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首页> 外文期刊>BMC Medical Informatics and Decision Making >Is Canada ready for patient accessible electronic health records? A national scan
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Is Canada ready for patient accessible electronic health records? A national scan

机译：加拿大准备好患者可访问的电子健康记录了吗？全国扫描

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Background Access to personal health information through the electronic health record (EHR) is an innovative means to enable people to be active participants in their own health care. Currently this is not an available option for consumers of health. The absence of a key technology, the EHR, is a significant obstacle to providing patient accessible electronic records. To assess the readiness for the implementation and adoption of EHRs in Canada, a national scan was conducted to determine organizational readiness and willingness for patient accessible electronic records. Methods A survey was conducted of Chief Executive Officers (CEOs) of Canadian public and acute care hospitals. Results Two hundred thirteen emails were sent to CEOs of Canadian general and acute care hospitals, with a 39% response rate. Over half (54.2%) of hospitals had some sort of EHR, but few had a record that was predominately electronic. Financial resources were identified as the most important barrier to providing patients access to their EHR and there was a divergence in perceptions from healthcare providers and what they thought patients would want in terms of access to the EHR, with providers being less willing to provide access and patients desire for greater access to the full record. Conclusion As the use of EHRs becomes more commonplace, organizations should explore the possibility of responding to patient needs for clinical information by providing access to their EHR. The best way to achieve this is still being debated.
机译：背景技术通过电子健康记录（EHR）访问个人健康信息是一种创新手段，使人们能够积极参与自己的医疗保健。当前，这不是健康消费者的可用选项。缺少关键技术EHR是提供患者可访问电子记录的重大障碍。为了评估在加拿大实施和采用电子病历的准备情况，进行了全国扫描以确定组织准备和愿意为患者使用电子病历的意愿。方法对加拿大公立和急诊医院的首席执行官进行调查。结果向加拿大普通和急诊医院的首席执行官发送了213封电子邮件，回复率为39％。超过一半（54.2％）的医院拥有某种电子病历，但很少有以电子记录为主的记录。财务资源被确定为向患者提供其电子病历的最重要障碍，并且医疗保健提供者的看法和他们认为患者在获得电子病历方面的想法存在分歧，因为提供者不愿提供医疗服务和医疗服务。患者渴望获得更多的完整记录。结论随着EHR的使用变得越来越普遍，组织应探索通过提供访问EHR来满足患者对临床信息的需求的可能性。实现这一目标的最佳方法仍在争论中。

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