Evidence map›Paper›PMID 41085486›Full record

ArticleJournal of evaluation in clinical practice2025

Reframing EHR Policy in China: Towards Balanced Implementation and Ethical Foundations.

Shuyuan Chen, Wenhao Huang, Yan Xu, Jie Yang

Abstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Shuyuan ChenSchool of Management, Xuzhou Medical University, Xuzhou, Jiangsu Province, China.ORCID 0009-0003-6950-8208
Wenhao HuangSchool of Management, Xuzhou Medical University, Xuzhou, Jiangsu Province, China.ORCID 0009-0005-1441-1577
Yan XuThe Second Clinical Medical College, Xuzhou Medical University, Xuzhou, Jiangsu Province, China.
Jie YangCollege of Cell Therapy Drug Industry, Xuzhou Medical University, Xuzhou, Jiangsu Province, China.

Funding

This study was funded by Jiangsu Province Health Emergency Response Research General Program (JSWSYJ-20230101).
6 · The paper itself

Abstract

objectiveElectronic Health Record (EHR) systems are a core component of healthcare informatization, playing a crucial role in the development of digital and smart healthcare. This study utilizes policy tool theory to analyse policies related to China's EHR system. By gaining a deep understanding of the mechanisms of policy impact, we believe we can better guide the development direction of EHR systems, optimize resource allocation, and improve system effectiveness and efficiency. Ultimately, this will make a substantial contribution to the construction of healthcare informatization.

methodsThe research employs Christopher Hood's 'NATO' model of policy tools to construct a three-dimensional analytical framework. A total of 427 relevant policy documents were retrieved and screened from the PKULAW.COM and WWW.GOV.COM databases. NVivo 14 software was used for text mining and quantitative analysis.

resultsThe study reveals that authority tools (36.88%) dominate across most policy objectives, particularly in improving healthcare quality and promoting technological innovation. Nodality tools (27.90%) also demonstrate significant influence in enhancing healthcare quality and fostering technological innovation. Organization tools (21.75%) reflect governmental efforts in institutional development and organizational coordination. While economic tools (13.48%) show a lower overall frequency of use, they are applied relatively more in objectives related to rational resource allocation.

conclusionRecommendations include optimizing the government's role and balancing the use of authority tools; refining the policy objective system with increased attention to ethical issues; and strengthening the synergistic application of policy tools to enhance policy implementation effectiveness.

Indexed as

Electronic Health RecordsHealth PolicyChinaHumansPolicy MakingQuality of Health Caredigital healthcareelectronic health record systemNATO modelpolicy tool analysistext data mining

Identifiers

PMID41085486
PMCPMC12520162

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.