A Brief Survey on Six Basic and Reduced eHealth Indicators in Seven Countries in 2017

Reinhold Haux, Elske Ammenwerth, Sabine Koch, Christoph U. Lehmann, Hyeoun Ae Park, Kaija Saranto, C. P. Wong

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background Holistic, ubiquitous support of patient-centered health care (eHealth) at all health care institutions and in patients' homes through information processing is increasingly supplementing institution-centered care. While eHealth indicators may measure the transition from institution-centered (e.g., hospital-centered) information processing to patient-centered information processing, collecting relevant and timely data for such indicators has been difficult. Objectives This article aims to design some basic eHealth indicators, which are easily collected and measure how well information processing supports holistic patient-centered health care, and to evaluate penetrance of patient-centered health as measured by the indicators internationally via an expert survey. Methods We identified six basic indicators that measure access of health care professionals, patients, and caregivers to the patient's health record data and the ability of providers, patients, and caregivers to add information in the patient's record. In a survey of international informatics experts, these indicators' penetrance were evaluated for Austria, Finland, Germany, Hong Kong, South Korea, Sweden, and the United States in the summer of 2017. Results The eHealth status measured by the indicators varied significantly between these seven countries. In Finland, most practices measured by the indicators were fully implemented whereas in Germany only one practice was partially realized. Conclusion Progress in the implementation of practices that support patient-centered care could mainly be observed in those countries where the political will focused on achieving patient-centered care as opposed to an emphasis on institution-centered care. The six eHealth indicators seem to be useful for measuring national progress in patient-centered care. Future work will extend the number of countries analyzed.

Original languageEnglish (US)
Pages (from-to)704-713
Number of pages10
JournalApplied Clinical Informatics
Volume9
Issue number3
DOIs
StatePublished - Jul 1 2018
Externally publishedYes

Fingerprint

Telemedicine
Health care
Patient-Centered Care
Automatic Data Processing
Delivery of Health Care
Health
Penetrance
Finland
Caregivers
Germany
Republic of Korea
Informatics
Austria
Hong Kong
Surveys and Questionnaires
Sweden

Keywords

  • connected health
  • disease management (general)
  • health care
  • health information exchanges
  • health information systems
  • international comparison
  • patient-centered care
  • quality of care

ASJC Scopus subject areas

  • Health Informatics
  • Computer Science Applications
  • Health Information Management

Cite this

A Brief Survey on Six Basic and Reduced eHealth Indicators in Seven Countries in 2017. / Haux, Reinhold; Ammenwerth, Elske; Koch, Sabine; Lehmann, Christoph U.; Park, Hyeoun Ae; Saranto, Kaija; Wong, C. P.

In: Applied Clinical Informatics, Vol. 9, No. 3, 01.07.2018, p. 704-713.

Research output: Contribution to journalArticle

Haux, Reinhold ; Ammenwerth, Elske ; Koch, Sabine ; Lehmann, Christoph U. ; Park, Hyeoun Ae ; Saranto, Kaija ; Wong, C. P. / A Brief Survey on Six Basic and Reduced eHealth Indicators in Seven Countries in 2017. In: Applied Clinical Informatics. 2018 ; Vol. 9, No. 3. pp. 704-713.
@article{6cfdca5ff105440083cfd10332e1584d,
title = "A Brief Survey on Six Basic and Reduced eHealth Indicators in Seven Countries in 2017",
abstract = "Background Holistic, ubiquitous support of patient-centered health care (eHealth) at all health care institutions and in patients' homes through information processing is increasingly supplementing institution-centered care. While eHealth indicators may measure the transition from institution-centered (e.g., hospital-centered) information processing to patient-centered information processing, collecting relevant and timely data for such indicators has been difficult. Objectives This article aims to design some basic eHealth indicators, which are easily collected and measure how well information processing supports holistic patient-centered health care, and to evaluate penetrance of patient-centered health as measured by the indicators internationally via an expert survey. Methods We identified six basic indicators that measure access of health care professionals, patients, and caregivers to the patient's health record data and the ability of providers, patients, and caregivers to add information in the patient's record. In a survey of international informatics experts, these indicators' penetrance were evaluated for Austria, Finland, Germany, Hong Kong, South Korea, Sweden, and the United States in the summer of 2017. Results The eHealth status measured by the indicators varied significantly between these seven countries. In Finland, most practices measured by the indicators were fully implemented whereas in Germany only one practice was partially realized. Conclusion Progress in the implementation of practices that support patient-centered care could mainly be observed in those countries where the political will focused on achieving patient-centered care as opposed to an emphasis on institution-centered care. The six eHealth indicators seem to be useful for measuring national progress in patient-centered care. Future work will extend the number of countries analyzed.",
keywords = "connected health, disease management (general), health care, health information exchanges, health information systems, international comparison, patient-centered care, quality of care",
author = "Reinhold Haux and Elske Ammenwerth and Sabine Koch and Lehmann, {Christoph U.} and Park, {Hyeoun Ae} and Kaija Saranto and Wong, {C. P.}",
year = "2018",
month = "7",
day = "1",
doi = "10.1055/s-0038-1669458",
language = "English (US)",
volume = "9",
pages = "704--713",
journal = "Applied Clinical Informatics",
issn = "1869-0327",
publisher = "Schattauer GmbH",
number = "3",

