Adam C Powell1, Jasmine K Ludhar2, Yuri Ostrovsky3. 1. 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. Electronic address: powell@payerprovider.com. 2. 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. Electronic address: jasmine664@live.com. 3. 398 Columbus Ave #321 Boston, MA 02116-6008, United States. Electronic address: yo@post.harvard.edu.
Abstract
OBJECTIVES: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
OBJECTIVES: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
Authors: Satchit Balsari; Alexander Fortenko; Joaquín A Blaya; Adrian Gropper; Malavika Jayaram; Rahul Matthan; Ram Sahasranam; Mark Shankar; Suptendra N Sarbadhikari; Barbara E Bierer; Kenneth D Mandl; Sanjay Mehendale; Tarun Khanna Journal: J Med Internet Res Date: 2018-07-13 Impact factor: 5.428