ArticleBMC health services research2020
Adoption rates of electronic health records in Turkish Hospitals and the relation with hospital sizes.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Synthesizing Dimensions of Digital Maturity in Hospitals: Systematic Review.Journal of medical Internet research · 2022Pooled it
- Extracting geriatric syndromes from electronic health records: a scoping review.European geriatric medicine · 2026Article
- Status of Digital Health Technology Adoption in 5 Vietnamese Hospitals: Cross-Sectional Assessment.JMIR formative research · 2025Article
- Big 5 Personality Traits and Individual- and Practice-Related Characteristics as Influencing Factors of Digital Maturity in General Practices: Quantitative Web-Based Survey Study.Journal of medical Internet research · 2024Review
- The Economic Impact of Obesity in Turkey: A Micro-Costing Analysis.ClinicoEconomics and outcomes research : CEOR · 2024Article
- Pharmacy practice and policy research in Türkiye: a systematic review of literature.Journal of pharmaceutical policy and practice · 2024Review
- Basic electronic health record (EHR) adoption inBMC health services research · 2023Article
- The effect of digitalization of nursing forms in ICUs on time and cost.BMC nursing · 2023Article
- SurvMaximin: Robust federated approach to transporting survival risk prediction models.Journal of biomedical informatics · 2022Article
- Factors Impacting Patients' Willingness to Recommend: A Structural Equation Modeling Approach.Journal of patient experience · 2022Article
- Understanding How to Improve the Use of Clinical Coordination Mechanisms between Primary and Secondary Care Doctors: Clues from Catalonia.International journal of environmental research and public health · 2021Article
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8 authors.
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Abstract
backgroundNation-wide adoption of electronic health records (EHRs) in hospitals has become a Turkish policy priority in recognition of their benefits in maintaining the overall quality of clinical care. The electronic medical record maturity model (EMRAM) is a widely used survey tool developed by the Healthcare Information and Management Systems Society (HIMSS) to measure the rate of adoption of EHR functions in a hospital or a secondary care setting. Turkey completed many standardizations and infrastructural improvement initiatives in the health information technology (IT) domain during the first phase of the Health Transformation Program between 2003 and 2017. Like the United States of America (USA), the Turkish Ministry of Health (MoH) applied a bottom-up approach to adopting EHRs in state hospitals. This study aims to measure adoption rates and levels of EHR use in state hospitals in Turkey and investigate any relationship between adoption and use and hospital size.
methodsEMRAM surveys were completed by 600 (68.9%) state hospitals in Turkey between 2014 and 2017. The availability and prevalence of medical information systems and EHR functions and their use were measured. The association between hospital size and the availability/prevalence of EHR functions was also calculated.
resultsWe found that 63.1% of all hospitals in Turkey have at least basic EHR functions, and 36% have comprehensive EHR functions, which compares favourably to the results of Korean hospitals in 2017, but unfavorably to the results of US hospitals in 2015 and 2017. Our findings suggest that smaller hospitals are better at adopting certain EHR functions than larger hospitals.
conclusionMeasuring the overall adoption rates of EHR functions is an emerging approach and a beneficial tool for the strategic management of countries. This study is the first one covering all state hospitals in a country using EMRAM. The bottom-up approach to adopting EHR in state hospitals that was successful in the USA has also been found to be successful in Turkey. The results are used by the Turkish MoH to disseminate the nation-wide benefits of EHR functions.
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