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<classification authority="sudocs">GA 1.13:T-AIMD-94-117</classification>
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 <subject>Medical records</subject>
 <subject>Computerized information systems</subject>
 <subject>Medical information systems</subject>
 <subject>Health services administration</subject>
 <subject>Health care cost control</subject>
 <subject>Patient care services</subject>
 <subject>Reporting requirements</subject>
 <subject>Records management</subject>
 <subject>Systems design</subject>
 <subject>Medical research</subject>
 <identifier>Health Security Act</identifier>
 <identifier>DOD Composite Health Care System</identifier>
 <identifier>National Health Care Reform Initiative</identifier>
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 <title>Health Care: Benefits and Barriers to Automated Medical Records</title>
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<abstract>In 1994, health care costs are expected to reach more than $1
trillion--one-seventh of the total U.S. economy.  This level of
spending, its continuing growth, and the lack of standardized health
care information on the types of care being provided and measurable
results, raise concern about whether the United States is getting full
value for each health care dollar spent.  Information systems technology
offers health care providers many opportunities to improve care, control
costs, and report results.  However, most health care providers today
maintain medical records in manual, paper-intensive systems that are
difficult to retrieve information from and require huge amounts of
physical storage space.  The barriers to automating medical records and
developing a systems framework to support health care reform include the
lack of standards, cost of automation, security and privacy issues
arising from the use of automated medical information, and the
reluctance of health care professionals to use new technology.  Any
health care reform proposal will greatly benefit from access to timely
information that can be used to manage and oversee the program.  Strong
federal leadership will be required to ensure that adequate steps are
taken to design, develop, and implement a systems framework that
supports a nationwide program.</abstract>
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<identifier type="preferred citation">GAO/T-AIMD-94-117</identifier>
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<note>Testimony</note>
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<subject>
 <topic>Medical records</topic>
 <topic>Computerized information systems</topic>
 <topic>Medical information systems</topic>
 <topic>Health services administration</topic>
 <topic>Health care cost control</topic>
 <topic>Patient care services</topic>
 <topic>Reporting requirements</topic>
 <topic>Records management</topic>
 <topic>Systems design</topic>
 <topic>Medical research</topic>
 <topic>Health Security Act</topic>
 <topic>DOD Composite Health Care System</topic>
 <topic>National Health Care Reform Initiative</topic>
 <topic>Clinton Health Care Plan</topic>
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