Accelerating the National Implementation of Electronic Health Records in Canada

Francois, Monique J.; Obisike, Ebere Ellison

doi:10.19044/esj.2016.v12n15p65

Cited by 5 publications

(5 citation statements)

References 19 publications

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“…These features are hypothesized to bring several advantages such as the use of clinical decision support for diseases' diagnosis and management, data standardization and coding, provision of timely and reliable analysis and reporting and implementation that is cost-effective [33]. This is in accordance with Francois and Obisike [34] who said that technological developments have contributed significantly to improving the data quality and simplifying health information management activities so that health data management can be carried out more effectively and efficiently.…”

Section: System Designmentioning

confidence: 68%

Analysis of Integrated Information Systems in Community-based and School-based Public Health Surveillance

Hargono

Artanti²,

Syahrul³

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: The involvement of the community in supporting health programs requires an integrated information system. Public health registers obtained by the community means some data is collected repeatedly in different formats or leads to data redundancy. AIM: This research aims to analyze and design an integrated information system model of current community-based and school-based public health surveillance based on a system development life cycle approach. METHODS: Data analysis is carried out using content analysis. RESULTS: The results show that entities involved in the system include health cadres in Posyandu (an integrated health post for maternal and child health), Posbindu (an integrated development post of noncommunicable disease), and school health services. The necessary data include data on vital characteristics, maternal and child health, the risk factors of both communicable and noncommunicable diseases, students’ illness complaints, clean and healthy living behavior, mortality, and environmental health. Information obtained includes the health status of an individual, planning on pregnancy and labor, antenatal care visits, stunting data, immunization status, students’ illness complaints, the number of accidents, larva-free rate, and mortality rate. Information from the system is reported to public health centers, the district health office, and district education office. CONCLUSION: The output of the system is useful to complement the recording and reporting of data from health facilities.

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Section: System Designmentioning

confidence: 68%

Analysis of Integrated Information Systems in Community-based and School-based Public Health Surveillance

Hargono

Artanti²,

Syahrul³

et al. 2022

Open Access Maced J Med Sci

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“…To get patient perspective, patient-based surveys was applied due to advantages it has over population based surveys. Electronic Health Records, like Kenyans DHIS 2, have been found valuable tools for healthcare reforms (Francois & Obisike, 2016).…”

Section: Discussion Of Resultsmentioning

confidence: 99%

Spatial Equity in Devolved Healthcare: Geospatially Exploring Local Disparities in Maternal Healthcare Uptake After Devolution in Kenya

Nyangueso

Hayombe

Owino

2018

ESJ

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Devolved healthcare in Kenya was to ensure provision of proximate and easily accessible services throughout the Country, thereby improving local uptake as an outcome from patient perspective. Over five years after operationalization of the devolved healthcare, it isn’t certain whether or not there have been reducing spatial disparities and/or improving prospects of spatial equity in local utilizations of essential primary healthcare. The paper seeks to explore spatial disparities in maternal healthcare utilization and prospects of realising spatial equity after devolution of healthcare in Kenya. County of Siaya and 30 Wards therein were, respectively, selected as spatially heterogeneous and homogenous multiple cases for the study through retrospective patient-based surveys. The study leveraged on Kenyan webbased health information systems to capture spatial and attribute data on skilled birth attendance and antenatal care before and after devolution by each of the 220 registered health facility the County by Wards. Local utilization ratio, a new innovative indicator, was applied to effectively measure and analyse the spatial disparities in maternal healthcare through ordinary least square spatial regression analysis within spatio-temporal analysis realm using ArcGIS 10.3. Result showed significant positive spatial relationship in maternal service utilizations before and after devolution by Wards (p<0.01, R 2>90%). but stagnating or deteriorating spatial disparities irrespective of either increasing or decreasing uptake of the services. This trend points to lower prospects by devolved healthcare in realizing spatial health equity without improving quality and comprehensiveness of primary health services in Siaya County and related decentralised units in Kenya and beyond.

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“…Therefore, as long as privacy remains an issue, there will also be a need for data linking. For example, a study on a Canada-wide EHR system stated that privacy systems should address the issues of deidentifying health care data and privacy concerns [33,34]; skeptics have warned against adopting a Canada-wide EHR system until then [35]. Furthermore, even with centralized EHRs, the privacy issue will remain in situations of linking with privately collected data, such as mobile data and data collected by wearable devices.…”

Section: Discussionmentioning

confidence: 99%

Why Do Data Users Say Health Care Data Are Difficult to Use? A Cross-Sectional Survey Study

Kim¹,

Kim²,

Joo³

et al. 2019

J Med Internet Res

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Background There has been significant effort in attempting to use health care data. However, laws that protect patients’ privacy have restricted data use because health care data contain sensitive information. Thus, discussions on privacy laws now focus on the active use of health care data beyond protection. However, current literature does not clarify the obstacles that make data usage and deidentification processes difficult or elaborate on users’ needs for data linking from practical perspectives. Objective The objective of this study is to investigate (1) the current status of data use in each medical area, (2) institutional efforts and difficulties in deidentification processes, and (3) users’ data linking needs. Methods We conducted a cross-sectional online survey. To recruit people who have used health care data, we publicized the promotion campaign and sent official documents to an academic society encouraging participation in the online survey. Results In total, 128 participants responded to the online survey; 10 participants were excluded for either inconsistent responses or lack of demand for health care data. Finally, 118 participants’ responses were analyzed. The majority of participants worked in general hospitals or universities (62/118, 52.5% and 51/118, 43.2%, respectively, multiple-choice answers). More than half of participants responded that they have a need for clinical data (82/118, 69.5%) and public data (76/118, 64.4%). Furthermore, 85.6% (101/118) of respondents conducted deidentification measures when using data, and they considered rigid social culture as an obstacle for deidentification (28/101, 27.7%). In addition, they required data linking (98/118, 83.1%), and they noted deregulation and data standardization to allow access to health care data linking (33/98, 33.7% and 38/98, 38.8%, respectively). There were no significant differences in the proportion of responded data needs and linking in groups that used health care data for either public purposes or commercial purposes. Conclusions This study provides a cross-sectional view from a practical, user-oriented perspective on the kinds of data users want to utilize, efforts and difficulties in deidentification processes, and the needs for data linking. Most users want to use clinical and public data, and most participants conduct deidentification processes and express a desire to conduct data linking. Our study confirmed that they noted regulation as a primary obstacle whether their purpose is commercial or public. A legal system based on both data utilization and data protection needs is required.

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Accelerating the National Implementation of Electronic Health Records in Canada

Cited by 5 publications

References 19 publications

Analysis of Integrated Information Systems in Community-based and School-based Public Health Surveillance

Analysis of Integrated Information Systems in Community-based and School-based Public Health Surveillance

Spatial Equity in Devolved Healthcare: Geospatially Exploring Local Disparities in Maternal Healthcare Uptake After Devolution in Kenya

Why Do Data Users Say Health Care Data Are Difficult to Use? A Cross-Sectional Survey Study

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