Studie - Electronic health records in Western Europe – still a local affair?

Healthcare providers in Europe are facing incongruous challenges, including an aging population and an increase in chronic diseases or long-term conditions, while having to meet an overriding need to reduce costs and maintain high quality healthcare. These necessities fuel the demand for e-health IT in general, and electronic health records (EHR) in particular, but also create a new set of challenges, especially in the field of data protection. Western European countries have deployed EHR solutions for some time, with local players still having a strong position in the local markets. However, the consolidation of healthcare providers and insurers alters the scale of the installations and increases opportunities for international players. Their increasing geographic expansion prompts questions about how easily and cost effectively EHR solutions can be adapted to local conditions.

Executive summary

In a nutshell

Ovum view

Key messages

Methodology

Definition

E-health

Electronic health record

The case for electronic health records

EHRs are at the core of a modern healthcare system

EHRs improve treatment and cost efficiencies

EHRs in support of medical research

The stakeholders

Challenges

The role of the European Union for the deployment of EHRs

Healthcare spending represents a significant share on GDP

The market for electronic health records

Expenditure on EHR services

The early days of electronic health records in Europe

The geographic factor

Country uptake — anecdotal evidence

UK

Germany

France

Spain

Italy

The Nordics

Eastern Europe

Competitive landscape

US headquartered firms

International players

EHR deployment across Europe: a need for local adoption?

Barriers

Local culture

Common terminology/standards

Interoperability of systems/lack of standards

Cooperation

Recommendations to vendors

Recommendations











List of Figures

Figure 1: Ratio of healthcare expenditure on GDP in selected European countries and the US: 2007

Figure 2: Estimated expenditures on EHRs in selected European countries in 2009

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