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Unintended Consequences of Nationwide Electronic Health Record Adoption: Challenges and Opportunities in the Post-Meaningful Use Era

Colicchio, Tiago K ; Cimino, James J ; Del Fiol, Guilherme

Journal of medical Internet research, 2019-06, Vol.21 (6), p.e13313-e13313 [Periódico revisado por pares]

Canada: Journal of Medical Internet Research

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Título:
Unintended Consequences of Nationwide Electronic Health Record Adoption: Challenges and Opportunities in the Post-Meaningful Use Era
Autor: Colicchio, Tiago K ; Cimino, James J ; Del Fiol, Guilherme
Assuntos: American Recovery & Reinvestment Act 2009-US ; Burnout ; Business models ; Electronic health records ; Electronic Health Records - standards ; Electronic records ; Financial incentives ; Health care industry ; Health information ; Health promotion ; Hospitals ; Humans ; Informatics ; Information technology ; Innovations ; Meaningful Use - standards ; Medical colleges ; Medical informatics ; Medical Informatics - methods ; Medical personnel ; Medical technology ; Policy making ; Research methodology ; Saturation ; United States ; Usability testing ; Vendors ; Viewpoint
É parte de: Journal of medical Internet research, 2019-06, Vol.21 (6), p.e13313-e13313
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: The US health system has recently achieved widespread adoption of electronic health record (EHR) systems, primarily driven by financial incentives provided by the Meaningful Use (MU) program. Although successful in promoting EHR adoption and use, the program, and other contributing factors, also produced important unintended consequences (UCs) with far-reaching implications for the US health system. Based on our own experiences from large health information technology (HIT) adoption projects and a collection of key studies in HIT evaluation, we discuss the most prominent UCs of MU: failed expectations, EHR market saturation, innovation vacuum, physician burnout, and data obfuscation. We identify challenges resulting from these UCs and provide recommendations for future research to empower the broader medical and informatics communities to realize the full potential of a now digitized health system. We believe that fixing these unanticipated effects will demand efforts from diverse players such as health care providers, administrators, HIT vendors, policy makers, informatics researchers, funding agencies, and outside developers; promotion of new business models; collaboration between academic medical centers and informatics research departments; and improved methods for evaluations of HIT.
Editor: Canada: Journal of Medical Internet Research
Idioma: Inglês

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Unintended Consequences of Nationwide Electronic Health Record Adoption: Challenges and Opportunities in the Post-Meaningful Use Era

Colicchio, Tiago K ; Cimino, James J ; Del Fiol, Guilherme

Canada: Journal of Medical Internet Research

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