}

TY - JOUR

T1 - A Brief Survey on Six Basic and Reduced eHealth Indicators in Seven Countries in 2017

AU - Haux, Reinhold

AU - Ammenwerth, Elske

AU - Koch, Sabine

AU - Lehmann, Christoph U.

AU - Park, Hyeoun Ae

AU - Saranto, Kaija

AU - Wong, C. P.

PY - 2018/7/1

Y1 - 2018/7/1

N2 - Background Holistic, ubiquitous support of patient-centered health care (eHealth) at all health care institutions and in patients' homes through information processing is increasingly supplementing institution-centered care. While eHealth indicators may measure the transition from institution-centered (e.g., hospital-centered) information processing to patient-centered information processing, collecting relevant and timely data for such indicators has been difficult. Objectives This article aims to design some basic eHealth indicators, which are easily collected and measure how well information processing supports holistic patient-centered health care, and to evaluate penetrance of patient-centered health as measured by the indicators internationally via an expert survey. Methods We identified six basic indicators that measure access of health care professionals, patients, and caregivers to the patient's health record data and the ability of providers, patients, and caregivers to add information in the patient's record. In a survey of international informatics experts, these indicators' penetrance were evaluated for Austria, Finland, Germany, Hong Kong, South Korea, Sweden, and the United States in the summer of 2017. Results The eHealth status measured by the indicators varied significantly between these seven countries. In Finland, most practices measured by the indicators were fully implemented whereas in Germany only one practice was partially realized. Conclusion Progress in the implementation of practices that support patient-centered care could mainly be observed in those countries where the political will focused on achieving patient-centered care as opposed to an emphasis on institution-centered care. The six eHealth indicators seem to be useful for measuring national progress in patient-centered care. Future work will extend the number of countries analyzed.

AB - Background Holistic, ubiquitous support of patient-centered health care (eHealth) at all health care institutions and in patients' homes through information processing is increasingly supplementing institution-centered care. While eHealth indicators may measure the transition from institution-centered (e.g., hospital-centered) information processing to patient-centered information processing, collecting relevant and timely data for such indicators has been difficult. Objectives This article aims to design some basic eHealth indicators, which are easily collected and measure how well information processing supports holistic patient-centered health care, and to evaluate penetrance of patient-centered health as measured by the indicators internationally via an expert survey. Methods We identified six basic indicators that measure access of health care professionals, patients, and caregivers to the patient's health record data and the ability of providers, patients, and caregivers to add information in the patient's record. In a survey of international informatics experts, these indicators' penetrance were evaluated for Austria, Finland, Germany, Hong Kong, South Korea, Sweden, and the United States in the summer of 2017. Results The eHealth status measured by the indicators varied significantly between these seven countries. In Finland, most practices measured by the indicators were fully implemented whereas in Germany only one practice was partially realized. Conclusion Progress in the implementation of practices that support patient-centered care could mainly be observed in those countries where the political will focused on achieving patient-centered care as opposed to an emphasis on institution-centered care. The six eHealth indicators seem to be useful for measuring national progress in patient-centered care. Future work will extend the number of countries analyzed.

KW - connected health

KW - disease management (general)

KW - health care

KW - health information exchanges

KW - health information systems

KW - international comparison

KW - patient-centered care

KW - quality of care

UR - http://www.scopus.com/inward/record.url?scp=85057613334&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85057613334&partnerID=8YFLogxK

U2 - 10.1055/s-0038-1669458

DO - 10.1055/s-0038-1669458

M3 - Article

C2 - 30184560

AN - SCOPUS:85057613334

VL - 9

SP - 704

EP - 713

JO - Applied Clinical Informatics

JF - Applied Clinical Informatics

SN - 1869-0327

IS - 3

ER -