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ICT standards in the health sector: current situation and ... - empirica

ICT standards in the health sector: current situation and ... - empirica

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<strong>ICT</strong> <strong>st<strong>and</strong>ards</strong> <strong>in</strong> <strong>the</strong> <strong>health</strong> <strong>sector</strong><strong>st<strong>and</strong>ards</strong> (20% / 36% ).There were not many differences between <strong>the</strong> responses of <strong>the</strong> various sub-groups. Oneof <strong>the</strong> more strik<strong>in</strong>g deviations was that a majority of four of <strong>the</strong> six SDO representativesdisagreed that are “generally too many e-<strong>health</strong> <strong>st<strong>and</strong>ards</strong>”.Exhibit 3-3: Assessment of <strong>the</strong> <strong>current</strong> <strong>situation</strong> <strong>in</strong> e-<strong>health</strong> <strong>st<strong>and</strong>ards</strong> (<strong>in</strong> %)-60 -40 -20 0 20 40 60 80 100generally too many e-<strong>health</strong> <strong>st<strong>and</strong>ards</strong>8283620too many conflict<strong>in</strong>g e-<strong>health</strong> <strong>st<strong>and</strong>ards</strong>5175121lack of widely used e-<strong>health</strong> <strong>st<strong>and</strong>ards</strong>133955lack of sufficientlydeveloped e-<strong>health</strong><strong>st<strong>and</strong>ards</strong>3124040lack of e-<strong>health</strong><strong>st<strong>and</strong>ards</strong> for EHRs10204321lack of e-<strong>health</strong><strong>st<strong>and</strong>ards</strong> harmonisationactivities5143540I strongly disagree I somewhat disagree I somewhat agree I strongly agreen = 94 respondents. Figures do not add up to 100% because answers of “no response” are<strong>in</strong>cluded but not shown.Source: SeBW e-Health Onl<strong>in</strong>e Expert Survey 2007.Individual statements21 respondents commented <strong>in</strong> various ways, often favour<strong>in</strong>g strong measures to improve<strong>the</strong> <strong>current</strong> <strong>situation</strong>. For example, one respondent commented on a supposedly<strong>in</strong>efficient development of <strong>st<strong>and</strong>ards</strong>: “We've been research<strong>in</strong>g on e-<strong>health</strong> st<strong>and</strong>ard fordecades, <strong>and</strong> advances seem terribly slow. Many groups redo what o<strong>the</strong>r did almost adecade ago. (…) Publicly available reference implementation may be one approach tospeed up uptake of <strong>st<strong>and</strong>ards</strong> <strong>and</strong> <strong>in</strong>novative research <strong>in</strong> this field.”Fur<strong>the</strong>r suggestions <strong>in</strong>cluded enforc<strong>in</strong>g harmonisation activities between <strong>the</strong> exist<strong>in</strong>gSDOs – particularly with regard to EHRs –, start<strong>in</strong>g a certification process for e-<strong>health</strong><strong>st<strong>and</strong>ards</strong> <strong>and</strong> adoptions, develop<strong>in</strong>g open <strong>st<strong>and</strong>ards</strong>, <strong>and</strong> <strong>in</strong>creas<strong>in</strong>g user orientation<strong>and</strong> participation <strong>in</strong> <strong>the</strong> development process.50

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