Park Young-Taek, Han Dongwoon
Health Insurance Review & Assessment Research Institute, Health Insurance Review & Assessment Service, Wonju, Korea.
Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Korea.
Healthc Inform Res. 2017 Jul;23(3):189-198. doi: 10.4258/hir.2017.23.3.189. Epub 2017 Jul 31.
Many healthcare organizations and professionals have had interests in healthcare information and communication technology (ICT). The objective of this study was to investigate the current status of overall healthcare ICT, especially focusing on Electronic Medical Record (EMR) systems in Korea.
This study used a part of the nationwide survey collected for the OECD benchmarking ICT study. The Health Insurance Review and Assessment Service conducted the survey from November 19, 2013 to January 10, 2014. This study followed the methodological guidelines of the OECD. A total of 2,093 hospitals and clinics, including long-term care hospitals, participated in the survey. Among them, 554 hospitals and 906 clinics were included in this study for the generalization of the results.
The adoption rates of EMR systems were 96.3% in hospitals and 95.7% in clinics. Most of the hospitals and clinics had high rates of healthcare information exchange (HIE) within the organization; however, there were extremely low HIE rates among external organizations. Most of the hospitals and clinics had EMR systems with clinical-decision-supporting functionalities. Ninety-six percent of the EMR systems of the hospitals and 89.2% of the clinic systems had checking functions, such as alerts or reminders, on contraindications of drug-drug and drug-age interaction.
Korea has maintained a high healthcare ICT status compared to countries in the European Union. The EMR systems of hospitals and clinics in Korea had sophisticated functionalities; however, their HIE status was extremely low, which indicates the need for healthcare ICT standardization.
许多医疗保健组织和专业人员对医疗保健信息和通信技术（ICT）感兴趣。本研究的目的是调查韩国整体医疗保健ICT的现状，尤其关注电子病历（EMR）系统。
本研究使用了为经合组织ICT基准研究收集的全国性调查的一部分。健康保险审查与评估服务机构于2013年11月19日至2014年1月10日进行了该调查。本研究遵循经合组织的方法指南。共有2093家医院和诊所，包括长期护理医院，参与了调查。其中，554家医院和906家诊所被纳入本研究以推广研究结果。
医院中EMR系统的采用率为96.3%，诊所中为95.7%。大多数医院和诊所在组织内部的医疗保健信息交换（HIE）率较高；然而，外部组织之间的HIE率极低。大多数医院和诊所拥有具备临床决策支持功能的EMR系统。医院的EMR系统中有96%、诊所系统中有89.2%具备针对药物-药物和药物-年龄相互作用禁忌的检查功能，如警报或提醒。
与欧盟国家相比，韩国保持了较高的医疗保健ICT水平。韩国医院和诊所的EMR系统功能复杂；然而，它们的HIE水平极低，这表明需要对医疗保健ICT进行标准化。
