Electronic Health Records and the National Health Information Network: Affordable, Adoptable, and Ready for Prime Time?

Basch, Peter

doi:10.7326/0003-4819-143-3-200508020-00009

Cited by 24 publications

(11 citation statements)

References 4 publications

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“…Such records have been slow to migrate to the primary care office because of high startup costs, an inpatient focus and workflow concerns 78-79. However, changes in reimbursement systems such as incentives for use of electronic health records and the cost of conducting quality audits without EHRs are increasing their uptake.…”

Section: Phase 4: Next Steps--implementing the Medical Homementioning

confidence: 99%

Evolution of Child Mental Health Services in Primary Care

Kelleher

Stevens

2009

Academic Pediatrics

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Objective While the importance of mental health assessment and treatment in primary care is increasingly recognized, the research that underlies current practices largely stems from a considerable body of non-mental health primary care studies. Our purpose was to describe trends in research over the past two decades and suggest further key items for the research agenda. Methods We reviewed the literature broadly on health services research in pediatrics, especially studies of changes in primary care practice, and examined recent articles in primary care mental health services. Results The evolution of primary care mental health services for children has been slow, but the focus of research has changed with the development of clinical improvements. Proposals to deliver more effective services have evolved over the past forty years in a series of approaches that paralleled initiatives in the broader fields of medicine and pediatrics. Current trends in electronic technology, practice consolidation and coordination, and personalized medicine are likely to increase the pace of change in mental health services for primary care. Conclusion The evolution of pediatric mental health services in primary care suggests a continuing expansion from a focus initially on provider behavior and quality to a growing attention to patient and systems' behavior over time and within communities.

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Section: Phase 4: Next Steps--implementing the Medical Homementioning

confidence: 99%

Evolution of Child Mental Health Services in Primary Care

Kelleher

Stevens

2009

Academic Pediatrics

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“…Electronic decision support systems (EDSS) in medicine are defined as computerized platforms that assist clinical decision‐making through the use of algorithms based on specific parameters and established guidelines 1 . Implementation of such systems has been advocated by such groups as the American Institute of Medicine as part of a strategy to reduce the incidence of medical errors 2–5 . Use of electronic information systems and EDSS in Australia are increasing; however, there are few evaluative studies in the ED context 6…”

Section: Introductionmentioning

confidence: 99%

“…1 Implementation of such systems has been advocated by such groups as the American Institute of Medicine as part of a strategy to reduce the incidence of medical errors. [2][3][4][5] Use of electronic information systems and EDSS in Australia are increasing; however, there are few evaluative studies in the ED context. 6 Acute asthma management in ED, with recognized consensus guidelines and management algorithms, is one area where EDSS can be clinically evaluated.…”

Section: Introductionmentioning

confidence: 99%

Improving adherence to asthma clinical guidelines and discharge documentation from emergency departments: Implementation of a dynamic and integrated electronic decision support system†

Kwok

Dinh

Dinh³

et al. 2009

Emerg Medicine Australasia

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“…The literature provides evidence of failed clinical systems and lack of adoption by users [11]- [13]. Challenges and barriers to implementation and adoption of electronic health record have been extensively debated.…”

Section: Literature Reviewmentioning

confidence: 99%

Critical Issues in Implementing and Adopting National e-Health Solutions: Lessons from Australia’s MyHealth Record

Muhammad

Wickramasinghe

2018

Proceedings of the 51st Hawaii International Conference on System Sciences

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Globally, healthcare reforms are being initiated to address the tremendous challenges facing healthcare systems. Without exception, these reforms include the implementation of a variety of e-health solutions. Such e-health solutions are complex and have far reaching implications. We argue that while these implementations and adoptions of e-health solutions are necessary, it is essential that an appropriate lens of analysis should be used to maximise and sustain the benefits of IS/IT (information systems/information technology) in healthcare delivery. Hence, in this paper, we proffer Actor-Network Theory (ANT) as an appropriate lens to evaluate these various e-health solutions and illustrate in the context of MyHealth Record, the chosen e-health solution for Australia. The results of this study reveal that the implementation of eHealth is a complex process and approaching it nationally, serves to make it significantly more challenging with enormous barriers.

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Electronic Health Records and the National Health Information Network: Affordable, Adoptable, and Ready for Prime Time?

Cited by 24 publications

References 4 publications

Evolution of Child Mental Health Services in Primary Care

Evolution of Child Mental Health Services in Primary Care

Improving adherence to asthma clinical guidelines and discharge documentation from emergency departments: Implementation of a dynamic and integrated electronic decision support system†

Critical Issues in Implementing and Adopting National e-Health Solutions: Lessons from Australia’s MyHealth Record

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