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Advantages and disadvantages of health information interoperability
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Abstract. The issue of Electronic Health Records interoperability can be seen as very important at the beginning of conception or as an emergency associated with high impact in quality of care, and costs if left to be solved at an advanced stage of the process. This paper tends to analyze the Albanian situation in EHR interoperability and identify the major deficiencies. This case is complicated even more from the country population structure and emigration. A large part of population is living and working in western European countries bringing the question of their electronic records interoperability. The solution offered from us is the seeking of collaboration in the right moment to prevent latter crisis for the Albanian health information system and also for the countries hosting this emigrants. Furthermore, the process of integration in the European Community seeks a very strict collaboration; because of the coming few years full of integrative processes.
Keywords. Electronic Health Record, Interoperability, Emigration, Collaboration, Developing, Integration.
Introduction
Albania’s current demographic profile is characterized by three main phenomena: large internal and external migratory waves, improving mortality rates and declining fertility rates. The population’s age structure has changed significantly over years 1990-2000’s onwards.
The population below 15 years of age structure is now decreasing and the population over 65 years is growing faster than the rest of the adult population. Though population growth and fertility rates have been falling, Albania still has one of the highest fertility rates and the youngest population in Europe: the age groups 0-14 years represent 32% of its total population in 2001(1).
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[11] HIS Strategic Planning Process Guidance – Version 6, March 2009, Published by the Health Metrics Network.
[12] Knowledge Management in Healthcare Industry, Sushil K. Sharma, Ball State University, USA, Nilmini Wickramasinghe, Cleveland State University, USA, Jatinder N.D. Gupta, University of Alabama in Huntsville, USA, Creating Knowledge-Based Healthcare Organizations, Copyright © 2005 by Idea Group Inc.
[13] (http://ec.europa.eu/research/fp7/index_en.cfm).
[14] eHealth is Worth it The economic benefits of implemented eHealth solutions at ten European sites, Karl A. Stroetmann, Tom Jones, Alexander Dobrev, Veli N. Stroetmann. ISBN 92-79-02762-X© European Communities, 2006.
For years now, the healthcare system in the United States have managed patient’s health records through paper charting, this has since changed for the better with the introduction of an electronic medical record (EMR) system. This type of system has helped healthcare providers, hospitals and other ambulatory institutions extract data from a patient’s chart to help expedite clinical diagnosis and providing necessary care. Although this form of technology shows great promise, studies have shown that this system is just a foundation to the next evolution of health technology. The transformation of EMR to electronic heath record system (EHR) is the ultimate goal of the federal government.
Jacobsen, L. A., Kent, M., Lee, M., & Mather, M. (2001). America's aging population. Population Bulletin, 66(1).
Did you ever think about how much time is spent on computers and the internet? It is estimated that the average adult will spend over five hours per day online or with digital media according to Emarketer.com. This is a significant amount; taking into consideration the internet has not always been this easily accessible. The world that we live in is slowly or quickly however you look at it: becoming technology based and it is shifting the way we live. With each day more and more people use social media, shop online, run businesses, take online classes, play games, the list is endless. The internet serves billions of people daily and it doesn’t stop there. Without technology and the internet, there would be no electronic health record. Therefore, is it important for hospitals and other institutions to adopt the electronic health record (EHR) system? Whichever happens, there are many debates about EHR’s and their purpose, and this paper is going to explain both the benefits and disadvantages of the EHR. Global users of the internet can then decide whether the EHR is beneficial or detrimental to our ever changing healthcare system and technology based living.
In 2008, Lord Darzi produced the Darzi report, (DH, 2008) which stated that the current population of over 75’s was 4.7million and he estimated that by 2031 this will increase by 3.5million...
An aging population is indeed a problem for the society and will possibly cause many social and economic difficulties in the future. According to David Foot (2003), professor of Economics at University of Toronto, an effective birth rate of 2.2% against current 1.75% will be necessary to replace the current work force in the near future and the government’s policy of bringing in more immigrants will eventually fail (Foot, 2003, 2). However some people predict that the increased size of an aging population will drive growth in the home, health care, and many other industries resulting in job creation and economic growth (Marketwire, 2013, 1). Majority of the people are of the opinion that the issue will be mainly in the health care and economic activity. As humans age, they start to develop health problems, leading to more visits to a medical clinic putting extra burden on health care system.
