J Am Med Inform Assoc - Electronic health record functionality needed to better support primary care.

Tópicos

{ ehr(2073) health(1662) electron(1139) }
{ care(1570) inform(1187) nurs(1089) }
{ health(3367) inform(1360) care(1135) }
{ howev(809) still(633) remain(590) }
{ system(1050) medic(1026) inform(1018) }
{ risk(3053) factor(974) diseas(938) }
{ use(2086) technolog(871) perceiv(783) }
{ imag(2830) propos(1344) filter(1198) }
{ framework(1458) process(801) describ(734) }
{ algorithm(1844) comput(1787) effici(935) }
{ estim(2440) model(1874) function(577) }
{ data(1737) use(1416) pattern(1282) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ gene(2352) biolog(1181) express(1162) }
{ result(1111) use(1088) new(759) }
{ activ(1452) weight(1219) physic(1104) }
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{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
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{ record(1888) medic(1808) patient(1693) }
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{ patient(2837) hospit(1953) medic(668) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Electronic health records (EHRs) must support primary care clinicians and patients, yet many clinicians remain dissatisfied with their system. This article presents a consensus statement about gaps in current EHR functionality and needed enhancements to support primary care. The Institute of Medicine primary care attributes were used to define needs and meaningful use (MU) objectives to define EHR functionality. Current objectives remain focused on disease rather than the whole person, ignoring factors such as personal risks, behaviors, family structure, and occupational and environmental influences. Primary care needs EHRs to move beyond documentation to interpreting and tracking information over time, as well as patient-partnering activities, support for team-based care, population-management tools that deliver care, and reduced documentation burden. While stage 3 MU's focus on outcomes is laudable, enhanced functionality is still needed, including EHR modifications, expanded use of patient portals, seamless integration with external applications, and advancement of national infrastructure and policies.

Resumo Limpo

electron health record ehr must support primari care clinician patient yet mani clinician remain dissatisfi system articl present consensus statement gap current ehr function need enhanc support primari care institut medicin primari care attribut use defin need meaning use mu object defin ehr function current object remain focus diseas rather whole person ignor factor person risk behavior famili structur occup environment influenc primari care need ehr move beyond document interpret track inform time well patientpartn activ support teambas care populationmanag tool deliv care reduc document burden stage mus focus outcom laudabl enhanc function still need includ ehr modif expand use patient portal seamless integr extern applic advanc nation infrastructur polici

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