论文信息 - Use of electronic health records can improve the health care industry's environmental footprint.

Use of electronic health records can improve the health care industry's environmental footprint.

Electronic health records have the potential to improve the environmental footprint of the health care industry. We estimate that Kaiser Permanente's electronic health record system, which covers 8.7 million beneficiaries, eliminated 1,000 tons of paper records and 68 tons of x-ray film, and that it has lowered gasoline consumption among patients who otherwise would have made trips to the doctor by at least three million gallons per year. However, the use of personal computers resulted in higher energy consumption and generated an additional 250 tons of waste. We conclude that electronic health records have a positive net effect on the environment, and that our model for evaluating their impact can be used to determine whether their use can improve communities' health.

[1] Robert Unitan,et al. Improving population care with an integrated electronic panel support tool. , 2011, Population health management.

[2] Terhilda Garrido,et al. The Kaiser Permanente Electronic Health Record: transforming and streamlining modalities of care. , 2009, Health affairs.

[3] Terhilda Garrido,et al. Improved quality at Kaiser Permanente through e-mail between physicians and patients. , 2010, Health affairs.

[4] Richard York,et al. Ecological Paradoxes: William Stanley Jevons and the Paperless Office , 2006 .

[5] David O Meltzer,et al. Estimate of the carbon footprint of the US health care sector. , 2009, JAMA.

[6] J. Sherman,et al. Ecological Responsibility in Anesthesia Practice , 2010, International anesthesiology clinics.

[7] P. Drake,et al. Exposure-related health effects of silver and silver compounds: a review. , 2005, The Annals of occupational hygiene.

[8] Terhilda Garrido,et al. Patient access to an electronic health record with secure messaging: impact on primary care utilization. , 2007, The American journal of managed care.

[9] Tom Carli,et al. What works: CPR/EMR. What a difference an EMR makes. , 2002, Health management technology.

[10] Terhilda Garrido,et al. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study , 2005, BMJ : British Medical Journal.