The transformation of paper based health record to electronic health record is not an easy step for any providers or organizations but is a major step in the process of providing improved and efficient patient care. Every healthcare organization should have the vision of adopting EHR because it provides numerous benefits not only to providers but also to patient. It is the vision of every healthcare provider to offer the best health care possible. So implementation of EHR is a necessity.
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the adaptation, utilization, and functionality of an EHR. The impact the EHR could have on a general population is invaluable; therefore, it needs special attention from a trained professional.
One of the most important concerns that not only the certain region or country but the whole globe is facing with is the societal aging. Societal aging refers to the “social and demographic process that result in the aging of a population” Aging of the population would impact different aspect of social life. For instance, as the baby boomers aging, the evolvement of those generation in different community would increase. Also, the expectation of better healthcare and ethical issues around the aged people has grown (Morgan & Kunkle 2016: 6).
Nowadays, the health Information Technology industry could be treated as the highly perspective branch in medicine. Many people already are using the electronic healthcare, which has significant advantages. Electronic Health Records have been imposed as the most sustainable solution toward improving outcomes (Linder, 2007). There have been serious efforts to improve the quality of health care, as the sick patients present in US receive half of the prescribed medical care and Electronic Health Records (EHR) have been verified as the most cost effective solution for improving health care (Johnston, 2007). However, a study showed that systems, which had the power of Health Information Technology, including Electronic Health Records, might increase the delivery and performance of quality care through fewer rates of medical mistakes, and clinical monitoring.
T.D. Wilson (2002) makes a point of identifying several sources of articles, references and course syllabi with varying takes on knowledge management within organizations. Wilson is convinced that organizations misuse the terminology “knowledge management” and that their activities are more concerned with managing information than with the management of knowledge (Wilson, 2002). Wilson defines knowledge as involving “the mental processes of comprehension” or, as “what we know” and information as the expression of what we know and can convey through messages (Wilson, 2002). By researching the use of the “knowledge management” Wilson conveys that the terms knowledge and information are used interchangeably, which results in an inaccurate application
Uhlenberg, Peter. 1992. “Population Aging and Social Policy.” Annual Review, Sociology, University of North Carolina, Chapel Hill.
The demographic dividend refers to the accelerated economic growth that begins with changes in the age structure of a country’s population as it transitions from high to low birth and death rates. But the demographic dividend is not, however automatic. Enough policies and investments have to be developed to achieve the demographic dividend. The critical policy areas include:
Last year, for the first time ever, the developed countries of the world had more people aged 60 and over than youths aged 14 and under. For the world as a whole, the same will be true by the year 2043. The percentage proportion of older people in Western Europe is predicted to increase by 14.8%, 8.8 in Japan and 2.7% in the U.S.(U.S Census bureau).
Macedonia has a birth rate of 11.72/1000 population. Its death rate compares as barely lower, at 9.00/1000 population. The annual growth rate of Macedonia happens to be 0.22%. The people of Macedonia have a nice long life expectancy of seventy-five years. Almost all of these people can read, with a literacy rate of 96.1 percent. This cause's Macedonia's population to seem to be evening out on a population pyramid, predicting less population by 2053.
Demography is the study of the components of population variation and change. Death rate and birth rate are two determinants of population change. Theory of Demographic Transition is comparatively recent theory that has been accepted by several scholars throughout the world. This theory embraces the observation that all countries in the world go through different stages in the growth of population. A nation's economy and level of development is directly related to that nation's birth and death rates. Population history can be divided into different stages. Some of the scholars have divided it into three and some scholars have divided it into five stages. These stages or classifications demonstrate a transition from high birth and high death rates to low birth and low death rates. The Theory of Demographic Transition suggests that all nations begin in stage one as underdeveloped, third world nations and through time transition into first world nations. Firstly this theory was developed based on the statistic collected in many European countries. In this theory, birth rate and death rate are considered to be the major factors or demographic events for bringing change in population.