%A Wright,Adam %A McGlinchey,Elizabeth A %A Poon,Eric G %A Jenter,Chelsea A %A Bates,David W %A Simon,Steven R %+普通医学系，布里格姆妇女医院，75 Francis St, MA 02115, USA， +1 781 416 8764, awright5@partners.org %K注册%K慢性疾病%K质量保证，%K初级卫生保健%K家庭实践%K医院信息系统%K医疗记录系统，计算机化%D 2009 %7原始论文%J Med Internet Res %G英文%X背景:生成具有特定临床属性的患者的注册表的能力，如诊断或服用的药物，是衡量和提高卫生保健质量的核心。然而，目前还不清楚有多少提供者有能力生成这样的注册中心。目的:评估能够建立特定诊断、实验室结果或药物患者登记处的医生执业比例，并确定电子健康记录(EHR)的使用与执行登记处功能的能力之间的关系。方法:我们对美国东北部马萨诸塞州(N = 1884)的内科医生执业的分层随机样本进行了邮件调查。调查包括关于医生产生诊断、实验室结果和药物注册的能力的问题;电子卫生条例的存在;以及特定电子病历功能的使用。结果:有效率为71%(1345/1884)。总体而言，79.8%的医生报告能够根据诊断生成患者登记; 56.1% by laboratory result; and 55.8% by medication usage. In logistic regression analyses, adjusting for urban/rural location, practice size and ownership, teaching status, hospital affiliation, and specialty, physician practices with an EHR were more likely to be able to construct diagnosis registries (adjusted odds ratio [OR] 1.53, 95% confidence interval [CI] 1.25 - 1.86), laboratory registries (OR 1.42, 95% CI 1.22 - 1.66), and medication registries (OR 2.30, 95% CI 1.96 - 2.70). Conclusions: Many physician practices were able to generate registries, but this capability is far from universal. Adoption of EHRs appears to be a useful step toward this end, and practices with EHRs are considerably more likely to be able to carry out registry functions. Because practices need registries to perform broad-based quality improvement, they should consider adopting EHRs that have built-in registry functionality. %M 19674961 %R 10.2196/jmir.1166 %U //www.mybigtv.com/2009/3/e31/ %U https://doi.org/10.2196/jmir.1166 %U http://www.ncbi.nlm.nih.gov/pubmed/19674961

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