National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe

<p><strong>OBJECTIVE: </strong> Recent research from the European Commission (EC) suggests that the development and adoption of eHealth in primary care is significantly influenced by the context of the national health model in operation. This research identified three national heal...

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Main Authors: James Brennan, Annette McElligott, Norah Power
Format: Article
Language:English
Published: BCS, The Chartered Institute for IT 2015-11-01
Series:Journal of Innovation in Health Informatics
Subjects:
Online Access:http://hijournal.bcs.org/index.php/jhi/article/view/97
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author James Brennan
Annette McElligott
Norah Power
author_facet James Brennan
Annette McElligott
Norah Power
author_sort James Brennan
collection DOAJ
description <p><strong>OBJECTIVE: </strong> Recent research from the European Commission (EC) suggests that the development and adoption of eHealth in primary care is significantly influenced by the context of the national health model in operation. This research identified three national health models in Europe at this time – the National Health Service (NHS) model, the social insurance system (SIS) model and the transition country (TC) model, and found a strong correlation between the NHS model and high adoption rates for eHealth. The objective of this study is to establish if there is a similar correlation in one specific application area – electronic prescribing (ePrescribing) in primary care.</p><p><strong>METHODS:</strong> A review of published literature from 2000 to 2014 was undertaken covering the relevant official publications of the European Union and national government as well as the academic literature. An analysis of the development and adoption of ePrescribing in Europe was extracted from these data.</p><p><strong>RESULTS:</strong> The adoption of ePrescribing in primary care has increased significantly in recent years and is now practised by approximately 32% of European general practitioners. National ePrescribing services are now firmly established in 11 countries, with pilot projects underway in most others. The highest adoption rates are in countries with the NHS model, concentrated in the Nordic area. The electronic transmission of prescriptions continues to pose a significant challenge, especially in SIS countries and TCs.</p><p><strong>CONCLUSIONS:</strong> There is a strong correlation between the NHS model and high adoption rates for ePrescribing similar to the EC findings on the adoption of eHealth. It may be some time before many SIS countries and TCs reach the same adoption levels for ePrescribing and eHealth in primary care as most NHS countries.</p>
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spelling doaj.art-9da4b84116a943b79ba675125ac668a12022-12-22T03:52:24ZengBCS, The Chartered Institute for ITJournal of Innovation in Health Informatics2058-45552058-45632015-11-0122439940810.14236/jhi.v22i4.97777National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from EuropeJames Brennan0Annette McElligott1Norah Power2University of LimerickUniversity of LimerickUniversity of Limerick<p><strong>OBJECTIVE: </strong> Recent research from the European Commission (EC) suggests that the development and adoption of eHealth in primary care is significantly influenced by the context of the national health model in operation. This research identified three national health models in Europe at this time – the National Health Service (NHS) model, the social insurance system (SIS) model and the transition country (TC) model, and found a strong correlation between the NHS model and high adoption rates for eHealth. The objective of this study is to establish if there is a similar correlation in one specific application area – electronic prescribing (ePrescribing) in primary care.</p><p><strong>METHODS:</strong> A review of published literature from 2000 to 2014 was undertaken covering the relevant official publications of the European Union and national government as well as the academic literature. An analysis of the development and adoption of ePrescribing in Europe was extracted from these data.</p><p><strong>RESULTS:</strong> The adoption of ePrescribing in primary care has increased significantly in recent years and is now practised by approximately 32% of European general practitioners. National ePrescribing services are now firmly established in 11 countries, with pilot projects underway in most others. The highest adoption rates are in countries with the NHS model, concentrated in the Nordic area. The electronic transmission of prescriptions continues to pose a significant challenge, especially in SIS countries and TCs.</p><p><strong>CONCLUSIONS:</strong> There is a strong correlation between the NHS model and high adoption rates for ePrescribing similar to the EC findings on the adoption of eHealth. It may be some time before many SIS countries and TCs reach the same adoption levels for ePrescribing and eHealth in primary care as most NHS countries.</p>http://hijournal.bcs.org/index.php/jhi/article/view/97National Health ServicesHealth Information SystemsElectronic Health RecordsE-PrescribingPrimary Health CareEurope
spellingShingle James Brennan
Annette McElligott
Norah Power
National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe
Journal of Innovation in Health Informatics
National Health Services
Health Information Systems
Electronic Health Records
E-Prescribing
Primary Health Care
Europe
title National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe
title_full National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe
title_fullStr National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe
title_full_unstemmed National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe
title_short National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe
title_sort national health models and the adoption of e health and e prescribing in primary care new evidence from europe
topic National Health Services
Health Information Systems
Electronic Health Records
E-Prescribing
Primary Health Care
Europe
url http://hijournal.bcs.org/index.php/jhi/article/view/97
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