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Title: International health IT benchmarking: learning from cross-country comparisons
Author: Zelmer, Jennifer
Ronchi, Elettra
Hyppönen, Hannele
Lupiáñez Villanueva, Francisco  
Codagnone, Cristiano
Nøhr, Christian
Huebner, Ursula
Fazzalari, Anne
Adler-Milstein, Julia
Others: University of Victoria
Organization for Economic Co-operation and Development
National Institute for Health and Welfare
Aalborg University
Hochschule Osnabrück
Canada Health Infoway
University of Michigan
Universitat Oberta de Catalunya. Estudis de Ciències de la Informació i de la Comunicació
Keywords: health information exchange
health informatics
electronic health record
health policy
Issue Date: 22-Aug-2016
Publisher: Journal of the American Medical Informatics Association
Citation: Zelmer, J., Ronchi, E., Hyppönen, H., Lupiáñez Villanueva, F., Codagnone, C., Nøhr, C., Huebner, U., Fazzalari, A. & Adler-Milstein, J. (2017). International health IT benchmarking: learning from cross-country comparisons. Journal of the American Medical Informatics Association, 24(2), 371-379. doi: 10.1093/jamia/ocw111
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Abstract: 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 telehealth. 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., structural 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 accelerate the progress of individual countries.
Language: English
ISSN: 1067-5027MIAR

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