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第1段

1 .<-NARRATOR:->Now listen to part of a lecture on the topic you just read about.

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第2段

1 .<-FEMALE PROFESSOR:->The benefits claimed for electronic medical records are actually very uncertain.

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第3段

1 .First, the cost savings are unlikely to be as significant as the reading suggests.

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2 .For example, there probably won’t be any savings related to record storage.

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3 .You see, doctors who adopt electronic records usually don’t throw out or discontinue the paper records.

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4 .They keep the paper records as an emergency backup, or because the paper originals with signatures are needed for legal reasons.

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5 .So, as a result, most doctors who adopt electronic record keeping still have to pay storage costs associated with paper-based record keeping.

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第4段

1 .Second, electronic medical records cannot eliminate the possibility of errors caused by poor handwriting or by mistakes in the transcription of data.

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2 .That’s because most doctors, including those who’ve adopted electronic record keeping, still use pen and paper while examining patients.

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3 .They take notes and write prescriptions by hand.

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4 .It’s usually the office staff of a doctor who enter this information at a later time from the handwritten documents into electronic systems.

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5 .So, poor handwriting can still lead to errors in the records, since the staff members have to interpret what the doctor has written.

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第5段

1 .Third—medical research would not necessarily benefit from electronic record keeping.

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2 .Researchers will still find it difficult to access and use medical information.

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3 .That’s because access to all medical information is subject to strict privacy laws in the United States.

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4 .Privacy laws exist to allow patients to keep their medical information private if they wish to.

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5 .As a consequence, researchers who want to collect data from electronic medical records have to follow strict and complicated procedures and obtain many permissions along the way, including permissions from the patients.

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6 .And often such permissions are not granted.

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7 .For example, patients can block the use of their medical records for any purpose other than their own medical treatment.

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