ELECTRONIC HEALTH RECORDS IN MEDICAL INNOVATION: WHAT CAN BE IMPROVED FROM A EUROPEAN PERSPECTIVE?
DOI:
https://doi.org/10.32782/health-2023.4.5Keywords:
electronic health records, artificial intelligence, implementation, legislationAbstract
Electronic health records (EHR) operate with medical documentation in digitized format that allows its fast exchange between healthcare professionals and facilities, increasing the legibility of medical records, etc. Combined with artificial intelligence technologies, EHR have a great potential to boost innovation in healthcare. The presented mini-review aims to highlight the most challenging obstacles to wider EHR implementation and summarise solutions. Digitalisation of medical system (i.e. introducing digital technologies into routine practice) introduce a ‘mistake-proof’ system of decisionmaking in healthcare, multilevel protection of medical data, methods of control of prescribed treatment or intervention, sophisticated technologies for follow-up of patients outside the hospital, increased legibility of medical records and a lot more. Legal, security and interoperability issues could be the reasons that limit establishing widespread EHR implementation. In addition, financial reasons and need of motivation and education of medical staff to work with EHR might be an additional obstacle for EHR development. To overcome the mentioned issues, efforts in unification of medical data structure, classification and other technical aspects of data accumulation should be continued. Financial support from government and other stakeholders is vital for the development of high-quality and user-friendly EHR software. Continuous training of medical staff may improve results and experience of working with EHR. In conclusion, in order to provide the high-quality data electronic health records should be introduced into healthcare more widely and in a more structured way. Continuation of efforts on harmonious EHR implementation in the European Union, financial support of healthcare facilities and improvement of EHR software are needed.
References
Arndt, B.G., Beasley, J.W., Watkinson, M.D., Temte, J.L., Tuan, W.-J., Sinsky, C.A., & Gilchrist, V.J. (2017). Tethered to the EHR: Primary Care Physician Workload Assessment Using EHR Event Log Data and Time-Motion Observations. The Annals of Family Medicine, 15(5), 419–426. https://doi.org/10.1370/afm.2121.
Bender, A.J., & Mecklenburg, R.S. (2017, October 10). How the EMR Is Increasing Innovation and Creativity in Health Care. Harvard Business Review. https://hbr.org/2017/10/how-the-emr-is-increasing-innovation-and-creativity-inhealth-care.
Dash, S., Shakyawar, S.K., Sharma, M., & Kaushik, S. (2019). Big data in healthcare: Management, analysis and future prospects. Journal of Big Data, 6(1), 54. https://doi.org/10.1186/s40537-019-0217-0.
Digitization vs digitalization. SAP Insights. SAP. Retrieved 20 September 2022 from: https://www.sap.com/insights/digitization-vs-digitalization.html.
Ferretti, A., Ienca, M., Hurst, S., & Vayena, E. (2020). Big Data, Biomedical Research, and Ethics Review: New Challenges for IRBs. Ethics & Human Research, 42(5), 17–28. https://doi.org/10.1002/eahr.500065.
Hecht, J. (2019). The future of electronic health records. Nature, 573(7775), S114–S116. https://doi.org/10.1038/d41586-019-02876-y.
OECD. (2021). Health at a Glance 2021: OECD Indicators. OECD. https://doi.org/10.1787/ae3016b9-en.
Park, Y.-T., & Han, D. (2017). Current Status of Electronic Medical Record Systems in Hospitals and Clinics in Korea. Healthcare Informatics Research, 23(3), 189. https://doi.org/10.4258/hir.2017.23.3.189.
Rainer, T., Francisco, L.-V., Lucas, D., Laura, G., & Alena, S. (2020). eHealth, Interoperability of Health Data and Artificial Intelligence for Health and Care in the EU. Lot 1 – Interoperability of Electronic Health Records in the EU (2020). SMART 2019/0056.
Schmeelk, S., Kanabar, M., Peterson, K., & Pathak, J. (2022). Electronic health records and blockchain interoperability requirements: A scoping review. JAMIA Open, 5(3), ooac068. https://doi.org/10.1093/jamiaopen/ooac068.
Uslu, A., & Stausberg, J. (2021). Value of the Electronic Medical Record for Hospital Care: Update From the Literature. Journal of Mdical Internet Research, 23(12), e26323. https://doi.org/10.2196/26323.
Yoon, D., Chang, B.-C., Kang, S.W., Bae, H., & Park, R.W. (2012). Adoption of electronic health records in Korean tertiary teaching and general hospitals. International Journal of Medical Informatics, 81(3), 196–203. https://doi.org/10.1016/j.ijmedinf.2011.12.002.