Association between Full Electronic Medical Record System Adoption and Drug Use: Antibiotics and Polypharmacy.
Anti-Bacterial Agents
Electronic Health Records
Health Care Evaluation Mechanisms
Polypharmacy
Quality of Health Care
Journal
Healthcare informatics research
ISSN: 2093-3681
Titre abrégé: Healthc Inform Res
Pays: Korea (South)
ID NLM: 101534553
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
22
09
2019
revised:
29
12
2019
accepted:
20
01
2020
entrez:
22
2
2020
pubmed:
23
2
2020
medline:
23
2
2020
Statut:
ppublish
Résumé
We investigated associations between full Electronic Medical Record (EMR) system adoption and drug use in healthcare organizations (HCOs) to explore whether EMR system features such as electronic prescribing, medicines reconciliation, and decision support, might be related to drug use by using the relevant nation-wide data. The study design was cross-sectional. Survey data of the level of adoption of EMR systems were collected for the Organization for Economic Co-operation and Development benchmarking information and communication technologies (ICT) study between November 2013 and January 2014, in Korea. Survey respondents were hospital chief information officers and medical practitioners in primary care clinics. From the national health insurance administrative dataset, two outcomes, the rate of antibiotic prescription and polypharmacy with ≥6 drugs, were extracted. We found that full EMR adoption showed a 16.1% lower antibiotic drug prescription than partial adoption including paper-based medical charts in the hospital only ( The findings suggested that there might be some confounding effects present and sophisticated ICT may provide some benefits to the quality of care even with some mixed results. Although a negative relationship between full EMR system adoption and antibiotic drug use was only significant in hospitals, EMR system functions searching drugs or listing specific patients might facilitate antibiotic drug use reduction. Positive relationships between full EMR system adoption and polypharmacy rate in general hospitals and clinics, but not hospitals, require further research.
Identifiants
pubmed: 32082702
doi: 10.4258/hir.2020.26.1.68
pmc: PMC7010944
doi:
Types de publication
Journal Article
Langues
eng
Pagination
68-77Informations de copyright
© 2020 The Korean Society of Medical Informatics.
Déclaration de conflit d'intérêts
Conflict of Interest: No potential conflict of interest relevant to this article was reported.
Références
Int J Med Inform. 2015 Jun;84(6):387-95
pubmed: 25765963
Eur J Public Health. 2016 Feb;26(1):60-4
pubmed: 26136462
Clin Interv Aging. 2008;3(2):383-9
pubmed: 18686760
Pharmacoepidemiol Drug Saf. 2016 Mar;25 Suppl 1:11-20
pubmed: 26152658
Healthc Inform Res. 2012 Sep;18(3):215-24
pubmed: 23115745
JAMA. 2016 May 3;315(17):1864-73
pubmed: 27139059
Am Heart J. 2010 Apr;159(4):635-642.e1
pubmed: 20362723
Appl Clin Inform. 2014 Jul 30;5(3):670-84
pubmed: 25298808
J Am Med Inform Assoc. 2013 Mar-Apr;20(2):268-76
pubmed: 23048007
Am J Med Qual. 2003 Jul-Aug;18(4):147-9
pubmed: 12934950
J Manag Care Spec Pharm. 2016 Oct;22(10):1143-7
pubmed: 27668562
Eur J Hosp Pharm. 2017 Jan;24(1):5-6
pubmed: 31156889
JAMA. 2015 Nov 3;314(17):1818-31
pubmed: 26529160
Antimicrob Agents Chemother. 2016 Jun 20;60(7):4106-18
pubmed: 27139474
J Korean Med Sci. 2012 Feb;27(2):120-7
pubmed: 22323857
J Am Med Inform Assoc. 2017 Mar 1;24(2):371-379
pubmed: 27554825
Healthc Inform Res. 2017 Jul;23(3):189-198
pubmed: 28875054
Pharmacoepidemiol Drug Saf. 2010 Apr;19(4):375-83
pubmed: 20191596
J Health Serv Res Policy. 2016 Apr;21(2):109-17
pubmed: 26683885
J Am Med Inform Assoc. 2012 Sep-Oct;19(5):735-43
pubmed: 22539083
Am J Manag Care. 2013 Feb;19(2):144-9
pubmed: 23448111
Med Care Res Rev. 2011 Feb;68(1):75-95
pubmed: 20555014
P T. 2015 Apr;40(4):277-83
pubmed: 25859123
J Am Geriatr Soc. 2009 Jan;57(1):62-9
pubmed: 19054196
J Am Med Inform Assoc. 2011 Nov-Dec;18(6):732-7
pubmed: 21659445
J Am Med Inform Assoc. 2001 Nov-Dec;8(6):610-5
pubmed: 11687567
Emerg Infect Dis. 2014 May;20(5):829-32
pubmed: 24751202
J Gen Intern Med. 2010 Jun;25(6):530-6
pubmed: 20186499
Healthc Inform Res. 2017 Oct;23(4):314-321
pubmed: 29181241
N Engl J Med. 2011 Sep 1;365(9):825-33
pubmed: 21879900