Abstract
During the last 30 years, governments and private healthcare organizations started to implement Electronic Health Records. These initiatives have evolved in different ways: some of them were quite successful while some others have found important difficulties. Although they share as a common purpose “to improve the health of the patients in a sustainable system”, their objectives and strategies are also different in each project.
Through the existing scientific literature, this article reviews the theoretical benefits of using EHR and the different IT design high level decisions/approaches. It also summarizes the drivers for the adoption of EHR but also the barriers emerged from bad decisions.
The article finishes with a review of seven governmental initiatives on implementing EHR sharing the same general objectives.
Our categorization of findings (theoretical benefits, design decisions, and implementation drivers and barriers), as far as we know, is new in the literature on EHR implementation and we think it could be useful as a framework for analysis of new EHR scenarios and governmental initiatives.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
De Rosis, S., Barsanti, S.: Patient satisfaction, e-health and the evolution of the patient–general practitioner relationship: evidence from an Italian survey. Health Policy (New York). 120(11), 1279–1292 (2016)
Aldosari, B.: Causes of EHR projects stalling or failing: a study of EHR projects in Saudi Arabia. Comput. Biol. Med. 91(October), 372–381 (2017)
Jha, A.K., Doolan, D., Grandt, D., Scott, T., Bates, D.W.: The use of health information technology in seven nations. Int. J. Med. Inform. 77(12), 848–854 (2008)
Al Jarullah, A., El-Masri, S.: Proposal of an architecture for the national integration of electronic health records: a semi-centralized approach. Stud. Health Technol. Inform. 180, 917–921 (2012)
Evans, R.S.: Electronic health records: then, now, and in the future. IMIA Yearb. 25(Suppl. 1), S48–S61 (2016)
Friedman, J.H.: Electronic medical records. Med. Health. R. I. 91(9), 266 (2008)
Andel, C., Davidow, S.L., Hollander, M., Moreno, D.A.: The economics of health care quality and medical errors. - PubMed – NCBI. J Health Care Finan. (2012). https://www.ncbi.nlm.nih.gov/pubmed/23155743. Accessed 25 Nov 2019
Search, C.: Health expenditure per capita, pp. 132–133 (2017)
Cresswell, K.M., Bates, D.W., Sheikh, A.: Ten key considerations for the successful optimization of large-scale health information technology. J. Am. Med. Informatics Assoc. 24(1), 182–187 (2017)
Cresswell, K.M., Bates, D.W., Sheikh, A.: Ten key considerations for the successful implementation and adoption of largescale health information technology. Electron. Heal. Rec. Challenges Des. Implement. 20, 9–23 (2013)
Aminpour, F., Sadoughi, F., Ahamdi, M.: Utilization of open source electronic health record around the world: a systematic review. J. Res. Med. Sci. 19(1), 57–64 (2014)
Kruse, C.S., Kothman, K., Anerobi, K., Abanaka, L.: Adoption factors of the electronic health record: a systematic review. JMIR Med. Informatics 4(2), e19 (2016)
De Pietro, C., Francetic, I.: E-health in Switzerland: the laborious adoption of the federal law on electronic health records (EHR) and health information exchange (HIE) networks. Health Policy (New York) 122(2), 69–74 (2017)
Scholl, J., Syed-Abdul, S., Ahmed, L.A.: A case study of an EMR system at a large hospital in India: Challenges and strategies for successful adoption. J. Biomed. Inform. 44(6), 958–967 (2011)
David, W., et al.: Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality. J. Am. Med. Inform. Assoc. 10(6), 523–530 (2003)
N. E. T. Authority: Evolution of eHealth in Australia Achievements, lessons, and opportunities 21 (2016)
Kolachalam, S.: Progress of e-Health in Australia: health Connect, vol. 4, no. April, pp. 1–8 (2006)
Jones, S.S., Rudin, R.S., Perry, T., Shekelle, P.G.: Health information technology : an updated systematic review with a focus on meaningful use (2014)
Cohen, M.F.: Impact of the HITECH financial incentives on EHR adoption in small, physician-owned practices. Int. J. Med. Inform. 94, 143–154 (2016)
Chang, F., Gupta, N.: Progress in electronic medical record adoption in Canada Recherche Les progrès dans l ’ adoption du dossier médical électronique au Canada. vol. 61, pp. 1076–1084 (2015)
Metsallik, J., Ross, P., Draheim, D., Piho, G.: Ten years of the e-health system in Estonia. In: CEUR Workshop Proceedings, vol. 2336 (2018)
Nøhr, C., et al.: Nationwide citizen access to their health data : analysing and comparing experiences in Denmark, Estonia and Australia, p. 11 (2017)
Burnel, P.: The introduction of electronic medical records in France: more progress during the second attempt. Health Policy (New York) 122(9), 937–940 (2018)
Author information
Authors and Affiliations
Corresponding authors
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this paper
Cite this paper
Moncho, V., Marco-Simo, J.M., Cobarsi, J. (2021). EHR Implementation: A Literature Review. In: Rocha, Á., Ferrás, C., López-López, P.C., Guarda, T. (eds) Information Technology and Systems. ICITS 2021. Advances in Intelligent Systems and Computing, vol 1331. Springer, Cham. https://doi.org/10.1007/978-3-030-68418-1_1
Download citation
DOI: https://doi.org/10.1007/978-3-030-68418-1_1
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-68417-4
Online ISBN: 978-3-030-68418-1
eBook Packages: Intelligent Technologies and RoboticsIntelligent Technologies and Robotics (R0)