J Am Med Inform Assoc - The wave has finally broken: now what?

Tópicos

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Resumo

In 2005, the authors published a paper, 'Will the wave finally break? A brief view of the adoption of electronic medical records in the United States', which predicted that rapid adoption of electronic health records (EHR) would occur in the next 5 years given appropriate incentives. The wave has finally broken with the stimulus of the health information technology for economic and clinical health legislation in 2009, and there have been both positive and negative developments in the ensuing years. The positive developments, among others described, are increased adoption of EHR, the emergence of a national network infrastructure and the recognition of clinical informatics as a medical specialty. Problems that still exist include, among others described, continued user interface problems, distrust of EHR-generated notes and an increased potential for fraud and abuse. It is anticipated that in the next 5 years there will be near universal EHR adoption, greater emphasis on standards and interoperability, greater involvement of Congress in health information technology (IT), breakthroughs in user interfaces, compelling online medical and IT education, both increased use of data analytics for personalized healthcare and a realization of the difficulties of this approach, a blurring of the distinction between EHR and telemedicine, a resurgence of computer-assisted diagnosis and the emergence of a 'continuously learning' healthcare system.

Resumo Limpo

author publish paper will wave final break brief view adopt electron medic record unit state predict rapid adopt electron health record ehr occur next year given appropri incent wave final broken stimulus health inform technolog econom clinic health legisl posit negat develop ensu year posit develop among other describ increas adopt ehr emerg nation network infrastructur recognit clinic informat medic specialti problem still exist includ among other describ continu user interfac problem distrust ehrgener note increas potenti fraud abus anticip next year will near univers ehr adopt greater emphasi standard interoper greater involv congress health inform technolog breakthrough user interfac compel onlin medic educ increas use data analyt person healthcar realiz difficulti approach blur distinct ehr telemedicin resurg computerassist diagnosi emerg continu learn healthcar system

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