Regional health information exchange outside of the centralized national services for public health care in Finland:  A national survey

Keränen, Niina; Tuovinen, Timo; Haverinen, Jari; Ruotanen, Ronja; Reponen, Jarmo

doi:10.23996/fjhw.111775

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…In Finland, HIE between organizations has been promoted through the national Kanta services, in which all public health care organizations have joined [ 25 , 26 ]. Despite this national service uptake, which allows information exchange between organizations, there is still a possibility to use RHIE systems, as highlighted in this study [ 28 ]. The aim of the latest strategy is also to promote interoperable and modular architectures and information security and to ensure sufficient data connections [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

“…The digitalization of health care has progressed well in Finland [17][18][19][20][21][24][25][26][27][28]33]. This has also come to the fore in international studies, which have highlighted the fact that Finland is one of the pioneers in the digitalization of health care [2,3].…”

Section: Introductionmentioning

confidence: 99%

“…In Finland, Kanta health information exchange (HIE) services are being used from 2010 [ 25 , 26 ]. Although all public health care organizations have now joined Kanta, much of the information exchange continues to use regional HIE (RHIE) systems [ 18 - 21 , 27 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

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National Development and Regional Differences in eHealth Maturity in Finnish Public Health Care: Survey Study

Haverinen¹,

Keränen²,

Tuovinen³

et al. 2022

JMIR Med Inform

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Background eHealth increasingly affects the delivery of health care around the world and the quest for more efficient health systems. In Finland, the development of eHealth maturity has been systematically studied since 2003, through surveys conducted every 3 years. It has also been monitored in several international studies. The indicators used in these studies examined the availability of the electronic patient record, picture archiving and communication system, health information exchange, and other key eHealth functionalities. Objective The first aim is to study the national development in the maturity level of eHealth in primary health care and specialized care between 2011 and 2020 in Finland. The second aim is to clarify the regional differences in the maturity level of eHealth among Finnish hospital districts in 2020. Methods Data for this study were collected in 2011, 2014, 2017, and 2020, using web-based questionnaires from the Use of information and communication technology surveys in Finnish health care project. In total, 16 indicators were selected to describe the status of eHealth, and they were based on international eHealth studies and Finnish eHealth surveys in 3 areas: applications, regional integration, and data security and information and communications technology skills. The indicators remain the same in all the study years; therefore, the results are comparable. Results All the specialized care organizations (21/21, 100%) in 2011, 2014, 2017, and 2020 participated in the study. The response rate among primary health care organizations was 86.3% (139/161) in 2011, 88.2% (135/153) in 2014, 85.8% (121/141) in 2017, and 95.6% (130/136) in 2020. At the national level, the biggest developments in eHealth maturity occurred between 2011 and 2014. The development has since continued, and some indicators have been saturated. Primary health care lags behind specialized care organizations, as measured by all the indicators and throughout the period under review. Regionally, there are differences among different types of organizations. Conclusions eHealth maturity has steadily progressed in Finland nationally, and its implementation has also been promoted through various national strategies and legislative changes. Some eHealth indicators have already been saturated and achieved an intensity of use rate of 100%. However, the scope for development remains, especially in primary health care. As Finland has long been a pioneer in the digitalization of health care, the results of this study show that the functionalities of eHealth will be adopted in stages, and deployment will take time; therefore, national eHealth strategies and legislative changes need to be implemented in a timely manner. The comprehensive sample size used in this study allows a regional comparison in the country, compared with previous country-specific international studies.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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National Development and Regional Differences in eHealth Maturity in Finnish Public Health Care: Survey Study

Haverinen¹,

Keränen²,

Tuovinen³

et al. 2022

JMIR Med Inform

Self Cite

View full text Add to dashboard Cite

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Experiences of Electronic Health Records’ and Client Information Systems’ Use on a Mobile Device and Factors Associated With Work Time Savings Among Practical Nurses: Cross-Sectional Study

