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  3. Moving hospitals out of paper records and into seamless digital connectivity has been tougher than anyone but hard-core skeptics

Moving hospitals out of paper records and into seamless digital connectivity has been tougher than anyone but hard-core skeptics

admin2022-07-06  29
问题     Moving hospitals out of paper records and into seamless digital connectivity has been tougher than anyone but hard-core skeptics thought seven years ago, when the federal government began pouring billions of dollars into a push to make electronic medical records the universal standard. Computerization of health care data would quickly get patients’ health information where it needs to go, improving care and cutting costs.
    That was the idea—but the path to it has been rocky. Overall, progress has been blocked, among other obstacles, by reluctance to share information with competitors, software from different suppliers that can’t communicate, physicians who have pushed back at hospitals where they had to struggle with unaccustomed computerized routines and the expense, often exceeding $1 billion in large hospital systems, of retooling outdated computers.
    As things now stand, medical records are often incomplete and vital patient information is frequently hiding on health care islands—parked at one large health system but inaccessible to a hospital outside the system where that same patient may have just arrived in the Emergency Room. Or records aren’t sent to primary care providers, leaving them in the dark about the course of a patient’s treatments.
    Amid continued concerns that digitized patient data still isn’t getting to the point of care, and facing pressure from providers and lawmakers who argue that hospitals and other health organizations are being compelled to do too much too fast despite the perception that they should be well down the road, the Department of Health and Human Services recently issued final rules on an advanced set of requirements to make electronic health information more readily available to clinicians. The new standards are promised to be simpler and more flexible, responding to complaints from hospitals and physicians.
    The big picture of hospital connectivity in the U.S. today is "profoundly negative," says Eric Topol, author of "The Patient Will See You Now". "There’s been tremendous resources put into this and little to show for it," he says. "We have a country characterized by information-blocking, where there is a lack of connectivity from one health system to another, and patients are the victims because of all this Tower of Babel."
    Topol points out that countries from Australia to Estonia have broken down barriers to information sharing and given patients greater ownership of their health care by putting their data into their own hands. He believes this model should replace the current "paternalistic" system where the control of patient information remains firmly with hospitals and other health providers. Many places around the world have instead adopted the patients-own-their-data model, Topol says. "Then you don’t worry so much about blocking, because the patient has the goods."
The path to electronic medical records was blocked by
选项 A、lack of universal standard.
B、suppliers’ refusal to cooperate.
C、doctor’s reluctance to use computer.
D、large cost of updating computers.
答案D
解析 第二段提到了四个阻碍向电子病历发展的因素，分别是“竞争者之间不愿共享信息”、“软件供应商之间缺乏交流”、“医生不适应电脑化的操作”以及“更新古旧设备的花费”(expense．．．of retooling outdated computers)。关于最后一点，原文提到，对于大型医院系统，花费超过一百万，故D项的“高花费”正确。A项利于首段的universal standard，该信息与本题无关。B项曲解第二点障碍，原文只是说不同的供应商不愿交流，而不是不愿意与医院合作。C项也是曲解文意，文中的struggle with unaccustomed computerized routines是说医生操作电脑有困难，而不是“医生不愿意用电脑”。
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