Department of General Practice and Emergency Medicine, Amppipal Hospital, Palungtar, Gorkha, Nepal.
Department of Ear Nose and Throat- Head and Neck Surgery, Bluecross Hospital, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2022 Apr 15;60(248):413-415. doi: 10.31729/jnma.7445.
An integrated electronic health record system is a common platform for efficient and active interaction of four major subsystems namely the medical record system, laboratory system, picture archiving and communication system and enterprise resource planning system. Barriers like knowledge and attitude of computer usage, time consumption, information technology workforce, electricity, cost of technology and devices, data safety and security deter institutions from implementation. However, implementation of this system is inevitable with its inherent advantages of efficient storage and timely retrieval, comparison of lab and imaging data over time, cash billing, institutional resource planning and finally ease of processing insurance claims as the Government of Nepal is looking forward to financing public health sector through the national health insurance system. Many hospitals struggle to implement and maintain integrated electronic health records. We aimed to discuss the steps undertaken to integrate this system in a district hospital setting with the inherent challenges and the subsequent impact.
electronic health record; hospital; Nepal; prescriptions.
一个集成的电子健康记录系统是一个高效和积极互动的四大子系统的共同平台，即病历系统、实验室系统、影像归档和通信系统以及企业资源规划系统。障碍如计算机使用知识和态度、时间消耗、信息技术劳动力、电力、技术和设备成本、数据安全和保障，阻止机构实施。然而，随着其高效存储和及时检索、实验室和成像数据随时间比较、现金计费、机构资源规划以及最后处理保险索赔的便利性，该系统的实施是不可避免的，因为尼泊尔政府期望通过国家健康保险系统为公共卫生部门提供资金。许多医院都在努力实施和维护集成的电子健康记录。我们的目的是讨论在地区医院环境中整合该系统所采取的步骤，以及所面临的固有挑战和随后的影响。
电子健康记录；医院；尼泊尔；处方。
