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首页> 外文期刊>BMC Medical Informatics and Decision Making >Evolving health information technology and the timely availability of visit diagnoses from ambulatory visits: A natural experiment in an integrated delivery system
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Evolving health information technology and the timely availability of visit diagnoses from ambulatory visits: A natural experiment in an integrated delivery system

机译：不断发展的健康信息技术和非常规就诊的就诊诊断的及时可用性：集成交付系统中的自然实验

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Background Health information technology (HIT) may improve health care quality and outcomes, in part by making information available in a timelier manner. However, there are few studies documenting the changes in timely availability of data with the use of a sophisticated electronic medical record (EMR), nor a description of how the timely availability of data might differ with different types of EMRs. We hypothesized that timely availability of data would improve with use of increasingly sophisticated forms of HIT. Methods We used an historical observation design (2004–2006) using electronic data from office visits in an integrated delivery system with three types of HIT: Basic, Intermediate, and Advanced. We calculated the monthly percentage of visits using the various types of HIT for entry of visit diagnoses into the delivery system's electronic database, and the time between the visit and the availability of the visit diagnoses in the database. Results In January 2004, when only Basic HIT was available, 10% of office visits had diagnoses entered on the same day as the visit and 90% within a week; 85% of office visits used paper forms for recording visit diagnoses, 16% used Basic at that time. By December 2006, 95% of all office visits had diagnoses available on the same day as the visit, when 98% of office visits used some form of HIT for entry of visit diagnoses (Advanced HIT for 67% of visits). Conclusion Use of HIT systems is associated with dramatic increases in the timely availability of diagnostic information, though the effects may vary by sophistication of HIT system. Timely clinical data are critical for real-time population surveillance, and valuable for routine clinical care.
机译：背景技术健康信息技术（HIT）可以部分地通过及时提供信息来提高医疗质量和结果。但是，很少有研究记录使用复杂的电子病历（EMR）可以及时获取数据的变化，也没有描述不同类型的EMR如何及时获取数据的描述。我们假设，随着越来越复杂的HIT形式的使用，及时的数据可用性将得到改善。方法我们使用历史观察设计（2004-2006年），在具有三种类型的HIT的综合交付系统中使用来自办公室访问的电子数据：基本，中级和高级。我们使用各种类型的HIT（用于将访问诊断输入到交付系统的电子数据库中）和访问之间的时间以及访问诊断在数据库中的可用性之间的时间来计算访问的每月百分比。结果2004年1月，只有基本HIT可用时，有10％的办公室就诊是在就诊的同一天进入诊断的，而90％是在一周内就诊的。 85％的办公室访问使用纸质形式记录访问诊断，当时16％的用户使用Basic。到2006年12月，所有办公室就诊的95％都在就诊当天获得了诊断，而98％的办公室就诊使用某种形式的HIT进行了就诊诊断（高级HIT占67％）。结论HIT系统的使用与诊断信息的及时可用性显着增加有关，尽管效果可能因HIT系统的复杂性而异。及时的临床数据对于实时人群监测至关重要，对于常规临床护理很有价值。

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