Electronic Health Records Improvements

The use of the EHR has been boosted thanks to the economic incentive offered by the United States government clinics that adopt them

. Among the 155 billion dollars to improve the health almost 26 billion will be allocated to improvements related to ICT for Health . In almost two years since its adoption the promise of a shower of millions to modernize health management has led companies to develop ever more efficient technology.

One of the main arguments to justify the costs of implementing these systems millionaires was to improve the quality of care. But this day has most of the information on the effect of health information technology

health information technology( HIT ) comes from a very small number of centers would not be representative, such as large teaching hospitals or those who adopted the HCE in the first place (being Initial versions).

Therefore the application of these systems has been controversial, the lack of studies about its usefulness, the high costs of implementation, limited acceptance among professionals. Factors that have complicated his integration in most health systems. But now, with a significant number of hospitals that have chosen to computerize their medical records in U.S. studies are beginning to emerge, less optimistic than expected.

The RAND Corporation has conducted a study for the first time taking a large sample of hospitals to measure the impact of EHRs on quality of care. And although unfortunately only have focused on three diseases (heart failure, myocardial infarction and pneumonia) and 17 quality markers in the sample of over 2000 hospitals and prospective model with four-year follow give significant value to the study.

The result, perhaps less important, was that heart failure patients received better care in hospitals with a system of HCE basics. Overall results improved throughout the study in all schools and for the three conditions, once again hospitals with basic systems but showed greater improvements than those who did not take digital systems. Also in hospitals that chose systems HCE advanced improvements were even worse.

Although once again the interesting thing comes in the discussion section, with the reflections of the authors argue the need to develop new measurement systems that focus on aspects that could be improved by digitizing health. For example one of the areas where it is expected that the HCE is help in preventing drug interactions, but so far there are no quality measures that value.

In any case the results are negative in reference to the digitization of personal health records health records, but it is a step towards the creation of tools that assess the impact of these measures on the patient. Sooner or later something will have to come if they want to justify the millions invested in this sector.

by:LauraWorks

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