Abstract
The growing adoption of evidence-based medicine in the United States is acting to cause fundamental changes in the delivery of healthcare management services. With the increasing incorporation of electronic patient records (EPRs) into the day-to-day practice of medicine, it necessitates greater dependence on adequate functioning of such resources, as they become more frequently used as a clinical complement in the practice of medicine. Assessing the patterns of adoption of EPRs is likewise of increasing importance, with the recent imposition of uniform government data collection and management requirements. The medium of data storage and maintenance within many organizations is a critical factor in the ultimate delivery of service, with a like need for an integrated, designated medium for the management of data becoming paramount. This study examines, on a nationwide basis, variation in reported adoption of EPRs within U.S. healthcare organizations, and the related maintenance of dual electronic/paper record systems.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
REFERENCES
Mikkelsen, G., and Aasly, J., Concordance of information in parallel electronic and paper based patient records. Int. J. Med. Inf. 63(3):123-131, 2001.
Jones, R., Pearson, J., McGregor, S., Cawsey, A., Barrett, A., Craig, N., Atkinson, J., Gilmour, W., and McEwen, J., Randomised trial of personalised computer based information for patients. BMJ 319(7219):1241-1247, 1999.
P.L. 104-19. Health Insurance Portability and Accountability Act, 1996.
Computer-Based Patient Record Institute (CPRI). Description of the Computer-Based Patient Record and Computer-Based Patient Record System, Schaumburg, IL, 1995.
Inmon, W., Building the Data Warehouse, John Wiley and Sons, New York, 1996.
May, A., European health policy: Anglo-Swedish lessons. Br. J. Health Care Manag. 6(11):511-514, 2000.
Detmer, D., Richard, D., and Steen, E., The Computer-Based Patient Record: An EssentialTechnology for Healthcare, Rev. edn., National Academy Press, Washington, DC, 1997.
ASTM. E1384: Content and Structure of the Computer-Based Patient Record, West Conshohocken, PA, 1996.
Lorence, D. P., Benchmarking professional practice issues: A preview. J. AHIMA 69(10):53-56, 1998.
Seely-Brown, J., The Social Life of Information, Harvard Business School Press, Cambridge, MA, 2000.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lorence, D.P., Spink, A. & Richards, M.C. EPR Adoption and Dual Record Maintenance in the U.S.: Assessing Variation in Medical Systems Infrastructure. Journal of Medical Systems 26, 357–367 (2002). https://doi.org/10.1023/A:1016453130844
Issue Date:
DOI: https://doi.org/10.1023/A:1016453130844