Beruflich Dokumente
Kultur Dokumente
Agenda
European Commission
a) Survey in late 2010 to access the use of e-health in
hospitals.
b) Found that 65% European hospitals have a common
EHR system, only 45 percent of acute hospitals can
exchange clinical information electronically with
other settings, and telemonitoring remains rare
(8%).
Commonwealth Fund
a) In 2012, released findings of a survey of primary care
physicians in 10 countries.
b) Found notable increase in the use of EHRs but differences
across countries existed.
c) Reported the use of specific HIT capabilitiessuch as order
entry management; generating patient information;
generating panel information; or routine clinical decision
supportand found lower rates of adoption.
OECD
a) Survey uses functionality based approach to measure
availability and use of electronic systems to perform specific
clinical tasks, rather than relying on vague terms that may
mean different things in different settings.
b) OECD approach uses a model survey framework, which is
composed of separate, self-contained modules that afford
flexibility and adaptability to a rapidly changing environment.
Germany
64% adoption of EHRs among acute-care hospitals
and 90% adoption in primary care.
Like Sweden, Germany has struggled to achieve
broad connectivity
Patients at the center of the process for electronic
clinical data sharing
U.S. solution relies almost exclusively on health care
providers sending and receiving information.
Canada
(EHR) is defined as a complete health record that holds all
relevant health information about a person over their lifetime
from all sources.
Acts in place of a series of connections between providers to
exchange specific pieces of clinical data
Canadian approach offers a middle ground between the
provider centric approach of U.S. and the patient-centric
approach of Germany.
Patient-centric, lifelong record, and require that providers
report the key pieces of data.
Conclusions
From all that we have seen we know that
1.There has been a huge paradigm shift in the adoption and the
use of HIT in the US
2.However this is not just a US wide shift but a global one.
3.WHO, the European and the OECD have made real efforts to
facilitate this movement.
4.The US has a lot to learn from countries whose EHR adoption is
at a much advanced level.
References
http://www.who.int/goe/survey/2009/figures/en/index1.html
http://www.ehr-impact.eu/downloads/documents/ehr_impact_study_fin
al.pdf
http://www.ehr-impact.eu/downloads/documents/ehr_impact_study_fin
al.pdf