International Comparison of Six Basic eHealth Indicators Across 14 Countries: An eHealth Benchmarking Study

被引:22
作者
Ammenwerth, Elske [1 ]
Duftschmid, Georg [2 ]
Al-Hamdan, Zaid [3 ]
Bawadi, Hala [4 ]
Cheung, Ngai T. [5 ]
Cho, Kyung-Hee [6 ]
Goldfarb, Guillermo [7 ]
Gulkesen, Kemal H. [8 ]
Harel, Nissim [9 ]
Kimura, Michio [10 ]
Kirca, Onder [11 ]
Kondoh, Hiroshi [12 ]
Koch, Sabine [13 ]
Lewy, Hadas [14 ]
Mize, Dara [15 ]
Palojoki, Sari [16 ]
Park, Hyeoun-Ae [17 ]
Pearce, Christopher [18 ]
de Quiros, Fernan G. B. [19 ]
Saranto, Kaija [20 ]
Seidel, Christoph [21 ]
Vimarlund, Vivian [22 ]
Were, Martin C. [23 ]
Westbrook, Johanna [24 ]
Wong, Chung P. [25 ]
Haux, Reinhold [26 ,27 ]
Lehmann, Christoph U. [28 ]
机构
[1] Univ Hlth Sci Med Informat & Technol UMIT, Inst Med Informat, Hall In Tirol, Austria
[2] Med Univ Vienna, Sect Med Informat Management, Vienna, Austria
[3] Jordan Univ Sci & Technol, Fac Nursing, WHO Collaborating Ctr, Irbid, Jordan
[4] Univ Jordan, Maternal & Child Hlth Nursing Dept, Amman, Jordan
[5] Hosp Author, Hong Kong, Peoples R China
[6] Seoul Natl Univ, Seoul, South Korea
[7] Hosp Ninos Dr Ricardo Gutierrez, Med Informat, Buenos Aires, DF, Argentina
[8] Akdeniz Univ, Fac Med, Dept Biostat & Med Informat, Antalya, Turkey
[9] Holon Inst Technol, Dept Comp Sci, Holon, Israel
[10] Hamamatsu Univ, Sch Med, Dept Med Informat, Shizuoka, Japan
[11] Mem & Medstar Oncol Ctr, Dept Clin Oncol, Antalya, Turkey
[12] Tottori Univ Hosp, Dept Med Informat, Yonago, Tottori, Japan
[13] Karolinska Inst, Hlth Informat Ctr, Dept Learning Informat Management & Eth, Stockholm, Sweden
[14] Holon Inst Technol, Digital Hlth Ventures, Holon, Israel
[15] Vanderbilt Univ, Dept Biomed Informat, 221 Kirkland Hall, Nashville, TN 37235 USA
[16] Univ Eastern Finland, Dept Hlth & Social Management, Kuopio, Finland
[17] Seoul Natl Univ, Coll Nursing, Seoul, South Korea
[18] Outcome Hlth, Res, Blackburn, Lancs, Australia
[19] Hosp Italiano Buenos Aires, Dept Hlth Informat, Buenos Aires, DF, Argentina
[20] Univ Eastern Finland, Dept Hlth & Social Management, Kuopio, Finland
[21] Minist Social Affairs Hlth & Equal Opportun, Div eHlth Digitalisat & Social Hlth Econ Lower Sa, Hannover, Germany
[22] Linkoping Univ, Dept Comp & Informat Sci, Linkoping, Sweden
[23] Vanderbilt Univ, Med Ctr, Nashville, TN USA
[24] Macquarie Univ, Ctr Hlth Syst & Safety Res, Australian Inst Hlth Innovat, Fac Med & Hlth Sci, Macquarie, Australia
[25] Hong Kong Soc Med Informat, Hong Kong, Peoples R China
[26] TUBraunschweig, Peter L Reichertz Inst Med Informat, Braunschweig, Germany
[27] Hannover Med Sch, Braunschweig, Germany
[28] Univ Texas Southwestern Med Ctr Dallas, Clin Informat Ctr, Dept Pediat Bioinformat & Populat & Data Sci, Dallas, TX 75390 USA
关键词
health information exchange; health information systems; continuity of patient care; patient-centered care; eHealth; international health; HEALTH;
D O I
10.1055/s-0040-1715796
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
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.
引用
收藏
页码:e46 / e63
页数:18
相关论文
共 22 条
  • [1] Centers for Disease Control and Prevention, PUBL HLTH PROM INT P
  • [2] Diffusion dynamics of electronic health records: A longitudinal observational study comparing data from hospitals in Germany and the United States
    Esdar, Moritz
    Huesers, Jens
    Weiss, Jan-Patrick
    Rauch, Jens
    Huebner, Ursula
    [J]. INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2019, 131
  • [3] European Commission, BENCHMARKING DEPLOYM
  • [4] What is e-health?
    Eysenbach, G.
    [J]. JOURNAL OF MEDICAL INTERNET RESEARCH, 2001, 3 (02)
  • [5] Factors Determining the Success and Failure of eHealth Interventions: Systematic Review of the Literature
    Granja, Conceicao
    Janssen, Wouter
    Johansen, Monika Alise
    [J]. JOURNAL OF MEDICAL INTERNET RESEARCH, 2018, 20 (05)
  • [6] A Brief Survey on Six Basic and Reduced eHealth Indicators in Seven Countries in 2017
    Haux, Reinhold
    Ammenwerth, Elske
    Koch, Sabine
    Lehmann, Christoph U.
    Park, Hyeoun-Ae
    Saranto, Kaija
    Wong, C. P.
    [J]. APPLIED CLINICAL INFORMATICS, 2018, 9 (03): : 704 - 713
  • [7] Hersh William R, 2015, JMIR Med Inform, V3, pe39, DOI 10.2196/medinform.5215
  • [8] Nordic eHealth Indicators: Organisation of Research, First Results and Plan for the Future
    Hypponen, Hannele
    Faxvaag, Arild
    Gilstad, Heidi
    Hardardottir, Gudrun Audur
    Jerlvall, Lars
    Kangas, Maarit
    Koch, Sabine
    Nohr, Christian
    Pehrsson, Thomas
    Reponen, Jarmo
    Walldius, Ake
    Vimarlund, Vivian
    [J]. MEDINFO 2013: PROCEEDINGS OF THE 14TH WORLD CONGRESS ON MEDICAL AND HEALTH INFORMATICS, PTS 1 AND 2, 2013, 192 : 273 - 277
  • [9] ISO, 205142005 ISOTR
  • [10] Health Information Technology Continues to Show Positive Effect on Medical Outcomes: Systematic Review
    Kruse, Clemens Scott
    Beane, Amanda
    [J]. JOURNAL OF MEDICAL INTERNET RESEARCH, 2018, 20 (02)