Adoption of information technology in primary care physician
offices in New Zealand and Denmark, part 3: medical record
environment comparisons

Protti, Denis; Bowden, Tom; Johansen, Ib

doi:10.14236/jhi.v16i4.704

Cited by 9 publications

(7 citation statements)

References 1 publication

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“…National pilot projects are underway and have been making progress for several years in France 82. In the UK, the English national project (National Program for IT/Connecting for Health) has been making steady progress since 2002, but many prescriptions are still printed as barcodes, and ETP continues to be the key challenge 38,87,88. In more recent years, Northern Ireland and Wales have both implemented national projects also based on printed barcoded prescriptions, while a national ETP project (ePharmacy) was widely adopted in Scotland82.…”

Section: Discussionmentioning

confidence: 99%

National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe

Brennan

McElligott²,

Power³

2015

jhi

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Objective Recent research from the European Commission (EC) suggests that the development and adoption of eHealth in primary care is significantly influenced by the context of the national health model in operation. This research identified three national health models in Europe at this time -the National Health Service (NHS) model, the social insurance system (SIS) model and the transition country (TC) model, and found a strong correlation between the NHS model and high adoption rates for eHealth. The objective of this study is to establish if there is a similar correlation in one specific application area -electronic prescribing (ePrescribing) in primary care. Methods A review of published literature from 2000 to 2014 was undertaken covering the relevant official publications of the European Union and national government as well as the academic literature. An analysis of the development and adoption of ePrescribing in Europe was extracted from these data. Results The adoption of ePrescribing in primary care has increased significantly in recent years and is now practised by approximately 32% of European general practitioners. National ePrescribing services are now firmly established in 11 countries, with pilot projects underway in most others. The highest adoption rates are in countries with the NHS model, concentrated in the Nordic area. The electronic transmission of prescriptions continues to pose a significant challenge, especially in SIS countries and TCs. Conclusions There is a strong correlation between the NHS model and high adoption rates for ePrescribing similar to the EC findings on the adoption of eHealth. It may be some time before many SIS countries and TCs reach the same adoption levels for ePrescribing and eHealth in primary care as most NHS countries.

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Section: Discussionmentioning

confidence: 99%

National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe

Brennan

McElligott²,

Power³

2015

jhi

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“…Examples of apparently successful national programmes to share records between primary and secondary care exist in Scotland, New Zealand, and Denmark. [43][44][45][46][47][48][49][50] In Denmark, for example, all the country's general practices, hospitals, pharmacies, and laboratories are linked via a single national network, and electronic transfer of prescriptions, laboratory results, letters, and emails is the norm, though (perhaps significantly) there is no centrally held record. These national schemes differ in some fundamental technical features, but all report similar critical success factors: a pace of progress commensurate with levels of engagement and tension for change; early and frequent dialogue between key stakeholders to develop a culture of collaboration; systematic attention (such as via focus groups or discussion networks) to potentially contentious issues; strong peer influence (such as through clinical user groups); careful alignment of incentives for both individuals and organisations; transparency in monitoring and evaluation; and balancing central and local leadership.…”

Section: Discussionmentioning

confidence: 99%

Adoption and non-adoption of a shared electronic summary record in England: a mixed-method case study

Greenhalgh¹,

Stramer

Bratan

et al. 2010

BMJ

213

161

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“…SNOMED CT 19 is increasingly used internationally and is progressively being introduced across the UK. 20,21 SNOMED CT is much more sophisticated than Read. It includes concept identifiers (ID) which categorise each code; the equivalent of the chapters in Read.…”

Section: Methods Terminologiesmentioning

confidence: 99%

Call for consistent coding in diabetes mellitus using the Royal College of General Practitioners and NHS pragmatic classification of diabetes

Lusignan¹,

Sadek²,

McDonald³

et al. 2013

Journal of Innovation in Health Informatics

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Adoption of information technology in primary care physician offices in New Zealand and Denmark, part 3: medical record environment comparisons

Cited by 9 publications

References 1 publication

National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe

National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe

Adoption and non-adoption of a shared electronic summary record in England: a mixed-method case study

Call for consistent coding in diabetes mellitus using the Royal College of General Practitioners and NHS pragmatic classification of diabetes

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