Rethinking the electronic health record through the quadruple aim: time to align its value with the health system.
Burden
Clinic
Electronic health records
Health care delivery
Health system
Quadruple aim
Value
Journal
BMC medical informatics and decision making
ISSN: 1472-6947
Titre abrégé: BMC Med Inform Decis Mak
Pays: England
ID NLM: 101088682
Informations de publication
Date de publication:
17 02 2020
17 02 2020
Historique:
received:
22
06
2019
accepted:
11
02
2020
entrez:
19
2
2020
pubmed:
19
2
2020
medline:
10
10
2020
Statut:
epublish
Résumé
Electronic health records (EHRs) are considered as a powerful lever for enabling value-based health systems. However, many challenges to their use persist and some of their unintended negative impacts are increasingly well documented, including the deterioration of work conditions and quality, and increased dissatisfaction of health care providers. The "quadruple aim" consists of improving population health as well as patient and provider experience while reducing costs. Based on this approach, improving the quality of work and well-being of health care providers could help rethinking the implementation of EHRs and also other information technology-based tools and systems, while creating more value for patients, organizations and health systems.
Identifiants
pubmed: 32066432
doi: 10.1186/s12911-020-1048-9
pii: 10.1186/s12911-020-1048-9
pmc: PMC7027292
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
32Subventions
Organisme : CIHR
Pays : Canada
Références
Am J Med. 2018 Aug;131(8):979-986
pubmed: 29777659
Int J Health Policy Manag. 2017 Sep 13;7(5):421-432
pubmed: 29764106
Health Policy. 2007 Jun;82(1):37-50
pubmed: 16996637
Mayo Clin Proc. 2016 Nov;91(11):1667-1668
pubmed: 27814840
N Engl J Med. 2015 Oct 22;373(17):1585-8
pubmed: 26488690
Ann Intern Med. 2014 May 20;160(10):727-8
pubmed: 24842418
J Am Med Inform Assoc. 2011 Jan-Feb;18(1):38-44
pubmed: 21134975
J Am Med Inform Assoc. 2014 Feb;21(e1):e100-6
pubmed: 24005796
J Med Syst. 2009 Oct;33(5):359-68
pubmed: 19827262
J Gen Intern Med. 2017 Aug;32(8):935-939
pubmed: 28321550
J Gen Intern Med. 2018 Jul;33(7):1109-1115
pubmed: 29700790
Ann Fam Med. 2014 Nov-Dec;12(6):573-6
pubmed: 25384822
CMAJ. 2018 Aug 20;190(33):E994-E995
pubmed: 30127043
Rand Health Q. 2014 Dec 1;3(4):1
pubmed: 28083306
J Am Med Inform Assoc. 2007 Jul-Aug;14(4):415-23
pubmed: 17460127
Perspect Health Inf Manag. 2016 Jan 01;13:1d
pubmed: 26903782
BMC Health Serv Res. 2014 Jun 13;14:254
pubmed: 24927847
J Fam Med. 2016;3(6):
pubmed: 27830215
Ann Intern Med. 2016 Dec 6;165(11):753-760
pubmed: 27595430
J Am Med Inform Assoc. 2006 Sep-Oct;13(5):547-56
pubmed: 16799128
JAMA. 2017 Mar 7;317(9):901-902
pubmed: 28196201
Int J Health Policy Manag. 2019 Mar 10;8(6):337-352
pubmed: 31256566
JAMA. 2016 Sep 6;316(9):923-4
pubmed: 27532804
BMJ. 2013 Jan 28;346:f167
pubmed: 23358487
Ann Fam Med. 2017 Sep;15(5):419-426
pubmed: 28893811
BMJ Qual Saf. 2015 Oct;24(10):608-10
pubmed: 26038586
Lancet. 2009 Nov 14;374(9702):1714-21
pubmed: 19914516
JAMA. 2018 Jan 2;319(1):19-20
pubmed: 29261830
Int J Med Inform. 2009 Apr;78 Suppl 1:S69-76
pubmed: 18786852
Ann Intern Med. 2018 Jul 3;169(1):50-51
pubmed: 29801050
Fam Med. 2019 Feb;51(2):193-197
pubmed: 30736046
BMC Med Inform Decis Mak. 2017 Dec 28;17(1):180
pubmed: 29282048
J Am Med Inform Assoc. 2016 Jul;23(4):829-34
pubmed: 27206458
Tex Heart Inst J. 2018 Aug 1;45(4):198-202
pubmed: 30374225
Int J Med Inform. 2014 Mar;83(3):225-34
pubmed: 24380671
Mayo Clin Proc. 2016 Jul;91(7):836-48
pubmed: 27313121