Electronic medical records have been used for about ten years in Malawi to follow the progress of patients with HIV.

马拉维使用电子医疗信息已经10多年了，用来跟踪记录艾滋病患者的情况。

The analysis included electronic medical record data from more than 1.8 million patients.

这项分析包括来自180多万名患者的电子病历数据。

There are some challenges that make it difficult to use electronic medical records more widely.

然而，要广泛推广电子医疗记录还有很多困难。

And merging this now with the advent of electronic medical records in the United States, we're still less than 20 percent electronic.

把这个装置和电子医疗记录结合起来, 在美国，电子化仍然少于百分之二十。

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

这是因为大多数医生， 包括那些采用电子病历保存的医生， 在检查病人时仍然使用笔和纸。

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

其次，电子病历不能排除因笔迹不佳或数据转录错误而导致错误的可能性。

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.

因此，想要从电子病历中收集数据的研究人员必须遵循严格而复杂的程序， 并在此过程中获得许多许可， 包括患者的许可。

What's holding us back, is it electronic medical records, is it some fancy doodad, or is it just maybe overconfidence, based on maybe the public health successes of the last 100 years?

是什么阻碍了我们， 是电子病历， 还是一些花哨的玩意儿，或者只是过度自信， 基于过去 100 年的公共卫生成就？

And the organization wanted everyone to do it the same way and to document it in the electronic medical record the same way so that they could bill more accurately for it.

该组织希望每个人都以同样的方式进行操作，并以同样的方式将其记录在电子病历中，以便他们可以更准确地计费。