Electronic Medical Records in the American Health System: challenges and lessons learned

Abstract Electronic medical records have been touted as a solution to many of the shortcomings of health care systems. The aim of this essay is to review pertinent literature and present examples and recommendations from several decades of experience in the use of medical records in primary health care, in ways that can help primary care doctors to organize their work processes to improve patient care. Considerable problems have been noted to result from a lack of interoperability and standardization of interfaces among these systems, impairing the effective collaboration and information exchange in the care of complex patients. It is extremely important that regional and national health policies be established to assure standardization and interoperability of systems. Lack of interoperability contributes to the fragmentation of the information environment. The electronic medical record (EMR) is a disruptive technology that can revolutionize the way we care for patients. The EMR has been shown to improve quality and reliability in the delivery of healthcare services when appropriately implemented. Careful attention to the impact of the EMR on clinical workflows, in order to take full advantage of the potential of the EMR to improve patient care, is the key lesson from our experience in the deployment and use of these systems.

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Main Authors: Janett,Robert S., Yeracaris,Peter Pano
Format: Digital revista
Language:English
Published: ABRASCO - Associação Brasileira de Saúde Coletiva 2020
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232020000401293
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spelling oai:scielo:S1413-812320200004012932020-04-14Electronic Medical Records in the American Health System: challenges and lessons learnedJanett,Robert S.Yeracaris,Peter Pano Electronic medical records Primary health care Abstract Electronic medical records have been touted as a solution to many of the shortcomings of health care systems. The aim of this essay is to review pertinent literature and present examples and recommendations from several decades of experience in the use of medical records in primary health care, in ways that can help primary care doctors to organize their work processes to improve patient care. Considerable problems have been noted to result from a lack of interoperability and standardization of interfaces among these systems, impairing the effective collaboration and information exchange in the care of complex patients. It is extremely important that regional and national health policies be established to assure standardization and interoperability of systems. Lack of interoperability contributes to the fragmentation of the information environment. The electronic medical record (EMR) is a disruptive technology that can revolutionize the way we care for patients. The EMR has been shown to improve quality and reliability in the delivery of healthcare services when appropriately implemented. Careful attention to the impact of the EMR on clinical workflows, in order to take full advantage of the potential of the EMR to improve patient care, is the key lesson from our experience in the deployment and use of these systems.info:eu-repo/semantics/openAccessABRASCO - Associação Brasileira de Saúde ColetivaCiência & Saúde Coletiva v.25 n.4 20202020-04-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232020000401293en10.1590/1413-81232020254.28922019
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libraryname SciELO
language English
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author Janett,Robert S.
Yeracaris,Peter Pano
spellingShingle Janett,Robert S.
Yeracaris,Peter Pano
Electronic Medical Records in the American Health System: challenges and lessons learned
author_facet Janett,Robert S.
Yeracaris,Peter Pano
author_sort Janett,Robert S.
title Electronic Medical Records in the American Health System: challenges and lessons learned
title_short Electronic Medical Records in the American Health System: challenges and lessons learned
title_full Electronic Medical Records in the American Health System: challenges and lessons learned
title_fullStr Electronic Medical Records in the American Health System: challenges and lessons learned
title_full_unstemmed Electronic Medical Records in the American Health System: challenges and lessons learned
title_sort electronic medical records in the american health system: challenges and lessons learned
description Abstract Electronic medical records have been touted as a solution to many of the shortcomings of health care systems. The aim of this essay is to review pertinent literature and present examples and recommendations from several decades of experience in the use of medical records in primary health care, in ways that can help primary care doctors to organize their work processes to improve patient care. Considerable problems have been noted to result from a lack of interoperability and standardization of interfaces among these systems, impairing the effective collaboration and information exchange in the care of complex patients. It is extremely important that regional and national health policies be established to assure standardization and interoperability of systems. Lack of interoperability contributes to the fragmentation of the information environment. The electronic medical record (EMR) is a disruptive technology that can revolutionize the way we care for patients. The EMR has been shown to improve quality and reliability in the delivery of healthcare services when appropriately implemented. Careful attention to the impact of the EMR on clinical workflows, in order to take full advantage of the potential of the EMR to improve patient care, is the key lesson from our experience in the deployment and use of these systems.
publisher ABRASCO - Associação Brasileira de Saúde Coletiva
publishDate 2020
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232020000401293
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