EMR adoption in India has increased in recent years but penetration remains low compared to developed countries. While there are over 35 domestic EMR vendors and many hospitals now using EMR systems, challenges to adoption include technical issues, organizational barriers, financial hurdles, and psychological resistance from physicians. To further increase EMR use, it is recommended to understand physician perceptions and provide education on advantages rather than mandating adoption alone.

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MOMENTUM IN PENETRATION OF ELECTRONIC
MEDICAL RECORD (EMR) IN INDIAN HEALTHCARE
Devesh Dubey,
Student of Post Graduate Diploma in Health Information
Technology, Institute of Health Management research, Bangalore

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Introduction
• Indian healthcare industry expected to become a
US$280 billion industry by 2020.
• Health-IT market in India is expected to reach $1.45
billion in 2018 from the present $381.3 million.

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• 1980 TCS won tender to computerize whole AIIMS,
worth several crore, installed "state of art hardware &
software" but implementation got failed.
• “Patient Care System” software was developed by TCS
& installed in AIIMS in1990.
• AIIMS realized in 1996 that Patient Care System had not
been used successfully due to bottlenecks. It was
decided that there should be no extension of the annual
maintenance contract.

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EMR in India
• In India it all started somewhere around 2008 when a handful of
technology savvy entrepreneurs invested in patient portal/EMR
software to enhance connectivity & communication between patients
& doctor.
• There are 35 domestic EMR vendors in India with multiple product
portfolios.
• In the committee constituted by an order of “mohfw.gov” by august
2013, various recommendation regarding EMR standards were
presented & I have tabulated some of the key recommendation.
Name Class
UHID Unique Health Identifier
XML For Data Capture
HL7 Clinical Data for inter
Department Documents

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EMR in India
Some of the major EMR
providers in India include
• IBA Health
• VEPRO
• Siemens
• Karishma Software
• Sobha Renaissance IT
Pvt. Ltd.
• 21st Century Healthcare
solutions.
• Softlink International.
• Prognosys.
• Srishti Software.
• CDAC.
• GE Healthcare.
Some of the hospitals in India
using EMR
• Amrita Institute of Medical Sciences,
Coimbatore
• Apollo Hospital, Chennai
• Artemis Healthsciences, Gurgaon
• Christian Medical College, Vellore
• Fortis Hospital, Mohali & Delhi
• Manipal Hospital, Bangalore
• Max Devki Devi Hospital, Delhi
• P D Hinduja Hospital, Mumbai
• Ruby Hall Clinic, Pune
• Sahyadari Hospital, Pune
• Sri Sathya Institute Of Higher Medical
Sciences, Bangalore
• PGIMER, Chandigarh

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Key Driver of EMR in Indian market
• Increased healthcare awareness.
• Changing lifestyle.
• Demand of quality.
• Competition between hospitals.
• Cheap & quality will encourage
to international patient.

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Current Status of EMR
EMR has highest penetration in India. It is growing by
13.5% in the last five year & it is expected to have
same rate of increase due to improving uptake &
upcoming hospital projects.

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Challenges in EMR adoption in India
• Individual Challenges
• Psychological Challenges
• Organizational Challenges
• Financial Challenges
• Legal Challenges
• Technical Challenges

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Conclusion
• Among the challenges responsible for slow penetration of
EMR in India are related to all technical challenges (most
commonly faced challenges); organizational challenges;
psychological challenges; financial challenges; legal
challenges; individual challenges.
• There is very low penetration of HIT in India as compared to
developed countries like the US.

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Recommendation
• Instead of mandating the use of EMR, the physician
perception about EMR should be understood first.
This will allow for the development of target
education to demonstrate the advantage of EMRs &
to further improve their perception.

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References
• http://archivehealthcare.financialexpress.com
• http://www.hhs.gov

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