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

Hdl Handle:
http://hdl.handle.net/10147/608456
Title:
National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe
Authors:
Brennan, James; McElligott, Annette; Power, Norah
Affiliation:
Department of Computer Science and Information Systems, Faculty of Science and Engineering, University of Limerick, Ireland
Citation:
Brennan J, McElligott A, Power N. National health models and the adoption of eHealth and ePrescribing in primary care – new evidence from Europe. J Innov Health Inform. 2015;22(4):399-408.
Publisher:
Journal of Innovation in Health Informatics
Journal:
Journal of Innovation in Health Informatics
Issue Date:
26-Nov-2015
URI:
http://hdl.handle.net/10147/608456
Additional Links:
http://hijournal.bcs.org/index.php/jhi/article/view/97/863
Item Type:
Article
Language:
en
Description:
ABSTRACT Objective 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. Methods 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. Results 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. Conclusions 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.
Keywords:
HEALTH INFORMATION SYSTEM; PRIMARY CARE; NATIONAL HEALTH SERVICE; ELECTRONIC HEALTH RECORD
Local subject classification:
EPRESCRIBING; EHEALTH
Series/Report no.:
Vol 22; Issue 4

Full metadata record

DC FieldValue Language
dc.contributor.authorBrennan, Jamesen
dc.contributor.authorMcElligott, Annetteen
dc.contributor.authorPower, Norahen
dc.date.accessioned2016-05-06T08:19:37Zen
dc.date.available2016-05-06T08:19:37Zen
dc.date.issued2015-11-26en
dc.identifier.citationBrennan J, McElligott A, Power N. National health models and the adoption of eHealth and ePrescribing in primary care – new evidence from Europe. J Innov Health Inform. 2015;22(4):399-408.en
dc.identifier.urihttp://hdl.handle.net/10147/608456en
dc.descriptionABSTRACT Objective 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. Methods 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. Results 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. Conclusions 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.en
dc.language.isoenen
dc.publisherJournal of Innovation in Health Informaticsen
dc.relation.ispartofseriesVol 22en
dc.relation.ispartofseriesIssue 4en
dc.relation.urlhttp://hijournal.bcs.org/index.php/jhi/article/view/97/863en
dc.subjectHEALTH INFORMATION SYSTEMen
dc.subjectPRIMARY CAREen
dc.subjectNATIONAL HEALTH SERVICEen
dc.subjectELECTRONIC HEALTH RECORDen
dc.subject.otherEPRESCRIBINGen
dc.subject.otherEHEALTHen
dc.titleNational Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europeen
dc.typeArticleen
dc.contributor.departmentDepartment of Computer Science and Information Systems, Faculty of Science and Engineering, University of Limerick, Irelanden
dc.identifier.journalJournal of Innovation in Health Informaticsen
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