Electronic health records and technical assistance to improve quality of primary care: Lessons for regional extension centers

被引：14
作者：
Boas, Samuel J. [1 ]
Bishop, Tara F. [2 ,3 ]
Ryan, Andrew M. [1 ]
Shih, Sarah C. [4 ]
Casalino, Lawrence P. [1 ]
机构：
[1] Weill Cornell Med Coll, New York, NY USA
[2] Weill Cornell Med Coll, Dept Publ Hlth, Div Outcomes & Effectiveness, New York, NY 10021 USA
[3] Weill Cornell Med Coll, Dept Med, New York, NY 10021 USA
[4] New York City Dept Hlth & Mental Hyg, Primary Care Informat Project, Queens, NY USA
来源：
HEALTHCARE-THE JOURNAL OF DELIVERY SCIENCE AND INNOVATION | 2014年 / 2卷 / 02期
基金：
美国医疗保健研究与质量局;
关键词：
Quality of health care; Medical informatics; Public health; Information technology;
D O I：
10.1016/j.hjdsi.2013.10.003
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：
Background: In 2009, the American Recovery and Reinvestment Act apportioned $643 million for a Health Information Technology Extension Program, which established Regional Extension Centers (RECs) to support the implementation and use of electronic health records (EHRs). Problem: Little is known, however, about how RECs should assist in EHR implementation and how they should structure ongoing support. Goals: The purpose of this paper is to describe physicians' experiences with the Primary Care Information Project (PUP), an REC run by the New York City Department of Health and Mental Hygiene. Strateo: We interviewed 17 physicians enrolled in PCIP to understand the role of the EHRon quality of care and their experience with technical assistance from PCIP. Results: All physicians stated that they felt that the EHR improved the quality of care they delivered to their patients particularly because it helped them track patients. All the physicians found technical assistance helpful but most wanted ongoing assistance months or years after they adopted the EHR. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码：103 / 106
页数：4
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