  • [4] Will the wave finally break? A brief view of the adoption of electronic medical records in the United States
    Berner, ES
    Detmer, DE
    Simborg, D
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2005, 12 (01) : 3 - 7
  • [5] Which physicians and practices are using electronic medical records?
    Burt, CW
    Sisk, JE
    [J]. HEALTH AFFAIRS, 2005, 24 (05) : 1334 - 1343
  • [6] CAMERON I, VICTORY GPS IT CHOIC
  • [7] Campbell S, 2003, BRIT J GEN PRACT, V53, P298
  • [8] Improvements in quality of clinical care in English general practice 1998-2003: longitudinal observational study
    Campbell, SM
    Roland, MO
    Middleton, E
    Reeves, D
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2005, 331 (7525): : 1121 - 1123
  • [9] Health services research: From galvanizing attention to creating action
    Clancy, CM
    [J]. HEALTH SERVICES RESEARCH, 2003, 38 (03) : 777 - 782
  • [10] Corley Sarah T, 2003, Top Health Inf Manage, V24, P29