> Several countries are well on their way to this achievement, including Belgium, Denmark, Estonia, Lithuania, and Poland. Outside the E.U., countries such as Israel and Singapore also have very advanced systems, and after a rocky start, Australia’s My Health Record system seems to have found its footing.

When any country mentioned hits the population of a small or medium US state, let us know how it goes.

> Canada, China, India, and Japan also have EHR system initiatives in place at varying levels of maturity.

Apparently the author could not care less. Apparently even the WHO could not care less, given the linked document tells us nothing.

As always, it's the US versus the world, and the world is a giant nothingburger, save some flyover countries in Europe that could be part of Greater Germany or Greater Russia for all anyone cares. How is the UK, Germany, France, Russia, or China doing? Oh...

> The United Kingdom was hoping to be a global leader in adopting interoperable health information systems, but a disastrous implementation of its National Programme for IT ended in 2011 after nine years and more than £10 billion.

No doubt when the US gets the standards and apps done, the rest of the world will magically start working too. All the billions spent and the world piggybacks and gives nothing back, save, quite amusingly, China. As always.

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dllthomas 3 days ago | parent [-]

> When any country mentioned hits the population of a small or medium US state, let us know how it goes.

I don't know "how it goes" but Poland has the population of a large US state.

	▲	esbranson 3 days ago \| parent [-]
		I stand corrected, chat bot agrees, it's most like Ohio or Illinois in population and GDP. > Ohio has long been a national leader in EHR adoption, with nearly 5,000 primary care physicians signed up through the Ohio Health Information Partnership—more than any other state as of around 2011.[1] Cincinnati-based HealthBridge operates one of the largest and most robust regional Health Information Exchanges (HIEs) in the U.S., servicing over 30 hospitals and 7,500 physicians across multiple states.[1] > In Ohio, a qualitative 2022 study surveyed provider and leadership perspectives on interoperability, finding high adoption rates: 96% of Medicaid‑PI‑eligible providers and hospitals had adopted EHR systems; non‑eligible providers reported adoption at 72%.[2] Epic Systems dominates the state as the top EHR vendor—used by 37% of Medicaid‑PI recipients and over 56% of other providers; smaller practices more often use NextGen, eClinicalWorks, etc.[2] > The 2021 Illinois Health IT Survey, based on 175 respondents representing ~3,800 providers, shows 100% EHR adoption among respondents—up from 61% in 2011.[3] Participation in an HIE rose from 32% in 2016 to 51% in 2021.[3] > For Illinois, key barriers reported: lack of provider Direct message addresses, reluctance of referring providers to accept messages (58%), and vendor cost constraints (46%).[3] Top reported improvements: decreased medication errors (64%), improved throughput (60%), and better reporting and referrals (60% and 57%).[3] The most difficult challenge: meeting program objectives (37%), followed by implementation cost and time (22%).[3] Overall chat bot indicates Poland has unique patient IDs so no record duplication compared to poor US implementations, high interop within P1 compared to poor interop between US vendors, and good patient data access compared to poor implementation by US vendors. Chat bot gave little about burnout but mentioned Polish and US AI developments under way. I would assume there's poor interop between Poland and other EU states, likely much worse than the US IMHO. Not really any mention of other topics like clinician workflow, burnout, and productivity re Poland. [1] https://www.healthpolicyohio.org/files/publications/hitprime... [2] https://pmc.ncbi.nlm.nih.gov/articles/PMC10007006/ [3] https://hfs.illinois.gov/content/dam/soi/en/web/hfs/sitecoll...