@文章{信息:doi/10.2196/37283，作者="Modi, Shikha and Feldman, Sue S"，标题="经济与临床健康卫生信息技术法案实施以来电子健康记录的价值:系统评价"，期刊="JMIR Med Inform"，年="2022"，月="Sep"，日="27"，卷="10"，数="9"，页数="e37283"，关键词="电子健康记录;电子医疗纪录;价值;财务成果;临床结果;卫生信息学;背景:电子健康记录(EHRs)是在任何医疗保健环境中，在≥1次就诊期间创建的患者健康信息的电子记录。2009年的《卫生信息技术法案》是美国采用和实施电子病历的主要推动力。考虑到采用电子病历是一项复杂而昂贵的投资，这项投资有望获得回报。目的:本文献综述旨在关注电子病历作为一种干预手段的价值是如何定义的，并将其价值细化为两种不同的价值结果类别，即财务结果和临床结果，并了解电子病历如何促进这两种价值结果类别。 Methods: This literature review was conducted using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). The initial search of key terms, EHRs, values, financial outcomes, and clinical outcomes in 3 different databases yielded 971 articles, of which, after removing 410 (42.2{\%}) duplicates, 561 (57.8{\%}) were incorporated in the title and abstract screening. During the title and abstract screening phase, articles were excluded from further review phases if they met any of the following criteria: not relevant to the outcomes of interest, not relevant to EHRs, nonempirical, and non--peer reviewed. After the application of the exclusion criteria, 80 studies remained for a full-text review. After evaluating the full text of the residual 80 studies, 26 (33{\%}) studies were excluded as they did not address the impact of EHR adoption on the outcomes of interest. Furthermore, 4 additional studies were discovered through manual reference searches and were added to the total, resulting in 58 studies for analysis. A qualitative analysis tool, ATLAS.ti. (version 8.2), was used to categorize and code the final 58 studies. Results: The findings from the literature review indicated a combination of positive and negative impacts of EHRs on financial and clinical outcomes. Of the 58 studies surveyed for this review of the literature, 5 (9{\%}) reported on the intersection of financial and clinical outcomes. To investigate this intersection further, the category ``Value--Intersection of Financial and Clinical Outcomes'' was generated. Approximately 80{\%} (4/5) of these studies specified a positive association between EHR adoption and financial and clinical outcomes. Conclusions: This review of the literature reports on the individual and collective value of EHRs from a financial and clinical outcomes perspective. The collective perspective examined the intersection of financial and clinical outcomes, suggesting a reversal of the current understanding of how IT investments could generate improvements in productivity, and prompted a new question to be asked about whether an increase in productivity could potentially lead to more IT investments. ", issn="2291-9694", doi="10.2196/37283", url="https://medinform.www.mybigtv.com/2022/9/e37283", url="https://doi.org/10.2196/37283", url="http://www.ncbi.nlm.nih.gov/pubmed/36166286" }