《大家健康》杂志稿约函

正《大家健康》杂志是经国家新闻出版总署正式批准,由国家卫生部新闻中心指导、吉林省卫生厅主管,现代医卫报刊社主办的学术类综合医学期刊,本刊已被CNK数据库(中国知网)收录.《中文科技期刊数据库》、《中国核心期刊(遴选)数据库》,《万方数据-数字化期刊群数据库》、《中国学术期刊(光盘版)数据库》、《中国学术期刊综合评价数据库来源期刊》、《中文生物医学期刊数据库》     

电子健康档案联合新媒介载体对社区居民健康促进效果的范围综述

目的 立足于应用电子健康档案干预改善社区居民健康素养的相关文献调研现状,系统分析电子健康档案联合新媒介载体对社区居民的健康促进效果,以及电子健康档案的信息利用现状,明确电子健康档案在临床活动中的应用进展。方法 基于Arksey和O’Mallry概况性评价框架方法,检索PubMed、中国知网(CNKI)数据库中有关电子健康档案的应用途径与其效果的国内外文献。用描述性分析、数据汇总展示所纳入研究的分布情况,并依据与研究问题和目标相关的研究及主要发现撰写范围综述(scoping review),并提出建议。结果 共检索到1 167篇相关文献,通过排序筛选、浏览标题、阅读摘要、全文分析后,最终有9篇核心文献纳入概况性评价,根据研究途径进行分类,可分为APP和(或)可穿戴设备、微信、疾病健康相关网站(或系统)三大类,这些新媒介载体联合电子健康档案的模式能促进慢性病患者的自我健康管理。结论 电子健康档案可提高患者健康素养,但其推广与应用受获取途径、信息安全、用户年龄等影响,在国内仍有诸多待改进之处。积极鼓励和引导居民了解并主动应用电子健康档案,完善相关法律体系是当前阶段推广电子健康档案的必然要求。     

《大家健康》杂志征稿启事

正《大家健康》杂志是国家新闻出版总署正式批准的国家级医学专业性综合学术期刊。由卫生部、吉林省卫生厅主管,现代医卫报刊社主办。国际标准刊号:ISSN 1009-6019、国内统一刊号:CN22-1109/R、邮发代号:12-121,本刊为大16开。本刊已被CNK数据库(中国知网)收录.《中文科技期刊数据库》、《中国核心期刊(遴选)数据库》,《万方数据-数字化期刊群数据库》、《中国学术期刊(光盘版)数据库》、《中国学术期刊综合评价数据库来源期刊》、《中文生物医学期刊数据库》等收录。用医学的科学理论和临床技术指     

关于《热带医学杂志》启用“科技期刊学术不端检测系统”的通知

AMLC系统是经国家新闻出版总署、国家科技部、全国科研诚信管理委员会等单位指导,由中国学术期刊(光盘版)电子杂志社与清华同方知网(北京)技术有限公司共同研制开发。该系统以《中国学术文献网络出版总库》为全文对比数据库,收     

关于《中华全科医学》杂志启用“科技期刊学术不端检测系统”的通知

AMLC系统是经国家新闻出版总署、国家科技部、全国科研诚信管理委员会等单位指导,由中国学术期刊(光盘版)电子杂志社与清华同方知网(北京)技术有限公司共同研制开发。该系统以《中国学术文献网络出版总库》为全文对比数据库,收录了     

《大家健康》杂志征稿启事

正《大家健康》杂志是国家新闻出版总署正式批准的国家级医学专业性综合学术期刊。由卫生部、吉林省卫生厅主管,现代医卫报刊社主办。国际标准刊号:ISSN1009-6019、国内统一刊号:CN22-1109/R、邮发代号:12-121,本刊为大16开。本刊已被CNK数据库(中国知网)收录.《中文科技期刊数据库》、《中国核心期刊(遴选)数据库》,《万方数据一数字化期刊群数据库》、《中国学术期刊(光盘版)数据库》、《中国学术期刊综合评价数据库来源期     

《大家健康》杂志征稿启事

正《大家健康》杂志是国家新闻出版总署正式批准的国家级医学专业性综合学术期刊。由卫生部、吉林省卫生厅主管,现代医卫报刊社主办。国际标准刊号:ISSN1009—6019、国内统一刊号:CN22-1109/R、邮发代号:12—121,本刊为大16开。本刊已被CNK数据库(中国知网)收录.《中文科技期刊数据库》、《中国核心期刊(遴选)数据库》,《万方数据一数字化期刊群数据库》、《中国学术期刊(光盘版)数据库》、《中国学术期刊综合评价数据库来源期     

