Patient-centered care and the electronic health record: exploring functionality and gaps.

摘要: Objective Healthcare systems have adopted electronic health records (EHRs) to support clinical care. Providing patient-centered care (PCC) is a goal of many healthcare systems. In this study, we sought explore how existing EHR PCC; defined as understanding the patient whole person, building relational connections between clinician and patient, supporting patients in self-management. Materials methods We assessed availability functions consistent with providing PCC including goals preferences, integrated plans, contextual patient-generated data. surveyed then interviewed technical representatives expert users 6 leading Questions focused on specific data related (for representatives) usefulness clinicians) their EHR. Results Technical (n = 6) reported that communication personalized indications for medications, end life preferences were implemented across Clinician 10) moderate (medians 2-4 5-pointy -35t scale), suggesting potential improvement Interviews revealed clinicians do not shared conception PCC. cases, needed deliver was available only unstructured form. Data functionality are under development these EHRs. Discussion conclusion There current gaps EHRs opportunities practice through redesign.