杂志文章%@ 2291- 9694% I JMIR出版物%V 10% 卡塔尔世界杯8强波胆分析N 9% T自《健康信息技术促进经济和临床健康法》以来电子健康记录的价值:系统综述%A Modi,Shikha %A Feldman,Sue S %+奥本大学政治学系，7074黑利中心，奥本，AL, 36849，美国，1 2563355796,szs0308@auburn.edu %K电子健康记录%K EHRs %K值%K财务结果%K临床结果%K健康信息学%K临床信息学%D 2022 %7 27.9.2022 %9综述%J JMIR Med Inform %G英语%X背景:电子健康记录(EHRs)是在任何医疗保健环境中≥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。方法:采用PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses)进行文献综述。在3个不同的数据库中对关键词、EHRs、价值、财务结果和临床结果进行初步搜索，得到971篇文章，其中去除410篇(42.2%)重复后，561篇(57.8%)被纳入标题和摘要筛选。在标题和摘要筛选阶段，如果文章符合以下任何一个标准:与感兴趣的结果不相关，与电子健康记录不相关，非经验性的，非同行评审的，那么它们将被排除在进一步的评审阶段。应用排除标准后，有80篇研究保留全文回顾。 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. %M 36166286 %R 10.2196/37283 %U https://medinform.www.mybigtv.com/2022/9/e37283 %U https://doi.org/10.2196/37283 %U http://www.ncbi.nlm.nih.gov/pubmed/36166286