摘要介绍了发达国家开展基于电子病历系统数据的医疗质量评价工作经验与趋势,认为电子病历系统是实现医疗质量管理的重要技术手段和支撑工具,是医疗质量评价的优质数据源,在医疗质量评价中扮演着重要角色.建议我国医疗质量评价指标的设计与选择要尽量与国际接轨,并积极参与国际间比较;要整合各类数据采集方式以减少医院数据上报负担,持续提升医院以电子病历为核心的信息化建设水平.

abstractsAn introduction is made to the experiences and trends of EMR-based evaluation of medical care quality in developed countries. The authors held that electronic medical records(EMR)are key technical means and supporting tool for medical care quality management, and quality data source for such evaluation. They recommended that China adapt to international standards in the design and choice of evaluation indicators of medical care quality and engage in international comparisons; integrate various data collection modalities to minimize workload of hospitals in data reporting, and keep elevating hospitals′informationization competence centering on electronic medical records.