TY -的AU -赖特,亚当盟——McGlinchey伊丽莎白AU - Poon埃里克·G AU - Jenter切尔西AU -贝茨(David W非盟-西蒙,Steven R PY - 2009 DA - 2009/8/10 TI -能力生成病人登记实践中,没有电子健康记录乔- J地中海互联网Res SP - e31六世- 11 - 3 KW -注册KW -慢性疾病KW -质量保证,医疗保健KW -初级卫生保健KW -家庭实践KW -医院信息系统KW -医疗记录系统,计算机化AB -背景:生成具有特定临床属性(如诊断或服用的药物)的患者登记的能力，对于衡量和提高医疗保健质量至关重要。然而，目前尚不清楚有多少提供者有能力生成这样的注册中心。目的:评估能够建立具有特定诊断、实验室结果或药物的患者登记处的医师执业比例，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)的医生实践进行了分层随机抽样邮件调查。调查内容包括医生提供诊断、实验室结果和药物登记的能力;电子病历的存在;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%的医生实践报告能够根据诊断生成患者登记册; 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. SN - 1438-8871 UR - //www.mybigtv.com/2009/3/e31/ UR - https://doi.org/10.2196/jmir.1166 UR - http://www.ncbi.nlm.nih.gov/pubmed/19674961 DO - 10.2196/jmir.1166 ID - info:doi/10.2196/jmir.1166 ER -