International health IT benchmarking : learning from cross-country comparisons
Zelmer, Jennifer; Ronchi, Elettra; Hyppönen, Hannele; Lupianez-Villanueva, Francisco; Codagnone, Cristiano; Noer, Christian; Huebner, Ursula; Fazzalari, Anne; Adler-Milstein, Julia (2017)
Zelmer, Jennifer
Ronchi, Elettra
Hyppönen, Hannele
Lupianez-Villanueva, Francisco
Codagnone, Cristiano
Noer, Christian
Huebner, Ursula
Fazzalari, Anne
Adler-Milstein, Julia
2017
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi-fe2016090623582
Journal of the American Medical Informatics Association : 2
https://urn.fi/URN:NBN:fi-fe2016090623582
Journal of the American Medical Informatics Association : 2
Kuvaus
First published: 22 August 2016
Tiivistelmä
Objective To pilot benchmark measures of health information and communication technology (ICT) availability and use to facilitate cross-country learning.
Materials and Methods A prior Organization for Economic Cooperation and Development–led effort involving 30 countries selected and defined functionality-based measures for availability and use of electronic health records, health information exchange, personal health records, and tele-health. In this pilot, an Organization for Economic Cooperation and Development Working Group compiled results for 38 countries for a subset of measures with broad coverage using new and/or adapted country-specific or multinational surveys and other sources from 2012 to 2015. We also synthesized country learnings to inform future benchmarking.
Results While electronic records are widely used to store and manage patient information at the point of care—all but 2 pilot countries reported use by at least half of primary care physicians; many had rates above 75%—patient information exchange across organizations/settings is less common. Large variations in the availability and use of telehealth and personal health records also exist.
Discussion Pilot participation demonstrated interest in cross-national benchmarking. Using the most comparable measures available to date, it showed substantial diversity in health ICT availability and use in all domains. The project also identified methodological considerations (e.g., struc-tural and health systems issues that can affect measurement) important for future comparisons.
Conclusion While health policies and priorities differ, many nations aim to increase access, quality, and/or efficiency of care through effective ICT use. By identifying variations and describing key contextual factors, benchmarking offers the potential to facilitate cross-national learning and ac-celerate the progress of individual countries.
Materials and Methods A prior Organization for Economic Cooperation and Development–led effort involving 30 countries selected and defined functionality-based measures for availability and use of electronic health records, health information exchange, personal health records, and tele-health. In this pilot, an Organization for Economic Cooperation and Development Working Group compiled results for 38 countries for a subset of measures with broad coverage using new and/or adapted country-specific or multinational surveys and other sources from 2012 to 2015. We also synthesized country learnings to inform future benchmarking.
Results While electronic records are widely used to store and manage patient information at the point of care—all but 2 pilot countries reported use by at least half of primary care physicians; many had rates above 75%—patient information exchange across organizations/settings is less common. Large variations in the availability and use of telehealth and personal health records also exist.
Discussion Pilot participation demonstrated interest in cross-national benchmarking. Using the most comparable measures available to date, it showed substantial diversity in health ICT availability and use in all domains. The project also identified methodological considerations (e.g., struc-tural and health systems issues that can affect measurement) important for future comparisons.
Conclusion While health policies and priorities differ, many nations aim to increase access, quality, and/or efficiency of care through effective ICT use. By identifying variations and describing key contextual factors, benchmarking offers the potential to facilitate cross-national learning and ac-celerate the progress of individual countries.
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