Electronic Patient Record
To increase the effectiveness and efficiency of care – that is the purpose of an electronic patient record (ePA). However, the introduction of ePA into the German healthcare system is proving to be extremely complex. Why is Germany having such a hard time with this change, and to what extent do ePA showcase countries like Denmark or Israel differ from Germany? The study conducted by inav consisted of a literature review, case studies and the development of a scorecard.
The focus of the literature review centered on the international evidence base on ePA, specifically the effects of ePA on health care delivery and existing evidence on implementation. The literature review was conducted using database queries on PubMed and Google Scholar. Systematic reviews published between January 1, 2010 and July 14, 2016 were considered.
In addition, the study included case studies to examine the situation and progress of ePA implementation and use in selected countries. The case studies were conducted for Denmark, Israel, the United States, and Austria. The selection was complemented by case studies on the corporate solutions of Apple and Google. The case studies were based on in-depth interviews with experts on a national and international level.
The third part of the study, the “European Scorecard”, was designed to classify the implementation status of the German ePA on a European scale and to compare it with selected countries. For the development of the scorecard, relevant indicators were identified that reflect the complexity of ePA implementation and are available and comparable for a wider range of countries. Once the scorecard was developed, a selection of 20 countries were rated in terms of ePA implementation and use using a traffic light system. In 2018, an update of the scorecard was conducted, also by the inav.
Based on the synopsis of the results of the three elements, recommended courses of action were determined in various subject areas.