Survey on Medical Records and EHR in Asia-Pacific Region

Kimura, Michio; Croll, Peter; Li, B.; Wong, Chung P.; Gogia, Shashi Bhushan; Faud, A.; Kwak, Yun Sik; Chu, S.; Marcelo, Alvin; Chow, Yvonne; Paoin, Wansa; Li, Y. C J

doi:10.3414/me11-02-0002

Cited by 16 publications

(4 citation statements)

References 7 publications

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“…However, the adoption rate of EHRs has been low leading to the passage of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009; now, adoption in the United States has significantly increased the number of medical practices who use EHRs [9]. Furthermore, the use of EHRs is increasing in both developing and developed countries [9, 10, 11, 12, 13, 14] leading to widespread use of EHRs by nephrologists. In this article, we will review the structure and function of EHRs, its role in early identification and management of CKD patients, and its potential uses in clinical research related to kidney disease.…”

Section: Introductionmentioning

confidence: 99%

Electronic health records: a new tool to combat chronic kidney disease?

Navaneethan

Jolly²,

Sharp

et al. 2013

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Electronic health records (EHRs) were first developed in the 1960s as clinical information systems for document storage and retrieval. Adoption of EHRs has increased in the developed world and is increasing in developing countries. Studies have shown that quality of patient care is improved among health centers with EHRs. In this article, we review the structure and function of EHRs along with an examination of its potential application in CKD care and research. Well-designed patient registries using EHRs data allow for improved aggregation of patient data for quality improvement and to facilitate clinical research. Preliminary data from the United States and other countries have demonstrated that CKD care might improve with use of EHRs-based programs. We recently developed a CKD registry derived from EHRs data at our institution and complimented the registry with other patient details from the United States Renal Data System and the Social Security Death Index. This registry allows us to conduct a EHRs-based clinical trial that examines whether empowering patients with a personal health record or patient navigators improves CKD care, along with identifying participants for other clinical trials and conducting health services research. EHRs use have shown promising results in some settings, but not in others, perhaps attributed to the differences in EHRs adoption rates and varying functionality. Thus, future studies should explore the optimal methods of using EHRs to improve CKD care and research at the individual patient level, health system and population levels.

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Section: Introductionmentioning

confidence: 99%

Electronic health records: a new tool to combat chronic kidney disease?

Navaneethan

Jolly²,

Sharp

et al. 2013

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“…Multiple studies highlighted interventions based around software, web-based platforms, or mobile technologies [21, 24, 25, 36, 37, 46]. Specific ICT interventions incorporated elements of automation [28, 30, 44, 49, 52]; data standardization or quality control [17, 22, 24, 31–33, 35, 47]; data visualisations or data mapping [21, 35, 37, 38, 44, 45, 49]; and data analysis tools [22, 24, 29, 39–41, 46]. Finally, some studies also specifically mentioned measures protecting patient information [17, 33, 36, 38].…”

Section: Resultsmentioning

confidence: 99%

“…A recent international comparative study of the use of electronic medical records (EMR) for research found that the procedures for information governance, levels of adoption, and required time and ease of obtaining consent varied significantly across the countries [14]. Existing systems for collecting and analysing data frequently lack coordination and effective interconnectedness within the departmental and hospital systems, creating challenges in the analysis and interpretation of patient outcomes, particularly as it pertains to a specific population or community [15–17]. The ability to provide effective and preventative care management will require a more sophisticated and expansive level of data collection on selected populations that currently outstrips the capacity of most healthcare organizations [18].…”

Section: Introductionmentioning

confidence: 99%

“…However, the gap between medical demands and supply also varies significantly between high- and low- and middle-income countries (HIC; LMIC) [17]. The challenge facing public health practitioners is that as EHR and EHR systems progress, the gap between high- and low- and middle-income countries widens, increasing the risk that the most vulnerable populations are left further behind in the provision of effective healthcare and public health strategies.…”

Section: Introductionmentioning

confidence: 99%

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Utilisation of Electronic Health Records for Public Health in Asia: A Review of Success Factors and Potential Challenges

Dornan

Pinyopornpanish

Jiraporncharoen

et al. 2019

BioMed Research International

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Introduction. Electronic health records offer a valuable resource to improve health surveillance and evaluation as well as informing clinical decision making. They have been introduced in many different settings, including low- and middle-income countries, yet little is known of the progress and effectiveness of similar information systems within Asia. This study examines the implementation of EHR systems for use at a population health level in Asia and to identify their current role within public health, key success factors, and potential barriers in implementation. Material and Methods. A systematic search process was implemented. Five databases were searched with MeSH key terms and Boolean phrases. Articles selected for this review were based on hospital provider electronic records with a component of implementation, utilisation, or evaluation for health systems or at least beyond direct patient care. A proposed analytic framework considered three interactive components: the content, the process, and the context. Results. Thirty-two articles were included in the review. Evidence suggests that benefits are significant but identifying and addressing potential challenges are critical for success. A comprehensive preparation process is necessary to implement an effective and flexible system. Discussion. Electronic health records implemented for public health can allow the identification of disease patterns, seasonality, and global trends as well as risks to vulnerable populations. Addressing implementation challenges will facilitate the development and efficacy of public health initiatives in Asia to identify current health needs and mitigate future risks.

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Rationale, history, and basics of telehealth

Gogia¹

2020

Fundamentals of Telemedicine and Telehealth

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Survey on Medical Records and EHR in Asia-Pacific Region

Abstract: This survey on the health record background information has yielded the above mentioned results. This information contributes to the planning and evaluation of medical information systems in the Asia-Pacific region.

Cited by 16 publications

References 7 publications

Electronic health records: a new tool to combat chronic kidney disease?

Electronic health records: a new tool to combat chronic kidney disease?

Utilisation of Electronic Health Records for Public Health in Asia: A Review of Success Factors and Potential Challenges

Rationale, history, and basics of telehealth

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