Protecting healing relationships in the age of electronic health records: report from an international conference.

Autor:	Toll ET; Pediatrics and Medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA., Alkureishi MA; Pediatrics, The University of Chicago, Chicago, Illinois, USA., Lee WW; Medicine, The University of Chicago, Chicago, Illinois, USA., Babbott SF; Medicine, University of Virginia, Charlottesville, Virginia, USA., Bain PA; Internal Medicine, Bozeman Health, Bozeman, Montana, USA., Beasley JW; Department of Family Medicine and Community Health, University of Wisconsin, Madison, Wisconsin, USA., Frankel RM; Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA., Loveys AA; Pediatrics and Medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA., Wald HS; Family Medicine, The Warren Alpert Medical School of Brown University, Pawtucket, Rhode Island, USA.; Child Neurology and Neurodevelopmental Disabilities, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Woods SS; Medical Informatics, University of New England, Portland, Maine, USA., Hersh WR; Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, Oregon, USA.
Jazyk:	angličtina
Zdroj:	JAMIA open [JAMIA Open] 2019 Jul 05; Vol. 2 (3), pp. 282-290. Date of Electronic Publication: 2019 Jul 05 (Print Publication: 2019).
DOI:	10.1093/jamiaopen/ooz012
Abstrakt:	We present findings of an international conference of diverse participants exploring the influence of electronic health records (EHRs) on the patient-practitioner relationship. Attendees united around a belief in the primacy of this relationship and the importance of undistracted attention. They explored administrative, regulatory, and financial requirements that have guided United States (US) EHR design and challenged patient-care documentation, usability, user satisfaction, interconnectivity, and data sharing. The United States experience was contrasted with those of other nations, many of which have prioritized patient-care documentation rather than billing requirements and experienced high user satisfaction. Conference participants examined educational methods to teach diverse learners effective patient-centered EHR use, including alternative models of care delivery and documentation, and explored novel ways to involve patients as healthcare partners like health-data uploading, chart co-creation, shared practitioner notes, applications, and telehealth. Future best practices must preserve human relationships, while building an effective patient-practitioner (or team)-EHR triad. (© The Author(s) 2019. Published by Oxford University Press on behalf of the American Medical Informatics Association.)
Databáze:	MEDLINE
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