健康记录的不准确阻碍了基于人群的事实发现，我们应该将其视为谁的责任？

Q2 Social Sciences

AMA journal of ethics Pub Date : 2025-01-01 DOI:10.1001/amajethics.2025.6

Kathleen M Akgün, Shelli L Feder

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引用次数: 0

摘要

电子健康记录（EHR）在为流行病学目的整理和汇总健康数据的规模、速度和粒度方面带来了革命性的变化。然而，对患者层面数据进行人群分析的可靠性取决于患者报告、临床医生数据录入以及系统编程方式的准确性或完整性。本病例评论认为，电子病历数据有效性的责任应由包括患者在内的主要利益相关者共同承担。本评论还提出了电子病历数据查询、数据录入和审查流程的模式，其中包含社区合作伙伴、一线临床医生和健康科学专家的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Whom Should We Regard as Responsible for Health Record Inaccuracies That Hinder Population-Based Fact Finding?

Electronic health records (EHRs) have revolutionized the scale, speed, and granularity at which health data can be collated and summarized for epidemiologic purposes. However, population-level analyses of patient-level data are only as reliable as the accuracy or completeness of patient reporting, clinician data entry, and how systems are programmed. This commentary on a case argues that responsibility for the validity of EHR data should be shared among key stakeholders, including patients. This commentary also proposes models for EHR data inquiry, data entry, and review processes that incorporate roles of community partners, frontline clinicians, and health science experts.

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来源期刊

AMA journal of ethics Social Sciences-Health (social science)

CiteScore

1.90

自引率

0.00%

发文量

146

期刊介绍： The AMA Journal of Ethics exists to help medical students, physicians and all health care professionals navigate ethical decisions in service to patients and society. The journal publishes cases and expert commentary, medical education articles, policy discussions, peer-reviewed articles for journal-based and audio CME, visuals, and more. Since its inception as an editorially-independent journal, we promote ethics inquiry as a public good.