National-scale clinical information exchange in the United Kingdom : lessons for the United States

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Abstract

Over the last four decades, the UK has made large investments in healthcare information technology. The authors conducted interviews and reviewed published and unpublished documents to describe national-scale clinical information exchange in England, how it was achieved, and the problems experienced that the USA might avoid. Clinical information exchange in the UK was accomplished by establishing a foundation of policy, infrastructure, and systems of care, by creating and acquiring clinical computing applications and with strong use of financial and clinical incentives. Many software and hardware vendors played a part in this effort; they participated in a national framework created by the NHS in which standards for exchange are specified and their applications designed to make clinical information exchange part of normal practice. Great potential exists for cost reduction, increased safety, and greater patient involvement as a result of clinical information exchange.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Medical records -- United States -- Data processing, Medical records -- Great Britain -- Data processing, Electronic data interchange -- United States, Electronic data interchange -- Great Britain, Medical informatics -- United States, Medical informatics -- Great Britain
Journal or Publication Title: Journal of the American Medical Informatics Association
Publisher: BMJ Group
ISSN: 1067-5027
Official Date: 2011
Dates:
Date
Event
2011
Published
Volume: Volume 18
Number: Number 1
Page Range: pp. 91-98
DOI: 10.1136/jamia.2010.005611
Status: Peer Reviewed
Publication Status: Published
Funder: Engineering and Physical Sciences Research Council (EPSRC), Research Councils UK (RCUK), Centers for Disease Control and Prevention (U.S.) (CDC)
Grant number: 1 P01 CD000261-01 (CDC)
URI: https://wrap.warwick.ac.uk/41592/

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