Building a portable data and information interoperability infrastructure—framework for a standard Taiwan Electronic Medical Record Template

Jian, Wen-Shan; Hsu, Chien‐Yeh; Hao, Te-Hui Angelica; Wen, Hsyien-Chia; Lee, Yen-Liang; Li, Yu-Chuan; Chang, Polun

doi:10.1016/j.cmpb.2007.07.014

Cited by 47 publications

(28 citation statements)

References 3 publications

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“…EMR systems implemented by Taiwan's hospitals use a template-based filing system. The admission note, discharge summary, operation note, etc., each count as one template [22]. A hospital in Taiwan could use hundreds of different medical record templates.…”

Section: Description Of Method/systemmentioning

confidence: 99%

Building a National Electronic Medical Record Exchange System – Experiences in Taiwan

Yen

Chiu

et al. 2015

Computer Methods and Programs in Biomedicine

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Section: Description Of Method/systemmentioning

confidence: 99%

Building a National Electronic Medical Record Exchange System – Experiences in Taiwan

Yen

Chiu

et al. 2015

Computer Methods and Programs in Biomedicine

Self Cite

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“…DOH has introduced Taiwan electronic medical record template (TMT) principally to achieve functional and semantic interoperability of health information within the country. TMT is a local electronic record template that has been developed by adopting international standards, for instance, Health Level Seven (HL7) clinical document architecture (CDA), which is expected to provide interoperability within health-care systems [26]. …”

Section: Literature Reviewmentioning

confidence: 99%

Modeling the adoption of personal health record (PHR) among individual: the effect of health-care technology self-efficacy and gender concern

Dutta

Peng

Sun

2018

Libyan Journal of Medicine

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Background: With the development of information technology (IT) and medical technology, medical information has been developed from traditional paper-based records into up-to-date medical information exchange system called personal health record (PHR). Empowering PHR provides health awareness and intention for health promotion.Objective: The purpose of this study was to present a research framework to examine individuals’ intention to PHR use.Methods: This cross-sectional study used the questionnaire to collect data from the individual in Taiwan. Individual’s intention to use PHR has been examined by a framework based on extended technology acceptance model (TAM), with gender and health-care technology self-efficacy (HTSE) as external variables. Additionally, gender differences were explored in perceptions and relationships among factors influencing an individual’s intention to PHR use. The research framework was evaluated by structural equation modeling (SEM) and represented by Analysis of a Moment Structures (AMOS).Results: A total of 234 valid responses were used for analysis. The results suggest that the extended TAM model explains 40.6% of the variance of intention to PHR use (R2 = 0.406). The findings also supported that perceived usefulness, perceived ease of use, and attitude toward using PHR significantly influenced individual’s intention to PHR use. Additionally, results also indicated that women were more strongly influenced by perceptions of HTSE.Conclusions: The extended TAM model contributes reasonable explanation for interprets and anticipates of individuals’ intention to use and adopt PHR. Moreover, the results have provided support for HTSE and gender as significant variables in TAM. However, the study identified three relevant factors directly and one factor indirectly influencing on individuals’ intention to PHR use. Thus, health care providers and hospital authorities must take these factors and gender difference into consideration in the development and validation of the theories regarding the acceptance of PHR. Based on the findings, the theoretical and practical implications are discussed.

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“…Information technology has promoted collaboration and specialization within community healthcare networks [1,2], while many countries have initiated Electronic Health Record (EHR) projects [3,4,5]. Already, evaluation of applications of EHR to healthcare and research has been reported [6].…”

Section: Introductionmentioning

confidence: 99%

A Survey Aimed at General Citizens of the US and Japan about Their Attitudes toward Electronic Medical Data Handling

Kimura

Nakaya

Watanabe

et al. 2014

IJERPH

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Objectives: To clarify the views of the general population of two countries (US and Japan), concerning the handling of their medical records electronically. Methods: We contacted people nationwide in the United States at random via Random Digit Dialing (RDD) to obtain 200 eligible responders. The questionnaire was for obtaining the information on their attitudes towards handling of their medical records, disclosure of the name of disease, secondary usage of information, compiling their records into a lifelong medical record, and access to their medical records on the Internet. We had also surveyed people of Shizuoka prefecture in Japan using same questionnaires sent by mail, for which we obtained 457 valid answers. Results: Even in an unidentifiable manner, US people feel profit-oriented usage of medical data without specific consent is not acceptable. There is a significant difference between usage of unidentifiable medical data for profit (about 50% feel negatively) and for official/research purposes (about 30% feel negatively). About 60% of the US responders have a negative view on the proposal that unidentifiable medical information be utilized for profit by private companies to attain healthcare cost savings. As regards compiling a lifelong medical record, positive answers and negative answers are almost equally divided in the US (46% vs. 38%) while more positive attitudes are seen in Japan (74% vs. 12%). However, any incentive measures aimed at changing attitudes to such a compiling including the discount of healthcare costs or insurance fees are unwelcomed by people regardless of their age or health condition in both surveys. Regarding the access to their own medical record via the Internet, 38% of the US responders feel this is unacceptable while 50.5% were willing to accept it. Conclusions: Participants from the US think that the extent of the sharing their identifiable medical records should be limited to the doctors-in-charge and specified doctors referred to by their own doctors. On the other hand, Japanese people find it acceptable for doctors of the same hospital to share their medical records. Even in unidentifiable manner, people in both countries think the profits resulting from the secondary use of medical records should be returned to the public or patients. With regard to compiling a lifelong medical record, participants from the US provided both positive answers and negative answers, while more positive attitudes were observed in Japan. However, any incentives or measures aimed at changing attitudes towards such a compilation, including provision of a discount on healthcare costs or insurance fees, were not welcomed by participants from US as well as those from Japan, regardless of their age or health condition.

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Building a portable data and information interoperability infrastructure—framework for a standard Taiwan Electronic Medical Record Template

Cited by 47 publications

References 3 publications

Building a National Electronic Medical Record Exchange System – Experiences in Taiwan

Building a National Electronic Medical Record Exchange System – Experiences in Taiwan

Modeling the adoption of personal health record (PHR) among individual: the effect of health-care technology self-efficacy and gender concern

A Survey Aimed at General Citizens of the US and Japan about Their Attitudes toward Electronic Medical Data Handling

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