One of the important aims of the reforms in Uzbekistan is to deliver qualitative medical care to all citizens. On the other hand qualitative care should be safe, effective, patient centred, timely, efficient and equitable. Based on the ongoing reforms in the health care sector it was decided to implement the use of the electronic patient record (EPR) as one of tool in improving the quality of health care delivery. At the beginning the EPR is introduced in eight of the medical clinics in the capital city Tashkent as a pilot project. It’s clearly that the EPR gives new opportunities including reducing clinical errors, improving patient safety, and allowing clinicians to communicate more quickly and accurately and to identify relevant information more easily. Moreover good EPR systems can increase efficiency, reduce duplication and waste, and improve the cost-effectiveness of health services. EPR systems can also make information much more readily accessible to patients, allowing them to assume more control over their health records and thereby become more active in their own care. In addition, electronic databases of health information can be used for a range of purposes other than direct care provision, for example clinical audit and research. In spite of all benefits the learnt experience showed that the following issues should be considered before implementing the (EPR) widely in the context of Uzbek health care system:

1. Many health care professionals don’t know how to use computer and consequently have difficulties in using the electronic patient record.
2. It’s necessary to point out that the computerization level is varied widely in different regions in Uzbekistan. That’s why there’s a need to change the infrastructure as well as significantly upgrading hardware software and network infrastructure where necessary.
3. EPR also brings new risks, particularly to the privacy and safety of health information. Electronic systems allow access to data from many locations, increasing the likelihood of a security breach; they can also give individuals access to much more data than was previously possible, increasing the damage caused by system misuse.

There’s no doubt that EPR will be beneficial in the context of the Uzbek health care system. But it requires significant changes in the system particularly the following activities should be undertaken:
1. To educate health professional in modern information technologies as well as introduce into curriculum of medical institutes the elements of EPR system
2. To estimate the computerization level of health care facilities and to consider the patient safety.

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Challenges in implementing the electronic patient record in the context of healthcare reforms in Uzbekistan

G Usmanova  

M Baymukhamedov  

M Matsapaeva  

Y Rakhimova  

One of the important aims of the reforms in Uzbekistan is to deliver qualitative medical care to all citizens. On the other hand qualitative care should be safe, effective, patient centred, timely, efficient and equitable. Based on the ongoing reforms in the health care sector it was decided to implement the use of the electronic patient record (EPR) as one of tool in improving the quality of health care delivery. At the beginning the EPR is introduced in eight of the medical clinics in the capital city Tashkent as a pilot project. It’s clearly that the EPR gives new opportunities including reducing clinical errors, improving patient safety, and allowing clinicians to communicate more quickly and accurately and to identify relevant information more easily. Moreover good EPR systems can increase efficiency, reduce duplication and waste, and improve the cost-effectiveness of health services. EPR systems can also make information much more readily accessible to patients, allowing them to assume more control over their health records and thereby become more active in their own care. In addition, electronic databases of health information can be used for a range of purposes other than direct care provision, for example clinical audit and research. In spite of all benefits the learnt experience showed that the following issues should be considered before implementing the (EPR) widely in the context of Uzbek health care system:

1. Many health care professionals don’t know how to use computer and consequently have difficulties in using the electronic patient record.
2. It’s necessary to point out that the computerization level is varied widely in different regions in Uzbekistan. That’s why there’s a need to change the infrastructure as well as significantly upgrading hardware software and network infrastructure where necessary.
3. EPR also brings new risks, particularly to the privacy and safety of health information. Electronic systems allow access to data from many locations, increasing the likelihood of a security breach; they can also give individuals access to much more data than was previously possible, increasing the damage caused by system misuse.

There’s no doubt that EPR will be beneficial in the context of the Uzbek health care system. But it requires significant changes in the system particularly the following activities should be undertaken:
1. To educate health professional in modern information technologies as well as introduce into curriculum of medical institutes the elements of EPR system
2. To estimate the computerization level of health care facilities and to consider the patient safety.

A copy of the full paper has not yet been submitted.

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