EHR strategy: top down, bottom up or middle out?

Thomas C. Bowden

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contributionpeer-review

1 Citation (Scopus)


Around the world a number of countries have made a concerted effort to embed Information and Communications Technology (ICT) within their health systems. It is widely acknowledged that the successful application of ICT to health systems can bring about significant benefits. A number of areas commonly singled out for improvement include: coordination of care; improved medication management; and streamlining the transfer of a patient's care from one healthcare provider to another. There are also perceived cost-benefits including reduced duplication of services and improved service utilization. Countries across the world have chosen many and varied paths to automating their health systems. Health systems are intrinsically very complicated and changing rapidly. Because they represent a high proportion of government expenditure, it is important to understand what is being achieved by each of the broad approaches that are being taken.

Original languageEnglish
Title of host publicationInternational perspectives in health informatics
EditorsE.M. Borycki, J.A. Bartle-Clar, M.S. Househ, C.E. Kuziemsky, E.G. Schraa
Place of PublicationAmsterdam
PublisherIOS Press
Number of pages5
ISBN (Electronic)9781607507093
ISBN (Print)9781607507086
Publication statusPublished - 2011
Externally publishedYes
EventInformation Technology and Communications in Health, ITCH 2011 - Victoria, BC, Canada
Duration: 24 Feb 201127 Feb 2011

Publication series

NameStudies in Health Technology and Informatics
PublisherIOS Press
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365


OtherInformation Technology and Communications in Health, ITCH 2011
CityVictoria, BC


  • EHR strategy
  • Health-system integrator
  • Summary care record


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