Abstract
We have conducted comparative analysis of medical and health data utilization between Australia and Japan with OECD’s indicators: data governance readiness and high technical and operational readiness and three additional indicators: data analysis mechanism, security and privacy protection, and diffusion and coverage. Tamba City of Japan has succeeded in improving the efficiency of local medical. However, there are significant barriers to generating and utilizing new data and expanding the target area, and to make diversified professional utilize accumulated data. On the other hand, PCEHR, Australian nationwide EHR has been developed to utilize various data resources in an integrated manner with protecting individual’s data control right. However, data accumulation and utilization has not been promoted in early stage of implementation and faces of criticism for inadequate privacy measures. What is needed in common from the two cases is the need for a strategy that can be applied consistently through conception, development, and social implementation, and the introduction of a method that can quickly update according to the situation. The AIDAF is a suitable tool for this situation. It would be easier to overcome the barrier to diffusion and to avoid over-adaption to particular situations by developing a robust strategy for diffusion from the beginning and updating it flexibly according to the situation.
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References
Barrows, R.C., Clayton, P.D.: Privacy, confidentiality, and electronic medical records (1996). https://academic.oup.com/jamia/article-abstract/3/2/139/708745, https://doi.org/10.1136/jamia.1996.96236282
Wang, S.J., Middleton, B., Prosser, L.A., Bardon, C.G., Spurr, C.D., Carchidi, P.J., Kittler, A.F., Goldszer, R.C., Fairchild, D.G., Sussman, A.J., Kuperman, G.J., Bates, D.W.: A cost-benefit analysis of electronic medical records in primary care. Am. J. Med. 114, 397–403 (2003). https://doi.org/10.1016/S0002-9343(03)00057-3
Miller, R.H., Sim, I.: Physicians’ use of electronic medical records: barriers and solutions. Health Aff. 23, 116–126 (2004). https://doi.org/10.1377/hlthaff.23.2.116
OECD: Health in the 21st Century: putting data to work for stronger health systems (2019)
Fukami, Y., Masuda, Y.: Success factors for realizing regional comprehensive care by EHR with administrative data. In: Smart Innovation, Systems and Technologies, pp. 35–45. Springer (2019). https://doi.org/10.1007/978-981-13-8566-7_4
Aceto, G., Persico, V., Pescapé, A.: The role of information and communication technologies in healthcare: taxonomies, perspectives, and challenges (2018)
International Organization for Standardization: ISO/TR 20514:2005—Health informatics—Electronic health record—Definition, scope and context (2005)
World Health Organization: Management of patient information: Trends and challenges in member states (2012)
Devkota, B., Devkota, A.: Electronic health records: advantages of use and barriers to adoption. Heal. Renaiss. 11, 181–184 (2014). https://doi.org/10.3126/hren.v11i3.9629
Oderkirk, J.: Readiness of electronic health record systems to contribute to national health information and research (2017). https://doi.org/10.1787/9e296bf3-en
National E-Health Transition Authority of Australia: High-Level System Architecture PCEHR System Version 1.35
Lwin, A.K., Shepard, D.S., Masuda, Y.: Monetary and health benefits from better health data: estimating lives and dollars saved from universal adoption of the leapfrog safety and quality standards. In: Innovation in Medicine and Healthcare Systems, and Multimedia, pp. 21–33. Springer (2019)
National E-Health Transition Authority of Australia: eHealth Reference Model (2014)
National E-Health Transition Authority of Australia: Interoperability Framework v2.0 (2007)
Masuda, Y., Shepard, D.S., Yamamoto, S.: Adaptive governance on electronic health record in a digital IT era. In: 25th Americas Conference on Information Systems, AMCIS 2019, pp. 1–10 (2019)
Grubb, B.: My health record’s privacy chief quits amid claims agency not listening (2018)
Dearne, K.: An analysis of Commonwealth Government annual reports covering e-health and PCEHR activities in 2013–2014 (2014)
Australian Digital Health Agency: Statistics and Insights: Mar 2019–Dec 2019 (2019)
Australian Digital Health Agency: Annual Report 2017–2018 (2017)
Cowan, P.: Most Australian GP clinics aren’t using e-health records (2016). https://www.itnews.com.au/news/mostaustralian-gp-clinics-arent-using-e-health-records-417807
Black, A.S.: eHealth-as-a-Service: a service based design approach for large scale eHealth architecture (2018)
Masuda, Y., Viswanathan, M.: Enterprise Architecture for Global Companies in a Digital IT Era: Adaptive Integrated Digital Architecture Framework (AIDAF). Springer (2019). https://doi.org/10.1007/978-981-13-1083-6
Masuda, Y., Shirasaka, S., Yamamoto, S., Hardjono, T.: Architecture board practices in adaptive enterprise architecture with digital platform. Int. J. Enterp. Inf. Syst. 14, 1–20 (2018). https://doi.org/10.4018/ijeis.2018010101
Masuda, Y., Shirasaka, S., Yamamoto, S., Hardjono, T.: Risk management for digital transformation in architecture board: a case study on global enterprise. In: 2017 6th IIAI International Congress on Advanced Applied Informatics (IIAI-AAI), pp. 255–262. IEEE (2017). https://doi.org/10.1109/IIAI-AAI.2017.79
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This work was supported by JSPS Grant-in-Aid for Early-Career Scientists Grant Numbers JP18K12858.
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Fukami, Y., Masuda, Y. (2020). Stumbling Blocks of Utilizing Medical and Health Data: Success Factors Extracted from Australia–Japan Comparison. In: Chen, YW., Tanaka, S., Howlett, R., Jain, L. (eds) Innovation in Medicine and Healthcare. Smart Innovation, Systems and Technologies, vol 192. Springer, Singapore. https://doi.org/10.1007/978-981-15-5852-8_2
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