Does National Regulatory Mandate of Provider Order Entry Portend Greater Benefit Than Risk for Health Care Delivery?: The 2001 ACMI Debate
AUTOR(ES)
Overhage, J. Marc
FONTE
American Medical Informatics Association
RESUMO
The 2001 debate of the American College of Medical Informatics focused on the proposition that national regulatory mandate of computer-based provider order entry (CPOE), to take effect by the end of 2005, portends greater benefit than risk for health care delivery. Both sides accepted that provider order entry offers potential benefit. Those supporting the proposition emphasized public safety, noting that payers have little economic incentive to pay for quality and that a mandate would force vendors to improve the usability and value of their systems. They argued that the mandate would align the economic incentives to finally allow CPOE to be widely adopted. Those opposing the proposition emphasized the risks resulting from a mandate, including the direct implementation costs, the logistic issues of implementation, and the cost of failed implementations. They also noted the potential for errors introduced by the systems themselves and the fact that the safety and utility of commercially available CPOE products have yet to be proved.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=344579Documentos Relacionados
- Provider-based surveys of health care use from the National Center for Health Statistics: an appraisal of their scope and content.
- The Effect of Computerized Provider Order Entry on Medical Student Clerkship Experiences
- Emotional Aspects of Computer-based Provider Order Entry: A Qualitative Study
- Preparation and Use of Preconstructed Orders, Order Sets, and Order Menus in a Computerized Provider Order Entry System
- Health care utilization surveys of the National Center for Health Statistics.