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Use of Electronic Medical Records and Biomarkers to Manage Risk and Resource Efficiencies

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Ryan, Dermot, Blakey, John, Chisholm, Alison, Price, David, Thomas, Mike, Stallberg, Bjorn, Lisspers, Karin, Kocks, Janwillem and Respiratory Effectiveness Group, . (2017) 'Use of Electronic Medical Records and Biomarkers to Manage Risk and Resource Efficiencies'. European Clinical Respiratory Journal, Vol 4, Issue 1, e1293386.

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Abstract

The migration from paper- to electronic medical records (EMRs) was motivated by administrative need to record, retrieve and process increasing amounts of clinical data in the 1980s. In the intervening period, there has been growing recognition of the potential of such records for achieving care efficiencies, informing clinical decision making and real-life research. EMRs can be used to characterise patient groups, management approaches and differential outcomes. Characterisation can also help with identification of potential biomarkers for future risk determination and likely treatment response. The future heralds even greater opportunities through integration of clinical records and a range of technology-based solutions within a more complete electronic health record (EHR). Through application of algorithms based on identified risk predictors and disease determinants, clinical records could also be used to enable risk stratification of patients to optimise targeted interventions, conserving resources to achieve individual patient and system-wide benefit. In this review, we reflect on the evolution of the EMR and EHR and discuss current and emerging opportunities, particularly with respect to biomarkers and targeting of innovative biologic interventions. We also consider some of the critical issues associated with realising the potential of the EHR as a clinical aid and research tool in an age of emerging technologies.

Item Type: Article
Subjects: W General Medicine. Health Professions > W 82 Biomedical technology (General)
WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Administration and Organization > WA 540 National and state health administration
WF Respiratory System > WF 20 Research (General)
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI): https://doi.org/10.1080/20018525.2017.1293386
Depositing User: Kelly Convey
Date Deposited: 30 Mar 2017 13:57
Last Modified: 06 Feb 2018 13:14
URI: http://archive.lstmed.ac.uk/id/eprint/6768

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