Asunto(s)
National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division/historia , Calidad de la Atención de Salud/historia , Informe de Investigación/historia , Atención a la Salud/normas , Política de Salud/historia , Historia del Siglo XX , Historia del Siglo XXI , Calidad de la Atención de Salud/normas , Estados Unidos , United States Agency for Healthcare Research and Quality/historiaAsunto(s)
Redes Comunitarias/historia , Investigación sobre Servicios de Salud/historia , Atención Primaria de Salud/historia , Redes Comunitarias/economía , Investigación sobre Servicios de Salud/economía , Historia del Siglo XX , Historia del Siglo XXI , Atención Primaria de Salud/economía , Estados Unidos , United States Agency for Healthcare Research and Quality/economía , United States Agency for Healthcare Research and Quality/historiaAsunto(s)
Investigación sobre Servicios de Salud/historia , Medicaid/historia , Medicare/historia , Anciano , Bases de Datos Factuales/ética , Investigación sobre Servicios de Salud/ética , Investigación sobre Servicios de Salud/organización & administración , Historia del Siglo XX , Humanos , National Center for Health Statistics, U.S. , Política , Estados Unidos , United States Agency for Healthcare Research and Quality/historiaAsunto(s)
Calidad de la Atención de Salud , United States Agency for Healthcare Research and Quality/historia , Personal Administrativo/historia , Historia del Siglo XX , Historia del Siglo XXI , Liderazgo , Estados Unidos , United States Agency for Healthcare Research and Quality/organización & administraciónRESUMEN
The Agency for Healthcare Research and Quality and its predecessor organizations-collectively referred to here as AHRQ-have a productive history of funding research and development in the field of medical informatics, with grant investments since 1968 totaling $107 million. Many computerized interventions that are commonplace today, such as drug interaction alerts, had their genesis in early AHRQ initiatives. This review provides a historical perspective on AHRQ investment in medical informatics research. It shows that grants provided by AHRQ resulted in achievements that include advancing automation in the clinical laboratory and radiology, assisting in technology development (computer languages, software, and hardware), evaluating the effectiveness of computer-based medical information systems, facilitating the evolution of computer-aided decision making, promoting computer-initiated quality assurance programs, backing the formation and application of comprehensive data banks, enhancing the management of specific conditions such as HIV infection, and supporting health data coding and standards initiatives. Other federal agencies and private organizations have also supported research in medical informatics, some earlier and to a greater degree than AHRQ. The results and relative roles of these related efforts are beyond the scope of this review.