TY - JOUR
T1 - Utilisation of Electronic Health Records for Public Health in Asia
T2 - A Review of Success Factors and Potential Challenges
AU - Dornan, Lesley
AU - Pinyopornpanish, Kanokporn
AU - Jiraporncharoen, Wichuda
AU - Hashmi, Ahmar
AU - Dejkriengkraikul, Nisachol
AU - Angkurawaranon, Chaisiri
N1 - Publisher Copyright:
© 2019 Lesley Dornan et al.
PY - 2019
Y1 - 2019
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85069758617&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85069758617&partnerID=8YFLogxK
U2 - 10.1155/2019/7341841
DO - 10.1155/2019/7341841
M3 - Review article
C2 - 31360723
AN - SCOPUS:85069758617
SN - 2314-6133
VL - 2019
JO - BioMed Research International
JF - BioMed Research International
M1 - 7341841
ER -