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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 115 - 123 (9page)
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초록· 키워드
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Objectives: The objective of this study was to investigate the clinical decision support (CDS) functions and digitalization of clinical documents of Electronic Medical Record (EMR) systems in Korea. This exploratory study was conducted focusing on current status of EMR systems. Methods: This study used a nationwide survey on EMR systems conducted from July 25, 2018 to September 30, 2018 in Korea. The unit of analysis was hospitals. Respondents of the survey were mainly medical recorders or staff members in departments of health insurance claims or information technology. This study analyzed data acquired from 132 hospitals that participated in the survey. Results: This study found that approximately 80% of clinical documents were digitalized in both general and small hospitals. The percentages of general and small hospitals with 100% paperless medical charts were 33.7% and 38.2%, respectively. The EMR systems of general hospitals are more likely to have CDS functions of warnings regarding drug dosage, reminders of clinical schedules, and clinical guidelines compared to those of small hospitals; this difference was statistically significant. For the lists of digitalized clinical documents, almost 93% of EMR systems in general hospitals have the inpatient progress note, operation records, and discharge summary notes digitalized. Conclusions: EMRs are becoming increasingly important. This study found that the functions and digital documentation of EMR systems still have a large gap, which should be improved and made more sophisticated. We hope that the results of this study will contribute to the development of more sophisticated EMR systems.
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참고문헌 (24)
참고문헌 신청
Jha AK / 2009 / Use of electronic health records in U.S. hospitals / N Engl J Med 360(16):1628~1638
Holroyd-Leduc JM / 2011 / The impact of the electronic medical record on structure, process, and outcomes within primary care : a systematic review of the evidence / J Am Med Inform Assoc 18(6):732~737
박영택 / 2017 / Current Status of Electronic Medical Record Systems in Hospitals and Clinics in Korea / Healthcare Informatics Research 23(3):189~198
Garrett P / EMR vs EHR – what is the difference?
Shachak A / 2009 / The impact of electronic medical records on patient-doctor communication during consultation:a narrative literature review / J Eval Clin Pract 15(4):641~649
Holroyd-Leduc JM / 2011 / The impact of the electronic medical record on structure, process, and outcomes within primary care : a systematic review of the evidence / J Am Med Inform Assoc 18(6):732~737
박영택 / 2017 / Current Status of Electronic Medical Record Systems in Hospitals and Clinics in Korea / Healthcare Informatics Research 23(3):189~198
Garrett P / EMR vs EHR – what is the difference?
Shachak A / 2009 / The impact of electronic medical records on patient-doctor communication during consultation:a narrative literature review / J Eval Clin Pract 15(4):641~649
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