Paatela,

Kyytsönen,

Saranto

et al. 2024

J Med Internet Res

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Background The transmission of clinical information in nursing predominantly occurs through digital solutions, such as computers and mobile devices, in today’s era. Various technological systems, including electronic health records (EHRs) and client information systems (CISs), can be seamlessly integrated with mobile devices. The use of mobile devices is anticipated to rise, particularly as long-term care is increasingly delivered in environments such as clients’ homes, where computers are not readily accessible. However, there is a growing need for more user-centered data to ensure that mobile devices effectively support practical nurses in their daily activities. Objective This study aims to analyze practical nurses’ experiences of using EHRs or CISs on a mobile device in their daily practice. In addition, it aims to examine the factors associated with work time savings when using EHRs/CISs on a mobile device. Methods A cross-sectional study using an electronic survey was conducted in spring 2022. A total of 3866 practical nurses participated in the survey based on self-assessment. The sample was limited to practical nurses who used EHRs or CISs on a mobile device and worked in home care or service housing within the social welfare or health care sector (n=1014). Logistic regression analysis was used to explore the factors associated with work time savings. Results The likelihood of perceiving work time savings was higher among more experienced EHR/CIS users compared with those with less experience (odds ratio [OR] 1.59, 95% CI 1.30-1.94). Participants with 0-5 years of work experience were more likely to experience work time savings compared with those who had worked 21 years or more (OR 2.41, 95% CI 1.43-4.07). Practical nurses in home care were also more likely to experience work time savings compared with those working in service housing (OR 1.95, 95% CI 1.23-3.07). A lower grade given for EHRs/CISs was associated with a reduced likelihood of experiencing work time savings (OR 0.76, 95% CI 0.66-0.89). Participants who documented client data in a public area were more likely to experience work time savings compared with those who did so in the nurses’ office (OR 2.33, 95% CI 1.27-4.25). Practical nurses who found documentation of client data on a mobile device easy (OR 3.05, 95% CI 2.14-4.34) were more likely to experience work time savings compared with those who did not. Similarly, participants who believed that documentation of client data on a mobile device reduced the need to memorize things (OR 4.10, 95% CI 2.80-6.00) were more likely to experience work time savings compared with those who did not. Conclusions To enhance the proportion of practical nurses experiencing work time savings, we recommend that organizations offer comprehensive orientation and regular education sessions tailored for mobile device users who have less experience using EHRs or CISs and find mobile devices less intuitive to use.

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Experiences of Electronic Health Records’ and Client Information Systems’ Use on a Mobile Device and Factors Associated With Work Time Savings Among Practical Nurses: Cross-Sectional Study (Preprint)

Paatela¹,

Kyytsönen²,

Saranto³

et al. 2023

Preprint

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BACKGROUND Clinical information in nursing is mainly nowadays transmitted using digital solutions such as computers and mobile devices. Different technological systems including electronic health records (EHR) and client information systems (CIS) can be integrated with mobile devices. Mobile device use is expected to increase because long-term care is more often provided in environments, such as at clients’ homes, where computers are rarely available. More user-centred data is needed to ensure mobile devices are effective tools in practical nurses’ daily activities. OBJECTIVE To analyze practical nurses’ experiences of EHR/CIS use on a mobile device in their daily practice, as well as to examine the factors associated with work time savings when using EHR/CIS on a mobile device. METHODS A cross-sectional study based on an electronic survey was conducted during the spring 2022. A total of 3,866 practical nurses responded to the survey. The sample was restricted to practical nurses who used EHR/CIS on a mobile device and who worked in home care or service housing (n=1,014). A logistic regression analysis was used to examine the factors associated with work time savings. RESULTS More experienced EHR/CIS users were more likely to perceive work time savings compared to those with less experience (OR=1.59, 95% CI=1.30–1.94). Participants with work experience of 0–5 years were more likely to have work time savings compared to those who had worked 21 years or more (OR=2.41, 95% CI=1.43–4.07). Practical nurses in home care were more likely to experience work time savings compared to those who worked in service housing (OR=1.95, 95% CI=1.23–3.07). A lower grade given for EHR/CIS was associated with a lower likelihood of experiencing work time savings (OR=0.76, 95% CI=0.66–0.89). Participants who documented client data in a public area were more likely to experience work time savings compared to those who did so in the (nurses’) office (OR=2.33, 95% CI=1.27–4.25). Practical nurses who reported that documentation of client data on a mobile device was easy (OR=3.05, 95% CI=2.14–4.34) and that documentation of client data on a mobile device reduced the need to memorize things (OR=4.10, 95% CI=2.80–6.00) were more likely to experience work time savings compared to others. CONCLUSIONS To increase the proportion of those practical nurses who experience work time savings, we suggest that organizations should provide comprehensive orientation and regular education for those mobile device users who are less experienced of using EHR/CIS and do not find mobile devices as easy to use. User satisfaction is another issue that should be considered and therefore we recommend that end users should be involved more commonly in the development of EHR/CIS.

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Regional health information exchange outside of the centralized national services for public health care in Finland: A national survey

Cited by 4 publications

References 9 publications

National Development and Regional Differences in eHealth Maturity in Finnish Public Health Care: Survey Study

National Development and Regional Differences in eHealth Maturity in Finnish Public Health Care: Survey Study

Experiences of Electronic Health Records’ and Client Information Systems’ Use on a Mobile Device and Factors Associated With Work Time Savings Among Practical Nurses: Cross-Sectional Study

Experiences of Electronic Health Records’ and Client Information Systems’ Use on a Mobile Device and Factors Associated With Work Time Savings Among Practical Nurses: Cross-Sectional Study (Preprint)

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