Electronic Patient Records-Dreams, wants, warts and reality.
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Accession number;01A0334225
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| Title;Electronic Patient Records-Dreams, wants, warts and reality. |
| Author;
MCDONALD C J
(Indiana Univ., Indianapolis, Usa)
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Journal Title;Japan Journal of Medical Informatics
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Journal Code:Y0510A
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ISSN:0289-8055
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VOL.20;NO.Supplement 2;PAGE.2-3(2000)
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| Figure&Table&Reference; |
| Pub. Country;Japan |
| Language;English |
| Abstract;The medical literature began to speak fo the potential benefits of Electronic Patient Records(EPRs) in the mid '60's. In the early 1970's, a few institutions began to construct EPRs, and in the next 20 years to publish scientific evidence for the benefits. In this report we will describe those benefits: efficient and easy methods for organizing and accessing the clinical data needed to provide patient care; mechanisms for capturing and improving physician orders, diagnoses, and notes; logic for guiding patient care via automated reminders and alerts; the advantages of community-based EPRs; and the value of multi media (including teleconferencing) in an EPR. Despite the potential benefits, the adoption of EPRs has been slow. Until recently, the lack of data standards and the very high cost of merging non-standard data from many sources into a unified whole explained much of this slowness. However, the increasing international adoption of HL7, and of Internet standards, as well as the emergence of code standards such as JAHIS and LOINC are removing this barrier, so the future will bring increasing use of EPRs. The remaining barriers are the high complexity of care, time, and costs of capturing physician recorded data electronically. We will discuss these last barriers and future developments that could eliminate them. (author abst.) |
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