电子病历对改善病人护理的影响

Ifarah Zaman, Ila Chauhan
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引用次数: 1

摘要

在过去几年中,美国以及其他第一世界国家更广泛地使用了患者可访问的电子健康记录,作为鼓励患者参与和共同决策的一种有希望的解决方案。这项研究的目的是改善慢性病患者的依从性和预后,特别是那些开了多种药物的患者。提供以患者为导向的护理是确保患者参与和积极参与的基础,这将产生积极的结果。最近,在优化患者体验的努力中,医患关系得到了更多的关注。两者之间更好的沟通往往会增加满意度,减少针对医生的诉讼数量,并产生积极的临床结果。“有证据表明,医患沟通是就诊中最重要的部分”b[1]。更好的沟通也被证明对减少心理症状有效果,比如压力和恐惧。慢性疾病患者,如2型糖尿病和长期高血压患者,在建立了更好的关系和沟通途径后,表现出更大的改善,“糖尿病患者的药物治疗强化,监测和生理控制得到改善,控制较差和较少检测的患者有很大改善”bbb。因此,对社会和医学界来说,最好是强调和鼓励一种持续沟通的形式,比如电子健康记录。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Electronic Medical Records on Improving Patient Care
In the last few years, patient accessible electronic health records have been used more extensively in the United States, as well as other first world countries, as a promising solution to encourage patient involvement and shared decision making. The purpose of this was to improve compliance and outcomes in chronically ill patients, especially those who are prescribed multiple medications. Providing patient-oriented care is the foundation of ensuring patient involvement and active engagement that will result in positive outcomes. The physician-patient relationship has been given more focus recently, in efforts of optimizing the patient’s experience. Better communication between the two tends to show an increase in satisfaction, lessen the number of lawsuits against the physician, and have positive clinical outcomes. “Evidence has shown patient-provider communication is the most salient part of a medical visit” [1]. Better communication has also shown to have an effect on decreasing psychological symptoms, such as stress and fear.Chronically ill patients, such as those with diabetes mellitus type 2 and long-standing hypertension, show greater improvements after building a better relationship and communication pathway, with “improved drug treatment intensification, monitoring, and physiologic control among patients with diabetes, with great improvements amongst patients with worse control and less testing necessary”[2]. Therefore, it is best for society and the medical community, to emphasize and encourage a form of constant communication, such as electronic health records.
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