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Towards an Integrated Health Information System in the Netherlands

image of Towards an Integrated Health Information System in the Netherlands

Twenty-first century health systems have to be built around data and information. An integrated health information system enables the secure flow of data to where they can be used, to provide information to strengthen integrated care delivery, enable public health monitoring and management, and foster medical and health research and innovation. This report describes the requirements and the benefits of an integrated health information system; outlines the current situation in the Netherlands in the context of progress across OECD countries; and recommends legal, policy and operational changes to overcome barriers to the efficient exchange and sharing of health data and to establish an integrated health information system.

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The structure and governance of the Dutch health information system in comparison with OECD countries

This chapter describes the relationship between the structure and organisation of the Dutch health system and the management, use and sharing of health data to improve health outcomes and achieve public policy objectives. The four fundamental laws that govern the four domains of the Dutch health system are discussed (public health, social care, curative care, and long-term care), which determine not only the health system’s architecture but also how data are exchanged within it. The chapter then describes in more detail the concepts of health data infrastructure, data governance and an integrated health information system; the key components of an integrated health information system; and how it can help countries to advance policy objectives. Examples from across OECD countries illustrating the development of health data governance frameworks and interoperable electronic health record systems are presented to inform the review of the current situation in the Netherlands.

English

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