Redesigning electronic health record systems to support public health
| Autor: | Sharib A. Khan, Kempton Presley, Kayann Stephens, John D. Chelico, Jessica S. Ancker, Connie V. Chan, Karthik Natarajan, Selasie Mortoti, Rita Kukafka |
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| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Knowledge management Medical Records Systems Computerized New York Health Informatics Assessment Health informatics Clinical decision support system health services administration Environmental health Medicine Patient-centered health records health care economics and organizations Health policy HRHIS Surveillance business.industry Public health Assurance International health Decision Support Systems Clinical Decision support Computer Science Applications Public health informatics Policy development Population Surveillance Health law Public Health business Public Health Administration Medical Informatics |
| Zdroj: | Journal of biomedical informatics. 40(4) |
| ISSN: | 1532-0480 |
| Popis: | Current electronic health record systems are primarily clinical in focus, designed to provide patient-level data and provider-level decision support. Adapting EHR systems to serve public health needs provides the possibility of enormous advances for public health practice and policy. In this review, we evaluate EHR functionality and map it to the three core functions of public health: assessment, policy development, and assurance. In doing so, we identify and discuss important design, implementation, and methodological issues with current systems. For example, in order to support public health’s traditional focus on preventive health and socio-behavioral factors, EHR data models would need to be expanded to incorporate environmental, psychosocial, and other non-medical data elements, and workflow would have to be examined to determine the optimal way of collecting these data. We also argue that redesigning EHR systems to support public health offers benefits not only to the public health system but also to consumers, health-care institutions, and individual providers. |
| Databáze: | OpenAIRE |
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