International Comparison of Six Basic eHealth Indicators Across 14 Countries: An eHealth Benchmarking Study
| Autor: | Reinhold Haux, Martin C. Were, Sabine Koch, Christoph U. Lehmann, Johanna I. Westbrook, Georg Duftschmid, Ngai Tseung Cheung, Hadas Lewy, Kemal Hakan Gülkesen, Christoph Seidel, Dara L. Mize, Kaija Saranto, Sari Palojoki, Fernán Gonzalez Bernaldo de Quirós, Michio Kimura, Kyung-Hee Cho, Elske Ammenwerth, Chung P. Wong, Guillermo Goldfarb, Nissim Harel, Hyeoun-Ae Park, Zaid Al-Hamdan, Christopher Pearce, Onder Kirca, Hiroshi Kondoh, Hala Bawadi, Vivian Vimarlund |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Economic growth
international health 020205 medical informatics education Health Informatics 02 engineering and technology patient-centered care Global Health Health informatics Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Health Information Management Surveys and Questionnaires Health care 0202 electrical engineering electronic engineering information engineering eHealth Humans 030212 general & internal medicine Other Health Sciences Information exchange health care economics and organizations health information exchange Advanced and Specialized Nursing business.industry Developed Countries Medical record International health Health information exchange Benchmarking Continuity of Patient Care Telemedicine Annan hälsovetenskap health information systems continuity of patient care Original Article business |
| Zdroj: | Methods of Information in Medicine |
| Popis: | Background Many countries adopt eHealth applications to support patient-centered care. Through information exchange, these eHealth applications may overcome institutional data silos and support holistic and ubiquitous (regional or national) information logistics. Available eHealth indicators mostly describe usage and acceptance of eHealth in a country. The eHealth indicators focusing on the cross-institutional availability of patient-related information for health care professionals, patients, and care givers are rare. Objectives This study aims to present eHealth indicators on cross-institutional availability of relevant patient data for health care professionals, as well as for patients and their caregivers across 14 countries (Argentina, Australia, Austria, Finland, Germany, Hong Kong as a special administrative region of China, Israel, Japan, Jordan, Kenya, South Korea, Sweden, Turkey, and the United States) to compare our indicators and the resulting data for the examined countries with other eHealth benchmarks and to extend and explore changes to a comparable survey in 2017. We defined “availability of patient data” as the ability to access data in and to add data to the patient record in the respective country. Methods The invited experts from each of the 14 countries provided the indicator data for their country to reflect the situation on August 1, 2019, as date of reference. Overall, 60 items were aggregated to six eHealth indicators. Results Availability of patient-related information varies strongly by country. Health care professionals can access patients' most relevant cross-institutional health record data fully in only four countries. Patients and their caregivers can access their health record data fully in only two countries. Patients are able to fully add relevant data only in one country. Finland showed the best outcome of all eHealth indicators, followed by South Korea, Japan, and Sweden. Conclusion Advancement in eHealth depends on contextual factors such as health care organization, national health politics, privacy laws, and health care financing. Improvements in eHealth indicators are thus often slow. However, our survey shows that some countries were able to improve on at least some indicators between 2017 and 2019. We anticipate further improvements in the future. |
| Databáze: | OpenAIRE |
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