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Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-35890

Rosemann, T; Marty, F; Bhend, H; Wagner, J; Brunner, L; Zoller, M (2010). Utilisation of information technologies in ambulatory care in Switzerland. Swiss Medical Weekly, 140:w13088.

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Abstract

BACKGROUND: The importance of electronic medical records for the healthcare system is well documented. IT enables easy storage, communication and decision support and can provide important tools in the care of chronically ill patients in the form of a reminder system. METHODS: A questionnaire was developed and send out to 1200 physicians extracted from the official data base. After four weeks the non-responders received a written reminder. Data collection started in December 2007 and was completed in February 2008. RESULTS: 719 questionnaires were received back, representing a response rate of 59.9%. The data revealed a significant underuse of electronic medical records (EMRs) and IT compared to other European countries. Smaller practices, older physicians and especially primary care physicians tended to use less EMR. Only 10.2% of all physicians declared an interest in considering investment in IT in the next three years, 66.9% expressly denied wishing to do so. The most important barriers were the costs, the unclear benefit and a feared worsening of the doctor-patient-communication during consultation. CONCLUSION: IT and especially EMRs are underused in daily ambulatory care in Switzerland. To increase the use of EMRs, several approaches could be helpful. First of all, the benefit of EMRs in daily routine care have to be increased as, for example, by decision support systems, tools to avoid pharmaceutical interactions and reminder systems to enable a proactive treatment of chronically ill patients. Furthermore, adequate approaches to offer appropriate reimbursement for the financial investments have to considered such as an additional payment for electronically generated, evidence based quality indicators.

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Institute of General Practice
DDC:610 Medicine & health
Language:English
Date:2010
Deposited On:10 Nov 2010 10:32
Last Modified:27 Nov 2013 19:37
Publisher:EMH Swiss Medical Publishers
ISSN:0036-7672
Publisher DOI:10.4414/smw.2010.13088
Related URLs:http://www.smw.ch/content/smw-2010-13088/ (Publisher)
PubMed ID:20853193
Citations:Web of Science®. Times Cited: 4
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