Ashish Jha, David Doolan, Daniel Grandt, Tim Scott, and David W. Bates
A. K. Jha, D. Doolan, D. Grandt et al., “The Use of Health Information Technology in Seven Nations,” International Journal of Medical Informatics, Dec. 2008 77(12):848–54.
With Commonwealth Fund support, researchers examined rates of use of electronic health records (EHRs) in ambulatory care settings and hospitals, as well as health information exchange activities, in seven countries: Australia, Canada, Germany, the Netherlands, New Zealand, the United Kingdom, and the United States.
Based on a literature review and interviews with experts in each of the nations, the researchers found that:
The authors point to several levers that have effectively increased EHR adoption: direct financial support, quality-of-care incentives, and requirements that computers be used for administrative tasks. Finally, the authors conclude, “only nations willing to invest significant financial resources and undertake the difficult work of creating standards and interchanges will reap the benefits of HIE for their citizens in the near future.”