The Lifesaving Impact of Electronic Medical Records for HIV Patients
研究显示,在马拉维的106家HIV诊所中,用电子病历替代纸质记录使五年后年死亡率降低28%,对儿童影响最大,主要源于效率提升而非医疗质量变化。
Abstract This paper shows that replacing paper-based records with electronic medical records (EMRs) improves HIV patient retention and prevents AIDS deaths in the low-income country of Malawi. An event study of 106 HIV clinics shows a 28 percent reduction in annual deaths five years after EMR implementation, with the greatest impact on children. Improvements in health outcomes appear due to efficiency gains, rather than to changes in the medical care provided at visits. These efficiency gains allow clinics to better manage patient data, trace lapsed patients and return them into care, and adapt to higher patient volumes over time.