Further to my last blog post, check out:
The article compares the approaches taken by the US and Canadian governments with regard to driving use and adoption of healthcare IT, noting that “For Canadian observers, the US approach is highly instructive — although in many respects, discomfiting.” Points of differentiation noted by the article include:
- In the US, “Government leadership is showing results: crucial government-operated elements of the largely privately operated US health care system — such as the $47-billion Veterans Health Administration, which insures 23 million veterans and employs more than 239 000 staff at over 1400 sites — have almost completely implemented electronic health records, which are being made available to patients over the internet.”
- With regard to electronic record systems in physician offices, “federal leadership on this issue is providing instrumental, says Leary, who notes that the federal Office of Personnel Management, which manages health plans for millions of federal employees and retirees, is now legally required to ensure its health beneficiaries get access to EHRs.”
- “While the US incentives are nationwide and accompanied by tough measures to ensure that physicians actually use the EHRs paid for with government subsidies, Ottawa has left physician implementation to the provinces and has not tracked implementation.”
- “With two studies in press comparing Canadian and US approaches to EHRs, Robin Tamblyn with the McGill University Clinical and Health Informatics Research Group says US officials could learn from Canadian mistakes.”
What are your thoughts with regard to the CMAJ observations? Are there things that we are doing right in Canada? Are there some course corrections needed?