加拿大 Infoway
2002年开始，政府投资12亿加元开发区域卫生信息共享基础架构，计划于2009年为50%的加拿大人口建立电子健康档案，于2020年覆盖全国
连接加拿大的10个省份和三个区域的安全的电子健康文档系统。
专注于建设提供供医护人员之间，特比是医护人员之间进行合作，为医护人员更快、更准确地提供所需信息
病人自服务 （Patient Portal - Self service)
特点： Infoway Blueprint 和标准化建设
英国国家健康IT项目—— 现状
原计划和现状的比较
原计划：“A single, centrally-mandated electronic care record for patients and to connect 30,000 General practitioners to 300 hospitals, providing secure and audited access to these records by authorised health professionals”
现在的计划：“seeking for local software solutions rather than a single nationally imposed system”
The programme was established in October 2002
On April 1, 2005 a new agency called NHS Connecting for Health (CfH) was formed
Originally expected to cost £2.3 billion (bn) over three years, in June 2006 the total cost was estimated by the National Audit Office to be £12.4bn over 10 years
the final cost to be as high as £20bn, indicating a cost overrun of 440% to 770%
Completion date of 2014-2015 now looks unlikely
项目成功之处： primary care （全科和基层医疗）,
综合实施电子系统
大面积实施到社区全科医生
实现了网上挂号预约
完成了社区全科医生互换电子病历
智能化的电子处方(药物医嘱) – CPOE
居民可以查询到医疗记录摘要，网上可以查询完整的电子健康档案
失败之处： 专科和大型医院
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资源大小：3.39 MB 
