Achieving Interoperability in Primary Care in Canada: A Stakeholder Analysis Study.

Jorge Telchi, Miguel Terrones, Aziz Guergachi, Karim Keshavjee
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Abstract

Canada's healthcare system is undergoing rapid technological changes, alongside increasing demand for services, clinician burnout, and rising costs. Achieving interoperability between primary care electronic medical records (EMRs) is critical to addressing these challenges by enabling real-time data sharing and informed decision-making. This study analyzes stakeholder requirements for interoperability, utilizing an adapted House of Quality matrix to map the contributions needed from healthcare providers, vendors, government, researchers, and technology deployment partners. The findings emphasize the necessity of cross-sector collaboration, with vendors playing a central role in providing technological solutions and providers and the government ensuring alignment with clinical standards and policies. The study highlights the importance of coordinated governance and identifies key areas for stakeholder collaboration to drive value for all interest holders in the healthcare ecosystem.

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在加拿大实现初级保健的互操作性:利益相关者分析研究。
加拿大的医疗保健系统正在经历快速的技术变革,同时对服务的需求不断增加,临床医生的职业倦怠和成本不断上升。通过实现实时数据共享和知情决策,实现初级保健电子医疗记录(emr)之间的互操作性对于解决这些挑战至关重要。本研究分析了涉众对互操作性的需求,利用经过调整的质量之家矩阵来映射医疗保健提供商、供应商、政府、研究人员和技术部署合作伙伴所需的贡献。研究结果强调了跨部门合作的必要性,供应商在提供技术解决方案方面发挥核心作用,供应商和政府确保与临床标准和政策保持一致。该研究强调了协调治理的重要性,并确定了利益相关者合作的关键领域,以推动医疗保健生态系统中所有利益相关者的价值。
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