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Adoption of electronic health records in Korean tertiary teaching and general hospitals.

Authors
 Dukyong Yoon  ;  Byung-Chul Chang  ;  Seong Weon Kang  ;  Hasuk Bae  ;  Rae Woong Park 
Citation
 INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, Vol.81(3) : 196-203, 2012 
Journal Title
 INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS 
ISSN
 1386-5056 
Issue Date
2012
MeSH
Electronic Health Records/utilization* ; Hospitals, General/statistics & numerical data* ; Hospitals, Teaching/statistics & numerical data* ; Humans ; Practice Management, Medical* ; Republic of Korea
Keywords
Electronic health records ; Health information technologies ; Health care surveys
Abstract
PURPOSE: This study examined the current prevalence of electronic health records (EHRs) in Korea and identified the factors that impede or facilitate the adoption of EHRs. METHODS: We surveyed all tertiary teaching and general hospitals in Korea. The degree to which EHR systems were adopted was evaluated using the previously defined definitions of 'comprehensive' and 'basic' EHRs based on their electronic functionality. The effects of teaching status, size, and location of hospitals on EHR adoption were examined. We also investigated factors that impeded or facilitated the adoption of EHR systems. RESULTS: The response rate was 39.0% (122/313), and 37.2% (95% confidence interval [CI] 31.9-42.6%) of Korean tertiary teaching and general hospitals had either basic or comprehensive EHR systems (50.2% of tertiary teaching hospitals, 35.0% of general hospitals). However, only 5.0% (CI 2.6-7.4%) had comprehensive EHR systems. Most Korean tertiary teaching and general hospitals, i.e., 87.0% (95% CI, 83.3-90.7%), have implemented computerized provider order-entry (CPOE) systems for medications, with larger hospitals more likely than smaller ones to have adopted some sort of EHRs (p-value<0.001). However, the prevalence of these systems did not differ according to the location of the hospital (metropolitan vs. non-metropolitan). According to the survey data, the capital requirements and high maintenance costs of EHR systems were the major barriers to their adoption, and government reimbursement or incentives were the most requested facilitators of their adoption. CONCLUSION: The rate at which EHR and CPOE for medications systems have been adopted by Korean tertiary teaching and general hospitals was higher than the rate of adoption by US hospitals. Financial aspects are reported to be the most important facilitators of and barriers to EHR adoption. Government financial support, especially to small hospitals, seems to be essential to promoting the adoption of EHRs by Korean hospitals.
Full Text
http://www.sciencedirect.com/science/article/pii/S1386505611002437
DOI
22206619
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Chang, Byung Chul(장병철)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/90490
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