Section 2: Patient Records: The Computerized Patient Record: Where Do We Stand?

M. W. M. Jaspers; P. Knaup; D. Schmidt

doi:10.1055/s-0038-1638464

Yearbook of Medical Informatics, Table of Contents

Yearb Med Inform 2006; 15(01): 29-39
DOI: 10.1055/s-0038-1638464

Survey

Georg Thieme Verlag KG Stuttgart

Section 2: Patient Records: The Computerized Patient Record: Where Do We Stand?

M. W. M. Jaspers

¹Department of Medical Informatics, Academic Medical Center, University of Amsterdam, The Netherlands

,

P. Knaup

²Department of Medical Informatics, Institute for Medical Biometry and Informatics, University of Heidelberg, Germany

,

D. Schmidt

³Department of Medical Informatics, University of Applied Sciences, Heilbronn, Germany

› Author Affiliations

Abstract

Summary

Objectives

To provide an overview of trends in research, developments and implementations of the computerized patient record (CPR) of the last two years.

Methods

We surveyed the medical informatics literature, spanning the years 2004-2005, focusing on publications on CPRs.

Results

The main trends revealed were: 1) the development of technologies to realize privacy and security goals or remote data entry and access to CPRs; 2) investigations into how to enhance the quality and reuse of CPR data; 3) the development and evaluation of decision support functions to be integrated with CPRs; 4) evaluations of the impact of CPRs on clinicians, patients, clinical work settings and patient outcomes; and 5) the further development and use of standards to move towards shared electronic health records (EHRs).

Conclusion

The CPR is playing a growing part in medical informatics research and evaluation studies, but the goal of establishing a comprehensive lifelong EHR is still a long way off. In moving forward to EHRs, convergence of EHR standards seems required to realize true interoperability of health care applications. User acceptance of present-day CPRs (for all categories of users) and compatibility with work patterns has not been achieved yet, and can only be realized by giving these goals high priority. This will require substantial resources for in-depth work flow analysis, development and evaluation of CPRs. Besides this, the implementation of effective CPRs asks for health care organizations that are willing to invest in new developments and to contribute to evaluation studies, to further improve CPRs’ functionalities and enhance their use in practice.

Haux R, Kulikowski C, editors. IMIA Yearbook of Medical Informatics 2006.

Keywords

Medical records systems, computerized - Computer security - Decision support systems, clinical - Evaluation studies - Health informatics, standardization

Full Text

References

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