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Rethinking the electronic health record through the quadruple aim: time to align its value with the health system.
BMC Medical Informatics and Decision Making ( IF 3.3 ) Pub Date : 2020-02-17 , DOI: 10.1186/s12911-020-1048-9
Hassane Alami 1, 2, 3 , Pascale Lehoux 1, 3 , Marie-Pierre Gagnon 4, 5 , Jean-Paul Fortin 4, 6 , Richard Fleet 4, 7, 8 , Mohamed Ali Ag Ahmed 9
Affiliation  

Electronic health records (EHRs) are considered as a powerful lever for enabling value-based health systems. However, many challenges to their use persist and some of their unintended negative impacts are increasingly well documented, including the deterioration of work conditions and quality, and increased dissatisfaction of health care providers. The "quadruple aim" consists of improving population health as well as patient and provider experience while reducing costs. Based on this approach, improving the quality of work and well-being of health care providers could help rethinking the implementation of EHRs and also other information technology-based tools and systems, while creating more value for patients, organizations and health systems.

中文翻译:

通过四重目标重新思考电子健康记录:是时候将其价值与健康系统保持一致。

电子病历(EHR)被认为是启用基于价值的卫生系统的强大杠杆。然而,使用它们的许多挑战仍然存在,并且越来越多地记录了它们的一些意想不到的负面影响,包括工作条件和质量的恶化以及医疗保健提供者的不满情绪的增加。“四重目标”包括在降低成本的同时改善人口健康以及改善患者和医疗提供者的体验。基于这种方法,提高医疗服务提供者的工作质量和福祉可能有助于重新思考电子病历和其他基于信息技术的工具和系统的实施,同时为患者,组织和卫生系统创造更多价值。
更新日期:2020-04-22
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