Utilisation of information technologies in ambulatory care in Switzerland
Background: The importance of electronic medical records for the healthcare system is well documented. IT enables easy storage, communication and decision support and can provide important tools in the care of chronically ill patients in the form of a reminder system. Methods: A questi...
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| Format: | Article |
| Language: | English |
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SMW supporting association (Trägerverein Swiss Medical Weekly SMW)
2010-09-01
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| Series: | Swiss Medical Weekly |
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| Online Access: | https://www.smw.ch/index.php/smw/article/view/1194 |
| _version_ | 1798003586669477888 |
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| author | L Brunner |
| author_facet | L Brunner |
| author_sort | L Brunner |
| collection | DOAJ |
| description |
Background: The importance of electronic medical records for the healthcare system is well documented. IT enables easy storage, communication and decision support and can provide important tools in the care of chronically ill patients in the form of a reminder system.
Methods: A questionnaire was developed and send out to 1200 physicians extracted from the official data base. After four weeks the non-responders received a written reminder. Data collection started in December 2007 and was completed in February 2008.
Results: 719 questionnaires were received back, representing a response rate of 59.9%. The data revealed a significant underuse of electronic medical records (EMRs) and IT compared to other European countries. Smaller practices, older physicians and especially primary care physicians tended to use less EMR. Only 10.2% of all physicians declared an interest in considering investment in IT in the next three years, 66.9% expressly denied wishing to do so.
The most important barriers were the costs, the unclear benefit and a feared worsening of the doctor-patient-communication during consultation.
Conclusion: IT and especially EMRs are underused in daily ambulatory care in Switzerland. To increase the use of EMRs, several approaches could be helpful. First of all, the benefit of EMRs in daily routine care have to be increased as, for example, by decision support systems, tools to avoid pharmaceutical interactions and reminder systems to enable a proactive treatment of chronically ill patients. Furthermore, adequate approaches to offer appropriate reimbursement for the financial investments have to considered such as an additional payment for electronically generated, evidence based quality indicators.
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| first_indexed | 2024-04-11T12:10:05Z |
| format | Article |
| id | doaj.art-e400ebd32bd54b64b7883cba04bf8787 |
| institution | Directory Open Access Journal |
| issn | 1424-3997 |
| language | English |
| last_indexed | 2024-04-11T12:10:05Z |
| publishDate | 2010-09-01 |
| publisher | SMW supporting association (Trägerverein Swiss Medical Weekly SMW) |
| record_format | Article |
| series | Swiss Medical Weekly |
| spelling | doaj.art-e400ebd32bd54b64b7883cba04bf87872022-12-22T04:24:38ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972010-09-01140373810.4414/smw.2010.13088Utilisation of information technologies in ambulatory care in SwitzerlandL Brunner Background: The importance of electronic medical records for the healthcare system is well documented. IT enables easy storage, communication and decision support and can provide important tools in the care of chronically ill patients in the form of a reminder system. Methods: A questionnaire was developed and send out to 1200 physicians extracted from the official data base. After four weeks the non-responders received a written reminder. Data collection started in December 2007 and was completed in February 2008. Results: 719 questionnaires were received back, representing a response rate of 59.9%. The data revealed a significant underuse of electronic medical records (EMRs) and IT compared to other European countries. Smaller practices, older physicians and especially primary care physicians tended to use less EMR. Only 10.2% of all physicians declared an interest in considering investment in IT in the next three years, 66.9% expressly denied wishing to do so. The most important barriers were the costs, the unclear benefit and a feared worsening of the doctor-patient-communication during consultation. Conclusion: IT and especially EMRs are underused in daily ambulatory care in Switzerland. To increase the use of EMRs, several approaches could be helpful. First of all, the benefit of EMRs in daily routine care have to be increased as, for example, by decision support systems, tools to avoid pharmaceutical interactions and reminder systems to enable a proactive treatment of chronically ill patients. Furthermore, adequate approaches to offer appropriate reimbursement for the financial investments have to considered such as an additional payment for electronically generated, evidence based quality indicators. https://www.smw.ch/index.php/smw/article/view/1194ambulatory carechronic careeHealthelectronic medical recordhealth information technologyhealth services research |
| spellingShingle | L Brunner Utilisation of information technologies in ambulatory care in Switzerland Swiss Medical Weekly ambulatory care chronic care eHealth electronic medical record health information technology health services research |
| title | Utilisation of information technologies in ambulatory care in Switzerland |
| title_full | Utilisation of information technologies in ambulatory care in Switzerland |
| title_fullStr | Utilisation of information technologies in ambulatory care in Switzerland |
| title_full_unstemmed | Utilisation of information technologies in ambulatory care in Switzerland |
| title_short | Utilisation of information technologies in ambulatory care in Switzerland |
| title_sort | utilisation of information technologies in ambulatory care in switzerland |
| topic | ambulatory care chronic care eHealth electronic medical record health information technology health services research |
| url | https://www.smw.ch/index.php/smw/article/view/1194 |
| work_keys_str_mv | AT lbrunner utilisationofinformationtechnologiesinambulatorycareinswitzerland |