ArticleJournal of medical Internet research2021
Adoption of Electronic Health Records (EHRs) in China During the Past 10 Years: Consecutive Survey Data Analysis and Comparison of Sino-American Challenges and Experiences.
Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it, 101 citations in OpenAlex.
- A Systematic Review of Electronic Medical Record Driven Quality Measurement and Feedback Systems.International journal of environmental research and public health · 2022Pooled it
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- Development and content validation of a health assessment item bank for regional health big data: a sequential mixed-methods approach.Health and quality of life outcomes · 2026Article
- Prediction of antibiotic-associated cutaneous adverse drug reactions using electronic health record foundation models.NPJ digital medicine · 2026Article
- Recent Advances in AI and GenAI for Health Informatics.Healthcare (Basel, Switzerland) · 2026Review
- Sieving for gold: external comparator studies to prioritize drugs for late-stage clinical trial.Journal of comparative effectiveness research · 2026Review
- Selective strategic adaptation and structural trade-offs in a public traditional Chinese medicine hospital under China's national performance appraisal: a longitudinal study.Frontiers in health services · 2026Article
- Challenges and solutions in determining urolithiasis caseloads using the digital infrastructure of a clinical data warehouse.PloS one · 2026Article
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- Bicentric evaluation of employee satisfaction, patient safety and treatment quality: comparing different Health Information System (HIS) solutions.BMC health services research · 2025Article
- Incompleteness of Electronic Health Records: An Impending Process Problem Within Healthcare.Healthcare (Basel, Switzerland) · 2025Article
- Efficient Detection of Stigmatizing Language in Electronic Health Records via In-Context Learning: Comparative Analysis and Validation Study.JMIR medical informatics · 2025Article
- Quantitative Analysis of Diagnostic Reasoning Using Initial Electronic Medical Records.Diagnostics (Basel, Switzerland) · 2025Article
- Pretrained patient trajectories for adverse drug event prediction using common data model-based electronic health records.Communications medicine · 2025Article
- An exploratory study of electronic medical record implementation and recordkeeping culture: the case of hospitals in Indonesia.BMC health services research · 2025Article
- Towards Trustworthy AI in Healthcare: Epistemic Uncertainty Estimation for Clinical Decision Support.Journal of personalized medicine · 2025Article
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- Health professionals' readiness for and factors influencing electronic medical record systems implementation in Southern Oromia, Ethiopia, 2024: a cross-sectional study.Frontiers in digital health · 2025Article
Corrections and comments
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Authors and funding
10 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe adoption rate of electronic health records (EHRs) in hospitals has become a main index to measure digitalization in medicine in each country.
objectiveThis study summarizes and shares the experiences with EHR adoption in China and in the United States.
methodsUsing the 2007-2018 annual hospital survey data from the Chinese Health Information Management Association (CHIMA) and the 2008-2017 United States American Hospital Association Information Technology Supplement survey data, we compared the trends in EHR adoption rates in China and the United States. We then used the Bass model to fit these data and to analyze the modes of diffusion of EHRs in these 2 countries. Finally, using the 2007, 2010, and 2014 CHIMA and Healthcare Information and Management Systems Services survey data, we analyzed the major challenges faced by hospitals in China and the United States in developing health information technology.
resultsFrom 2007 to 2018, the average adoption rates of the sampled hospitals in China increased from 18.6% to 85.3%, compared to the increase from 9.4% to 96% in US hospitals from 2008 to 2017. The annual average adoption rates in Chinese and US hospitals were 6.1% and 9.6%, respectively. However, the annual average number of hospitals adopting EHRs was 1500 in China and 534 in the US, indicating that the former might require more effort. Both countries faced similar major challenges for hospital digitalization.
conclusionsThe adoption rates of hospital EHRs in China and the United States have both increased significantly in the past 10 years. The number of hospitals that adopted EHRs in China exceeded 16,000, which was 3.3 times that of the 4814 nonfederal US hospitals. This faster adoption outcome may have been a benefit of top-level design and government-led policies, particularly the inclusion of EHR adoption as an important indicator for performance evaluation and the appointment of public hospitals.
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