国家级期刊《大家健康》杂志征稿启事

正《大家健康》杂志是国家新闻出版总署正式批准的国家级医学专业性综合学术期刊。由卫生部、吉林省卫生厅主管,现代医卫报刊社主办。国际标准刊号:ISSN 1009-6019、国内统一刊号:CN22-1109/R、邮发代号:12-121,本刊为大16开。本刊已被CNK数据库(中国知网)收录.《中文科技期刊数据库》、《中国核心期刊(遴选)数据库》,《万方数据-数字化期刊群数据库》、《中国学术期刊(光盘版)数据库》、《中国学术期刊综合评价数据库来源期     

祖卡木颗粒治疗新型冠状病毒肺炎的潜在物质基础研究

目的 通过网络药理学和分子对接技术探究祖卡木颗粒治疗新型冠状病毒肺炎(COVID-19)的潜在物质基础.方法 在中国知网和中药系统药理学数据库和分析平台(TCMSP)数据库检索祖卡木颗粒中十味药材的化学成分与作用靶点,使用GeneCards及NCBI数据库获取COVID-19靶点,UniProt数据库查询靶点对应的基因...     

声明

本刊已入编中国知网(包括优先数字出版)和《中国学术期刊》(光盘版)。作者稿件一经录用,将同时被中国知网和《中国学术期刊》(光盘版)等数据库收录;已被本刊录用并经编辑加工的部分稿件,编辑部审查符合条     

基于文献计量学的电子健康档案研究现状、热点及趋势分析

目的：从文献角度探讨国际电子健康档案研究历史与现状,以及近五年的研究热点。方法：文献计量、共词分析、聚类分析。结果与讨论：高频主题词共现聚类分析显示电子健康档案的核心技术、功能和应用、安全性、医务人员对电子健康档案的认识等是近五年电子健康档案领域的研究热点,可在不同机构问共享的终身电子健康档案将是当前电子健康档案建设的目标。     

国外电子健康档案发展概况及启示

以卫生信息化发展较好的国家英国、美国、加拿大为研究对象,以我国为参照对象,通过网络及文献调研,从法律法规、支撑技术及卫生信息标准等方面对各国电子健康档案建设概况进行综合分析,为我国电子健康档案建设提供参考和借鉴。     

Building the evidence-base to reduce electronic health record–related clinician burden

Clinicians face competing pressures of being clinically productive while using imperfect electronic health record (EHR) systems and maximizing face-to-face time with patients. EHR use is increasingly associated with clinician burnout and underscores the need for interventions to improve clinicians’ experiences. With an aim of addressing this need, we share evidence-based informatics approaches, pragmatic next steps, and future research directions to improve 3 of the highest contributors to EHR burden: (1) documentation, (2) chart review, and (3) inbox tasks. These approaches leverage speech recognition technologies, natural language processing, artificial intelligence, and redesign of EHR workflow and user interfaces. We also offer a perspective on how EHR vendors, healthcare system leaders, and policymakers all play an integral role while sharing responsibility in helping make evidence-based sociotechnical solutions available and easy to use.     

Area-level factors associated with electronic health record adoption and meaningful use in the Regional Extension Center Program

Objective

To identify area-level correlates of electronic health record (EHR) adoption and meaningful use (MU) among primary care providers (PCPs) enrolled in the Regional Extension Center (REC) Program.

Materials and methods

County-level data on 2013 EHR adoption and MU among REC-enrolled PCPs were obtained from the Office of the National Coordinator for Health Information Technology and linked with other county-level data sources including the Area Resource File, American Community Survey, and Federal Communications Commission''s broadband availability database. Hierarchical models with random intercepts for RECs were employed to assess associations between a broad set of area-level factors and county-level rates of EHR adoption and MU.

Results

Among the 2715 counties examined, the average county-level EHR adoption and MU rates for REC-enrolled PCPs were 87.5% and 54.2%, respectively. Community health center presence and Medicaid enrollment concentration were positively associated with EHR adoption, while metropolitan status and Medicare Advantage enrollment concentration were positively associated with MU. Health professional shortage area status and minority concentration were negatively associated with EHR adoption and MU.

Discussion

Increased financial incentives in areas with greater concentrations of Medicaid and Medicare enrollees may be encouraging EHR adoption and MU among REC-enrolled PCPs. Disparities in EHR adoption and MU in some low-resource and underserved areas remain a concern.

Conclusions

Federal efforts to spur EHR adoption and MU have demonstrated some early success; however, some geographic variations in EHR diffusion indicate that greater attention needs to be paid to ensuring equitable uptake and use of EHRs throughout the US.     

