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Stakeholder analysis for adopting a personal health record standard in Korea

Authors
 Min-Jeoung Kang  ;  Chai Young Jung  ;  Soyoun Kim  ;  Yookyung Boo  ;  Yuri Lee  ;  Sundo Kim 
Citation
 Health Information Management, Vol.44(2) : 33-42, 2015-06 
Journal Title
 Health Information Management 
ISSN
 1322-4913 
Issue Date
2015-06
MeSH
Adult ; Clinical Coding / standards* ; Continuity of Patient Care / standards* ; Female ; Focus Groups ; Health Information Exchange / standards* ; Humans ; Internet ; Male ; Middle Aged ; Republic of Korea ; Surveys and Questionnaires ; Young Adult
Abstract
Background: Interest in health information exchanges (HIEs) is increasing. Several countries have adopted core health data standards with appropriate strategies. Objective: This study was conducted to determine the feasibility of a continuity of care record (CCR) as the standard for an electronic version of the official transfer note and the HIE in Korean healthcare. Method: A technical review of the CCR standard and analysis of stakeholders' views were undertaken. Transfer notes were reviewed and matched with CCR standard categories. The standard for the Korean coding system was selected. Stakeholder analysis included an online survey of members of the Korean Society of Medical Informatics, a public hearing to derive opinions of consumers, doctors, vendors, academic societies and policy makers about the policy process, and a focus group meeting with EMR vendors to determine which HIE objects were technically applicable. Results: Data objects in the official transfer note form matched CCR standards. Korean Classification of Diseases, Korean Standard Terminology of Medicine, Electronic Data Interchange code (EDI code), Logical Observation Identifiers Names and Codes, and Korean drug codes (KD code) were recommended as the Korean coding standard.'Social history', 'payers', and 'encounters' were mostly marked as optional or unnecessary sections, and 'allergies', 'alerts', 'medication list', 'problems/diagnoses', 'results',and 'procedures' as mandatory. Unlike the US, 'social history' was considered optional and 'advance directives' mandatory.At the public hearing there was some objection from the Korean Medical Association to the HIE on legal grounds in termsof intellectual property and patients' personal information. Other groups showed positive or neutral responses. Focus group members divided CCR data objects into three phases based onpredicted adoption time in CCR: (i) immediate adoption; (ii) short-term adoption ('alerts', 'family history'); and (iii) long-term adoption ('results', 'advanced directives', 'functional status', 'medical equipment', 'vital signs', 'plan of care', 'social history'). Conclusion: There were no technical problems in generating the CCR standard document from EMRs. Matters of concern that arose from study results should be resolved with time and consultation.
Full Text
https://journals.sagepub.com/doi/abs/10.1177/183335831504400204
DOI
10.1177/183335831504400204
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Medical Law and Bioethics (의료법윤리학과) > 1. Journal Papers
Yonsei Authors
Kim, So Yoon(김소윤) ORCID logo https://orcid.org/0000-0001-7015-357X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/178470
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