@文章{信息:doi/10.2196/26323，作者="Uslu, Aykut和Stausberg, J{\"u}rgen"，标题="医院护理电子病历的价值:来自文献的更新"，期刊="J医学互联网研究"，年="2021"，月="12"，日="23"，卷="23"，数="12"，页数="e26323"，关键词="成本分析;成本及成本分析;经济优势;电子病历;电子记录;卫生保健;医院;计算机化的医疗记录系统;保健质量;背景:电子病历可以提高医疗保健的质量和效率。 National and international bodies propagate this belief worldwide. However, the evidence base concerning the effects and advantages of electronic records is questionable. The outcome of health care systems is influenced by many components, making assertions about specific types of interventions difficult. Moreover, electronic records itself constitute a complex intervention offering several functions with possibly positive as well as negative effects on the outcome of health care systems. Objective: The aim of this review is to summarize empirical studies about the value of electronic medical records (EMRs) for hospital care published between 2010 and spring 2019. Methods: The authors adopted their method from a series of literature reviews. The literature search was performed on MEDLINE with ``Medical Record System, Computerized'' as the essential keyword. The selection process comprised 2 phases looking for a consent of both authors. Starting with 1345 references, 23 were finally included in the review. The evaluation combined a scoring of the studies' quality, a description of data sources in case of secondary data analyses, and a qualitative assessment of the publications' conclusions concerning the medical record's impact on quality and efficiency of health care. Results: The majority of the studies stemmed from the United States (19/23, 83{\%}). Mostly, the studies used publicly available data (``secondary data studies''; 17/23, 74{\%}). A total of 18 studies analyzed the effect of an EMR on the quality of health care (78{\%}), 16 the effect on the efficiency of health care (70{\%}). The primary data studies achieved a mean score of 4.3 (SD 1.37; theoretical maximum 10); the secondary data studies a mean score of 7.1 (SD 1.26; theoretical maximum 9). From the primary data studies, 2 demonstrated a reduction of costs. There was not one study that failed to demonstrate a positive effect on the quality of health care. Overall, 9/16 respective studies showed a reduction of costs (56{\%}); 14/18 studies showed an increase of health care quality (78{\%}); the remaining 4 studies missed explicit information about the proposed positive effect. Conclusions: This review revealed a clear evidence about the value of EMRs. In addition to an awesome majority of economic advantages, the review also showed improvements in quality of care by all respective studies. The use of secondary data studies has prevailed over primary data studies in the meantime. Future work could focus on specific aspects of electronic records to guide their implementation and operation. ", issn="1438-8871", doi="10.2196/26323", url="//www.mybigtv.com/2021/12/e26323", url="https://doi.org/10.2196/26323", url="http://www.ncbi.nlm.nih.gov/pubmed/34941544" }