A Comparison of How Canada, England, and Denmark are Managing their Electronic Health Record Journeys

Author(s):  
Denis Protti

Healthcare is one of the world’s most information-intensive industries. Every day, volumes of data are produced which, properly used, can improve clinical practice and outcomes, guide planning and resource allocation, and enhance accountability. Electronic health information is fundamental to better healthcare. There will be no significant increase in healthcare quality and efficiency without high quality, user-friendly health information compiled and delivered electronically. The growing use of information and communication technology (ICT) in the healthcare sector has introduced numerous opportunities and benefits to patients, providers and governments alike. Patients are being provided with tools to help them manage and monitor their healthcare, providers are able to seamlessly access up-to-date patient information, and governments are showing transparency to the public by reporting health data and information on their websites. There is mounting evidence that national, regional, and organizational e-health strategies are being developed and implemented worldwide. This chapter provides an overview of three different national e-health strategies, and identifies the lessons learned from the e-health strategies of Canada, England and Denmark.

2011 ◽  
pp. 402-417 ◽  
Author(s):  
Denis Protti

Healthcare is one of the world’s most information-intensive industries. Every day, volumes of data are produced which, properly used, can improve clinical practice and outcomes, guide planning and resource allocation, and enhance accountability. Electronic health information is fundamental to better healthcare. There will be no significant increase in healthcare quality and efficiency without high quality, user-friendly health information compiled and delivered electronically. The growing use of information and communication technology (ICT) in the healthcare sector has introduced numerous opportunities and benefits to patients, providers and governments alike. Patients are being provided with tools to help them manage and monitor their healthcare, providers are able to seamlessly access up-to-date patient information, and governments are showing transparency to the public by reporting health data and information on their websites. There is mounting evidence that national, regional, and organizational e-health strategies are being developed and implemented worldwide. This chapter provides an overview of three different national e-health strategies, and identifies the lessons learned from the e-health strategies of Canada, England and Denmark.


Author(s):  
Mohammad Zahedul Alam ◽  
Wang Hu ◽  
Aslam Uddin

Digital transformation in healthcare services has massive potential to ensure healthcare quality, accessibility, equality & affordability in developing countries. Bangladesh is not exception to this trend for digitalization of healthcare sector as a part of vision 2021 of digital Bangladesh. This paper aims to explore the current standing of the digital transformation in healthcare services sector of the public, private & NGOs, as well as the managerial and technical challenges facing the digitalization of healthcare projects in Bangladesh. The digital transformation in healthcare is at the introductory stage in Bangladesh. Studies explored that although digitalization of this sector remains somewhat problematic, the difficulties and challenges could be overcome. Due to lack of technological knowhow, literacy, poverty, trust, attitudes, resistance to change and infrastructural facilities, this project does not work effectively and efficiently. Based on the assessment of this sector, the scope of some fields requires further improvement. The findings will help government agencies, policymakers, healthcare providers and mobile phone companies to make effective decisions regarding the digitalization of Healthcare services.  


2021 ◽  
Author(s):  
Simone Arvisais-Anhalt ◽  
May Lau ◽  
Christoph U. Lehmann ◽  
A Jay Holmgren ◽  
Richard J. Medford ◽  
...  

UNSTRUCTURED While the Office of The National Coordinator for Health Information Technology’s (ONC) Information Blocking Provision of the Cures Act Final Rule is an important step forward in providing patients free and unfettered access to their electronic health information (EHI), in the contexts of multi-user electronic health record (EHR) access and proxy access concerns emerged over the potential for harm in adolescent care contexts. We describe how the provision could erode the trust and the willingness of patients (both adolescent and older patients alike) to seek care. The rules’ preventing harm exception does not apply to situations where the patient is a minor and the healthcare provider wishes to restrict a parent’s or guadian’s access to the minor’s EHI to avoid violating the minor’s confidentiality and potentially harming patient-clinician trust. This may violate government-developed principles in the design and implementation of EHRs for pediatric care. Creating legally acceptable workarounds by means such as duplicate “shadow charting” will be burdensome (and prohibitive) for healthcare providers. Under the privacy exception, patients have the opportunity to request information not be shared; however, depending upon institutional practices, providers and patients may have limited awareness of this exception. Notably, the privacy exception states that providers cannot “improperly encourage or induce a patient’s request to block information”. Fearing being found in violation of the information-blocking provisions, providers may feel unable to guide patients navigating releasing their EHI in the multi-use/proxy access setting. ONC should provide more detailed guidance on their website and targeted outreach to providers and their specialty organizations who care for adolescents and other individuals affected by the Cures Act, and researchers should carefully monitor charting habits in these multi-user/proxy access situations.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Cheick Oumar Bagayoko ◽  
Jack Tchuente ◽  
Diakaridia Traoré ◽  
Gaetan Moukoumbi Lipenguet ◽  
Raymond Ondzigue Mbenga ◽  
...  

Author(s):  
Laura D. Leonard ◽  
Ben Himelhoch ◽  
Victoria Huynh ◽  
Dulcy Wolverton ◽  
Kshama Jaiswal ◽  
...  

Author(s):  
Prajesh Chhanabhai ◽  
Alec Holt

Information and Communication Technology (ICT) has undergone rapid change in the last decade and it is now readily accessible within many communities. This change has resulted in a revolution in the healthcare sector as technology has steadily empowered the health consumer. However, the problem of the digital divide remains and may be widening with the growth of technology. This chapter will examine how developing countries have overcome this problem by using varying communication techniques to share health information. The chapter also suggests how mobile phones can provide a more accessible conduit for sharing health information in developing countries as opposed to the Internet alone. These changes need to be embraced in order to provide a framework that will allow ICT to narrow, rather than widen the gap between the information poor and the information rich.


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