Please use this identifier to cite or link to this item: https://hdl.handle.net/10356/82110
Title: Feasibility of extracting data from electronic medical records for research: an international comparative study
Authors: van Velthoven, Michelle Helena
Mastellos, Nikolaos
Majeed, Azeem
O’Donoghue, John
Car, Josip
Keywords: Electronic medical records
Electronic health records [MeSH]
Issue Date: 2016
Source: van Velthoven, M. H., Mastellos, N., Majeed, A., O’Donoghue, J., & Car, J. (2016). Feasibility of extracting data from electronic medical records for research: an international comparative study. BMC Medical Informatics and Decision Making, 16(90).
Series/Report no.: BMC Medical Informatics and Decision Making
Abstract: Background: Electronic medical records (EMR) offer a major potential for secondary use of data for research which can improve the safety, quality and efficiency of healthcare. They also enable the measurement of disease burden at the population level. However, the extent to which this is feasible in different countries is not well known. This study aimed to: 1) assess information governance procedures for extracting data from EMR in 16 countries; and 2) explore the extent of EMR adoption and the quality and consistency of EMR data in 7 countries, using management of diabetes type 2 patients as an exemplar. Methods: We included 16 countries from Australia, Asia, the Middle East, and Europe to the Americas. We undertook a multi-method approach including both an online literature review and structured interviews with 59 stakeholders, including 25 physicians, 23 academics, 7 EMR providers, and 4 information commissioners. Data were analysed and synthesised thematically considering the most relevant issues. Results: We found that procedures for information governance, levels of adoption and data quality varied across the countries studied. The required time and ease of obtaining approval also varies widely. While some countries seem ready for secondary uses of data from EMR, in other countries several barriers were found, including limited experience with using EMR data for research, lack of standard policies and procedures, bureaucracy, confidentiality, data security concerns, technical issues and costs. Conclusions: This is the first international comparative study to shed light on the feasibility of extracting EMR data across a number of countries. The study will inform future discussions and development of policies that aim to accelerate the adoption of EMR systems in high and middle income countries and seize the rich potential for secondary use of data arising from the use of EMR solutions.
URI: https://hdl.handle.net/10356/82110
http://hdl.handle.net/10220/41121
ISSN: 1472-6947
DOI: 10.1186/s12911-016-0332-1
Rights: © 2016 van Velthoven et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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