Implementation of electronic health records in Polish outpatient health care clinics - starting point, progress, problems, and forecasts.
Identifieur interne : 000024 ( PubMed/Corpus ); précédent : 000023; suivant : 000025Implementation of electronic health records in Polish outpatient health care clinics - starting point, progress, problems, and forecasts.
Auteurs : Aleksandra Czerw ; Adam Fronczak ; Karolina Witczak ; Grzegorz JuszczykSource :
- Annals of agricultural and environmental medicine : AAEM [ 1898-2263 ] ; 2016.
English descriptors
- KwdEn :
- MESH :
- organization & administration : Electronic Health Records.
- statistics & numerical data : Ambulatory Care, Electronic Health Records, Outpatients.
- trends : Electronic Health Records.
- Humans, Poland.
Abstract
The Act on Information System in Health Care, dated 28 April 2011, imposes an obligation to record patients' medical documentation in an electronic form (EHR - Electronic Health Records) on the providers of health care services, starting from 1 August 2014. On 23 July 2014, an amendment of the Act was enacted, based on which the date of obligatory introduction of health records in paper or electronic form was postponed until 31 July 2017. At various health care entities there are two different methods of creating health records (HR); therefore, the implementation of the provisions of the Act poses a significant number of problems and complications.
DOI: 10.5604/12321966.1203900
PubMed: 27294642
Links to Exploration step
pubmed:27294642Le document en format XML
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<author><name sortKey="Czerw, Aleksandra" sort="Czerw, Aleksandra" uniqKey="Czerw A" first="Aleksandra" last="Czerw">Aleksandra Czerw</name>
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<author><name sortKey="Fronczak, Adam" sort="Fronczak, Adam" uniqKey="Fronczak A" first="Adam" last="Fronczak">Adam Fronczak</name>
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<author><name sortKey="Witczak, Karolina" sort="Witczak, Karolina" uniqKey="Witczak K" first="Karolina" last="Witczak">Karolina Witczak</name>
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<author><name sortKey="Juszczyk, Grzegorz" sort="Juszczyk, Grzegorz" uniqKey="Juszczyk G" first="Grzegorz" last="Juszczyk">Grzegorz Juszczyk</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Implementation of electronic health records in Polish outpatient health care clinics - starting point, progress, problems, and forecasts.</title>
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<author><name sortKey="Witczak, Karolina" sort="Witczak, Karolina" uniqKey="Witczak K" first="Karolina" last="Witczak">Karolina Witczak</name>
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<author><name sortKey="Juszczyk, Grzegorz" sort="Juszczyk, Grzegorz" uniqKey="Juszczyk G" first="Grzegorz" last="Juszczyk">Grzegorz Juszczyk</name>
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<series><title level="j">Annals of agricultural and environmental medicine : AAEM</title>
<idno type="eISSN">1898-2263</idno>
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<term>Electronic Health Records (statistics & numerical data)</term>
<term>Electronic Health Records (trends)</term>
<term>Humans</term>
<term>Outpatients (statistics & numerical data)</term>
<term>Poland</term>
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<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Electronic Health Records</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Ambulatory Care</term>
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<term>Outpatients</term>
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<keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Electronic Health Records</term>
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<front><div type="abstract" xml:lang="en">The Act on Information System in Health Care, dated 28 April 2011, imposes an obligation to record patients' medical documentation in an electronic form (EHR - Electronic Health Records) on the providers of health care services, starting from 1 August 2014. On 23 July 2014, an amendment of the Act was enacted, based on which the date of obligatory introduction of health records in paper or electronic form was postponed until 31 July 2017. At various health care entities there are two different methods of creating health records (HR); therefore, the implementation of the provisions of the Act poses a significant number of problems and complications.</div>
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<Month>06</Month>
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<DateCompleted><Year>2017</Year>
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<DateRevised><Year>2017</Year>
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<Day>13</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1898-2263</ISSN>
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<Title>Annals of agricultural and environmental medicine : AAEM</Title>
<ISOAbbreviation>Ann Agric Environ Med</ISOAbbreviation>
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<ArticleTitle>Implementation of electronic health records in Polish outpatient health care clinics - starting point, progress, problems, and forecasts.</ArticleTitle>
<Pagination><MedlinePgn>329-34</MedlinePgn>
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<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The Act on Information System in Health Care, dated 28 April 2011, imposes an obligation to record patients' medical documentation in an electronic form (EHR - Electronic Health Records) on the providers of health care services, starting from 1 August 2014. On 23 July 2014, an amendment of the Act was enacted, based on which the date of obligatory introduction of health records in paper or electronic form was postponed until 31 July 2017. At various health care entities there are two different methods of creating health records (HR); therefore, the implementation of the provisions of the Act poses a significant number of problems and complications.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The objective of the study is to present the starting point, progress, problems and forecasts regarding the implementation of electronic health records at health care entities which provide services within the scope of specialized outpatient care (SOC).</AbstractText>
<AbstractText Label="MATERIALS AND METHOD" NlmCategory="METHODS">The subjects of this research were 475 health care entities which provide services within the scope of specialized outpatient care (SOC) operating in Poland. The applied research tool was a survey questionnaire. The applied research technology was a Computer Assisted Web Interview (CAWI). The research was conducted between February - April 2014. The data was analyzed with the chi-squared test of independence.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In the period of the research, 233 health care entities were at the stage of preparation for the implementation of HER: 116 - in the process of implementation; 72 - after implementation, and only 54 were already recording their documentation in an electronic form.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Most health care entities providing specialized outpatient care would not have complied with the provisions of the Act on Information System in Health Care had the deadline for implementation of EHR not been postponed. Five months before the date stipulated in the first version of the Act (August 2014), about 74% of health care entities covered by this study did not yet have a ready EHR system. The study also showed that 2 years is insufficient time for the entire process of informatization of a health care establishment.</AbstractText>
</Abstract>
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<ForeName>Aleksandra</ForeName>
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