A comparison of electronic health records at two major Peking University Hospitals in China to United States meaningful use objectives

详细信息    查看全文

• 作者：Jianbo Lei (6) (7)
  Paulina Sockolow (8)
  Pengcheng Guan (6)
  Qun Meng (9)
  Jiajie Zhang (7)
  
• 关键词：China ; Electronic health record ; Standard ; Meaningful Use ; United States
• 刊名：BMC Medical Informatics and Decision Making
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：13
• 期：1
• 全文大小：201KB
• 参考文献：1. Ministry of Health, China: / Opinions of the CPC central committee and the state council on deepening the health care system reform. http://shs.ndrc.gov.cn/ygjd/ygwj/t20090408_271138.htm. Accessed October 3, 2012
  2. Meng Q, Xu L, Zhang Y, Qian J, Cai M, Xin Y, Gao J, Xu K, Boerma JT, Barber SL: Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study. / Lancet 2012, 379:805-14. CrossRef
  3. Sinclair JAC: China’s Healthcare reform. / The China Business Review 2009,36(52):32-5.
  4. Blumenthal D, Glaser JP: Information technology comes to medicine. / N Engl J Med 2007, 356:2527-534. CrossRef
  5. General Office of MOH: / Notice of the General Office of the Ministry of Health to solicit, comments of “the basic architecture and data standards of electronic medical records (draft)-/em>. http://www.moh.gov.cn/mohbgt/s6718/200912/45414.shtml. Accessed September 12, 2013
  6. Medical Affairs Office of MOH of China: / Notice of the Ministry of Health on the issuance of -the basic regulations of electronic medical records(Trial)-/em>. http://www.moh.gov.cn/publicfiles/business/htmlfiles/mohyzs/s3585/201003/46174.htm. Accessed October 23, 2012
  7. Medical Affairs Office of MOH of China: / Notice of the Ministry of Health on the issuance of the functional specifications of electronic medical record system (Trial). http://www.moh.gov.cn/mohyzs/s3585/201012/50229.shtml. Accessed September 12, 2013
  8. Center for Statistics and Informatics of MOH of China: / The opinion letter of Center of Statistics and Informatics of MOH to seek public comments on “Technical specifications of hospital information platform based on the electronic medical records, (draft)-/em>. [http://www.moh.gov.cn/mohwsbwstjxxzx/s7968/201103/51079.shtml]. Accessed September 12, 2013.
  9. Center for Statistics and Informatics of MOH of China: / The opinion letter of Center of Statistics and Informatics of MOH to seek public comments on “Technical specifications of regional health information platform technology based on the electronic health record of residents (draft)-/em>. http://www.moh.gov.cn/mohbgt/s6693/200906/41031.shtml, Accessed October 23, 2012
  10. General Office of MOH of China: / The notice of the General Office of the Ministry of Health on the promotion of pilot program of building electronic medical records as the core hospital information. http://wenku.baidu.com/view/e098b6020740be1e650e9a9f.html. Accessed September 12, 2013.
  11. General Office of MOH of China: / The notice of the General Office of the Ministry of Health on the issuance of the second batch of electronic medical records pilot cities and pilot hospitals. http://wenku.baidu.com/view/e6226d0ebb68a98271fefae6.html. Accessed September 12, 2013
  12. China Hospital Information Management Association: / The white paper on China’s hospital information systems. 2008. http://wenku.baidu.com/view/beb7c06eaf1ffc4ffe47ac90.html. Accessed September 12, 2013
  13. China Hospital Information Management Association: / Survey of health information technology adoption status among Chinese hospitals, 2011-012. http://www.chima.org.cn/index.php?m=content&c=index&a=show&catid=10&id=145; accessed August 25, 2013
  14. Tagalicod R, Anthony R, Kahn J: / Medicare & Medicaid EHR incentive programs. 2012. http://www.healthit.gov/providers-professionals/centers-medicare-medicaid-services. Accessed September 12, 2013
  15. Blumenthal D: Stimulating the adoption of health information technology. / N Engl J Med 2009, 360:1477-479. CrossRef
  16. Jha A, Blumenthal D: International adoption of electronic health records, health information technology in the United States: where we stand. / ONC and RWJF 2008, 7:104-42.
  17. the 111th Congress: American recovery and reinvestment act. / ARRA 2009, 2009:PL 111-PL 115.
  18. Office of the National Coordinator for Health Information Technology (ONC), Department of Health and Human Services: Health Information Technology: Initial Set of standards, implementation specifications, and certification criteria for electronic health record technology. / Fed Reg 2010, 45:170.
  19. Sockolow PS, Adelsberger M, Bossone C, Bowles KH: Identifying certification criteriafor home care electronic health record meaningful use. / AMIA Annu Symp Proc 2011, 2011:1280-289.
  20. Taylor JA: / A call to collect industry and occupation codes in healthcare data; White paper. 2011. http://publichealth.drexel.edu/SiteData/docs/ACalltoCol/a18fbd78dd30d9b4/A%20Call%20to%20Collect%20Industry%20and%20Occupation%20Codes%202012%20updated%202.pdf; accessed August 25, 2013
  21. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6947/13/96/prepub
  
• 作者单位：Jianbo Lei (6) (7)
  Paulina Sockolow (8)
  Pengcheng Guan (6)
  Qun Meng (9)
  Jiajie Zhang (7)
  
  6. Center for Medical Informatics, Peking University, Beijing, China
  7. School of Biomedical Informatics, University of Texas Health Sciences Center at Houston, Houston, TX, USA
  8. Drexel University College of Nursing and Health Professions, Philadelphia, PA, USA
  9. Center for Statistics and Informatics, Ministry of Health, Beijing, China
  

文摘

Background In accordance with the People’s Republic of China’s (China) National Health Reform Plan of 2009, two of the nation’s leading hospitals, located in Beijing, have implemented electronic medical record (EMR) systems from different vendors. To inform future EMR adoption and policy in China, as well as informatics research in the US, this study compared the United State’s Hospital Meaningful Use (MU) Objectives (phase 1) objectives to the EMR functionality of two early hospital EMR adopters in China. Methods At both hospitals, the researchers observed a physician using the EMR and noted MU functionality that was seen and functionality that was not seen yet was available in the EMR. The information technology department was asked about the availability of functionality neither observed nor known to the physician. Results and conclusions Approximately half the MU objectives were available in each EMR. Some differences between the EMRs in the study and MU objectives were attributed to operational differences between the health systems and the cultures in the two countries.