Powell Adam C, Ludhar Jasmine K, Ostrovsky Yuri
Payer+Provider Syndicate, 111 Beach St. Ste. 4E, Boston, MA 02111, United States; Indian School of Business, Knowledge City, Sector 81, Sahibzada Ajit Singh Nagar, Punjab 140306, India.
Indian School of Business, Knowledge City, Sector 81, Sahibzada Ajit Singh Nagar, Punjab 140306, India; Max Institute of Healthcare Management, Indian School of Business, Knowledge City, Sector 81, Sahibzada Ajit Singh Nagar, Punjab 140306, India.
Int J Med Inform. 2017 Jul;103:78-82. doi: 10.1016/j.ijmedinf.2017.04.011. Epub 2017 Apr 21.
To characterize the electronic health record (EHR) systems in use in an affluent region of India in order to understand the state-of-the-art within the Indian market.
A survey on EHR features was created by combining an instrument developed by the Organisation for International Cooperation and Development and an instrument developed by an American team of researchers. An interviewer directly administered the survey to leaders from hospitals in greater Chandigarh which possessed electronic health information systems. Summary statistics from the survey are reported.
24 hospitals offering multi-specialty inpatient care were identified in greater Chandigarh. 18 of these hospitals had electronic health information systems, 17 of which were interviewed. Of the hospitals with systems, 17 (100%) could access patient demographic information internally, but 12 (71%) could not access vital sign, allergy, or immunization data internally. 11 (65%) of the systems were capable of sharing patient summaries internally, but 13 (76%) could not send electronic referrals internally. Among organizations which have adopted systems, major barriers tend to have been around financial and staff matters. Concerns over interoperability, privacy, and security were infrequently cited as barriers to adoption.
EHRs are ubiquitous in at least one region of India. Systems are more likely to have capabilities for intra-organizational information sharing than for inter-organizational information sharing. The availability of EHR data may foster clinical research.
对印度富裕地区正在使用的电子健康记录（EHR）系统进行特征描述，以便了解印度市场的最新情况。
通过合并经济合作与发展组织开发的一份工具和一个美国研究团队开发的一份工具，创建了一份关于EHR特征的调查问卷。一名访谈者直接对大昌迪加尔地区拥有电子健康信息系统的医院领导进行问卷调查。报告了调查的汇总统计数据。
在大昌迪加尔地区确定了24家提供多专科住院护理的医院。其中18家医院拥有电子健康信息系统，对其中17家进行了访谈。在拥有系统的医院中，17家（100%）能够在内部访问患者人口统计学信息，但12家（71%）无法在内部访问生命体征、过敏或免疫数据。11家（65%）系统能够在内部共享患者摘要，但13家（76%）无法在内部发送电子转诊。在采用系统的组织中，主要障碍往往围绕财务和人员问题。对互操作性、隐私和安全的担忧很少被提及为采用的障碍。
EHR在印度至少一个地区普遍存在。系统更有可能具备组织内信息共享能力，而非组织间信息共享能力。EHR数据的可用性可能会促进临床研究。
