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Computerizing medical records in Japan.
Hideo Yasunaga1, Tomoaki Imamura, Shintaro Yamaki
1Department of Health Management and Policy, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. yasunagah-jyo@h.u-tokyo.ac.jp
International Journal of Medical Informatics
|May 2, 2008
Summary
Japan
Area of Science:
- Health Informatics
- Medical Information Systems
- Healthcare Policy
Background:
- Japan's Ministry of Health, Labour and Welfare aimed to increase electronic medical record (EMR) adoption in hospitals.
- A 2001 policy targeted 60% EMR use in large hospitals by 2006.
Purpose of the Study:
- To assess the adoption of EMR and order entry systems (OES) in Japan as of February 2007.
- To evaluate the effectiveness of the government's medical record computerization policy.
Main Methods:
- A postal survey was conducted on Japanese medical institutions.
- Questionnaires were sent to hospitals (≥300 beds, <300 beds) and clinics.
- Data collected on EMR/OES introduction, reasons for non-adoption, and perceived efficacy/cost-effectiveness.
Main Results:
- EMR adoption was 10.0% in hospitals and 10.1% in clinics by February 2007.
- Only 31.2% of hospitals with ≥400 beds adopted EMR, falling short of the 60% target.
- High cost was the primary barrier (82.0% of hospitals).
Conclusions:
- Healthcare computerization in Japan is lagging due to high EMR system costs.
- Lowering EMR system prices is crucial for wider adoption.
- Standardizing EMR system communication is needed for interoperability.
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