Do you have evidence of the implementation of Electronic Health Records (EHR) in Japan? Part 1

Deciding the research topic

The introduction of EHR in medical institutions in Japan is far behind other developed countries (Yoshida et al., 2013)

Therefore, I started creating a new EHR system in the aim of introducing hospitals in Japan so as to the improve medical care offered and wider scheme of healthcare available in Japan.

Thus, I want to know

“How can an EHR system be implemented smoothly into hospitals in Japan”

However, before that I should identify why adoption rate is so low in Japan.

Therefore, my research topic was set as:

“What are barriers in implementing EHR in Japan”

2, Initial Literature Search

2-1: Identify Key Terms

I did research based on several key underlined terms from my identified topic e.g.

“What are barriers in implementing EHR in Japan”

2-2: List synonyms/alternatives

・HER: EHR/EMR/“electronic health record”/“electronic health records”/“electronic medical record”/“electronic medical records”→#1

・Implement (=implementation) ; implementation/introduction/deployment→#2

・barriers → barrier/obstacle/obstruction/hurdle→#3

・Japan → #4

2-3: Search in PubMed through Boolean operation

By searching #1 AND #2 AND #3 AND #4 in PubMed, I found only 3 articles as below.

1, Motivations and barriers to implementing electronic health records and ED information systems in Japan (Inokuchi et al., 2014)

2, Improvement of Pediatric Drug Development: Regulatory and Practical Frameworks (Tsukamoto et al., 2016)

3, Rationale and Design of the Registry for Stones of the Kidney and Ureter (ReSKU): A Prospective Observational Registry to Study the Natural History of Urolithiasis Patients (Chang et al., 2016)

2-4: Narrowing down the number of articles by filtering the articles.

Among these 3 articles, the relevant topic is only one article.

References

Chang, H.C., Tzou, D.T., Usawachintachit, M., Duty, B.D., Hsi, R.S., Harper, J.D., Sorensen, M.D., Stoller, M.L., Sur, R.L., Chi, T., 2016. Rationale and Design of the Registry for Stones of the Kidney and Ureter (ReSKU): A Prospective Observational Registry to Study the Natural History of Urolithiasis Patients. J Endourol 30, 1332–1338. https://doi.org/10.1089/end.2016.0648

Inokuchi, R., Sato, H., Nakamura, K., Aoki, Y., Shinohara, K., Gunshin, M., Matsubara, T., Kitsuta, Y., Yahagi, N., Nakajima, S., 2014. Motivations and barriers to implementing electronic health records and ED information systems in Japan. Am J Emerg Med 32, 725–730. https://doi.org/10.1016/j.ajem.2014.03.035

Tsukamoto, K., Carroll, K.A., Onishi, T., Matsumaru, N., Brasseur, D., Nakamura, H., 2016. Improvement of Pediatric Drug Development: Regulatory and Practical Frameworks. Clin Ther 38, 574–581. https://doi.org/10.1016/j.clinthera.2016.01.012

Yoshida, Y., Imai, T., Ohe, K., 2013. The trends in EMR and CPOE adoption in Japan under the national strategy. Int J Med Inform 82, 1004–1011. https://doi.org/10.1016/j.ijmedinf.2013.07.004