Adoption rates of electronic health records in Turkish Hospitals and the relation with hospital sizes.

Tytuł:: Adoption rates of electronic health records in Turkish Hospitals and the relation with hospital sizes.
Autorzy:: Kose I; Department of Health System Engineering, Istanbul Medipol University, 34810, Istanbul, Turkey. .
Rayner J; HIMSS Analytics for Europe and Latin America, Huddersfield, UK.
Birinci S; Ministry of Health, 06800, Ankara, Turkey.
Ulgu MM; Ministry of Health, 06800, Ankara, Turkey.
Yilmaz I; Ministry of Health, 06800, Ankara, Turkey.
Guner S; Istanbul Medipol University, 34810, Istanbul, Turkey.
Corporate Authors:: HIMSS Analytics Team
MoH Team
Źródło:: BMC health services research [BMC Health Serv Res] 2020 Oct 21; Vol. 20 (1), pp. 967. Date of Electronic Publication: 2020 Oct 21.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : BioMed Central, [2001-
MeSH Terms:: Electronic Health Records/*organization & administration
Health Facility Size/*statistics & numerical data
Hospitals, State/*organization & administration
Electronic Health Records/statistics & numerical data ; Hospitals, State/statistics & numerical data ; Humans ; Surveys and Questionnaires ; Turkey
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Contributed Indexing:: Investigator: SK Mahir; K Aycil; BO Elmas; E Volkan; Z Altinbas; G Gencyurek; E Zehir; B Gundogdu; M Ozcan; C Vardar; B Altinli; JS Hasancebi
Keywords: CDSS; EMRAM; Electronic health records; meaningful use; CPOE; PACS; HIMSS; eMAR
Entry Date(s):: Date Created: 20201022 Date Completed: 20210202 Latest Revision: 20231112
Update Code:: 20240105
PubMed Central ID:: PMC7580017
DOI:: 10.1186/s12913-020-05767-5
PMID:: 33087106
: Czasopismo naukowe

Pełny tekst

Background: Nation-wide adoption of electronic health records (EHRs) in hospitals has become a Turkish policy priority in recognition of their benefits in maintaining the overall quality of clinical care. The electronic medical record maturity model (EMRAM) is a widely used survey tool developed by the Healthcare Information and Management Systems Society (HIMSS) to measure the rate of adoption of EHR functions in a hospital or a secondary care setting. Turkey completed many standardizations and infrastructural improvement initiatives in the health information technology (IT) domain during the first phase of the Health Transformation Program between 2003 and 2017. Like the United States of America (USA), the Turkish Ministry of Health (MoH) applied a bottom-up approach to adopting EHRs in state hospitals. This study aims to measure adoption rates and levels of EHR use in state hospitals in Turkey and investigate any relationship between adoption and use and hospital size.
Methods: EMRAM surveys were completed by 600 (68.9%) state hospitals in Turkey between 2014 and 2017. The availability and prevalence of medical information systems and EHR functions and their use were measured. The association between hospital size and the availability/prevalence of EHR functions was also calculated.
Results: We found that 63.1% of all hospitals in Turkey have at least basic EHR functions, and 36% have comprehensive EHR functions, which compares favourably to the results of Korean hospitals in 2017, but unfavorably to the results of US hospitals in 2015 and 2017. Our findings suggest that smaller hospitals are better at adopting certain EHR functions than larger hospitals.
Conclusion: Measuring the overall adoption rates of EHR functions is an emerging approach and a beneficial tool for the strategic management of countries. This study is the first one covering all state hospitals in a country using EMRAM. The bottom-up approach to adopting EHR in state hospitals that was successful in the USA has also been found to be successful in Turkey. The results are used by the Turkish MoH to disseminate the nation-wide benefits of EHR functions.

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