Cost-Effectiveness Evaluation of EHR: Simulation of an Abdominal Aortic Aneurysm in the Emergency Department

Health care organizations have installed electronic systems to increase efficiency in health care. Empirically assessing the cost-effectiveness of technologies to the health care system is a challenging and complex task. This study examined cost-effectiveness of additional clinical information supplied via an EHR system by simulating a case of abdominal aortic aneurysm devised and acted professionally by the Israel Center of Medical Simulation. We conducted a simulation-based study on physicians who were asked to treat a simulated patient for the prevalent medical scenario of hip and leg pain that actually corresponded to an abdominal aortic aneurysm. Half of the participating physicians from the Department of Emergency Medicine at Tel-Hashomer Hospital – Israel’s largest - had access to an EHR system that integrates medical data from multiple health providers (community and hospitals) in addition to the local health record, and half did not. To model medical decision making, the results of the simulation were combined with a Markov Model within a decision tree. Cost-effectiveness was analyzed by comparing the effects of the admission/discharge decision in units of quality adjusted life years (QALYs) to the estimated costs. The results showed that using EHR in the ED increases the QALY of the patient and improves medical decision-making. The expenditure per patient for one QALY unit as a result of using the EHR was $1229, which is very cost-effective according to many accepted threshold values (less than all these values). Thus, using the EHR contributes to making a cost-effective decision in this specific but prevalent case.     

A Secure EHR System Based on Hybrid Clouds

Consequently, application services rendering remote medical services and electronic health record (EHR) have become a hot topic and stimulating increased interest in studying this subject in recent years. Information and communication technologies have been applied to the medical services and healthcare area for a number of years to resolve problems in medical management. Sharing EHR information can provide professional medical programs with consultancy, evaluation, and tracing services can certainly improve accessibility to the public receiving medical services or medical information at remote sites. With the widespread use of EHR, building a secure EHR sharing environment has attracted a lot of attention in both healthcare industry and academic community. Cloud computing paradigm is one of the popular healthIT infrastructures for facilitating EHR sharing and EHR integration. In this paper, we propose an EHR sharing and integration system in healthcare clouds and analyze the arising security and privacy issues in access and management of EHRs.     

Are Meaningful Use Stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA Collaborative

Background and objective

Upgrades to electronic health record (EHR) systems scheduled to be introduced in the USA in 2014 will advance document interoperability between care providers. Specifically, the second stage of the federal incentive program for EHR adoption, known as Meaningful Use, requires use of the Consolidated Clinical Document Architecture (C-CDA) for document exchange. In an effort to examine and improve C-CDA based exchange, the SMART (Substitutable Medical Applications and Reusable Technology) C-CDA Collaborative brought together a group of certified EHR and other health information technology vendors.

Materials and methods

We examined the machine-readable content of collected samples for semantic correctness and consistency. This included parsing with the open-source BlueButton.js tool, testing with a validator used in EHR certification, scoring with an automated open-source tool, and manual inspection. We also conducted group and individual review sessions with participating vendors to understand their interpretation of C-CDA specifications and requirements.

Results

We contacted 107 health information technology organizations and collected 91 C-CDA sample documents from 21 distinct technologies. Manual and automated document inspection led to 615 observations of errors and data expression variation across represented technologies. Based upon our analysis and vendor discussions, we identified 11 specific areas that represent relevant barriers to the interoperability of C-CDA documents.

Conclusions

We identified errors and permissible heterogeneity in C-CDA documents that will limit semantic interoperability. Our findings also point to several practical opportunities to improve C-CDA document quality and exchange in the coming years.     

Creating Content Modules for Chinese EHR Documents and Their Trial Implementation in Wuwei City

Numerous and diverse paper-based health record documents are currently used in China, which are not only different from each other but are also inconsistent with national regulations. If these documents are made to be structured and electronically available, the health records information can be processed by computers to promote a shareable electronic health record (EHR) across organizations. As such, this work was intended to develop a set of content modules to be employed as reusable building blocks for converting the paper-based health records to structured EHR documents. Therefore, in this study, we developed 77 content modules based on the documents of national specifications and implemented them to Wuwei City as a trial. According to the EHR requirements of Wuwei, we added two new content modules in addition to the 77 existing content modules. We then successfully established an EHR system based on the new content modules in combination with the original content modules. This paper could contribute to the construction of structured Chinese EHR documents and provide some experiences as a reference for building EHR systems.     

电子健康档案人机交互现状的分析思考

目的：研究分析EHR系统人机变互界而不友好的原因,给出解决方案。方法：调查EHR用户人机交互方面的需求,论证RIA开发方案,分析RIA两种主流技术Ajax与Flex的特点。结果：EHR系统人机交互界面存存的问题与HTML开发方案有关。结论：选择RIA开发方案、应用Flex技术可使EHR用户获得较理想的人机交互体验。     

电子健康档案人机交互现状的分析思考

目的：研究分析EHR系统人机交互界面不友好的原因,给出解决方案。方法：调查EHR用户人机交互方面的需求,论证RIA开发方案,分析RIA两种主流技术中Ajax与Flex的特点。结果：EHR系统人机交互界面存在的问题与HTML开发方案有关。结论：选择RIA开发方案、应用Flex技术可使EHR用户获得较理想的人机交互体验。