What is the role of government vs. private players in development and implementation of Health Information Technology?
• It was generally agreed that it is the role of government, at the very least, to facilitate the creation of a master vision, as well as standards for information systems. The government must also maintain ownership of some key data. • There was some discussion about how much the government should mandate the use of a particular type of information system, for example, for submission of claims by providers. In countries with a sophisticated base of hospitals/providers that already have their own IT systems (e.g., Taiwan), the government may merely specifiy a common standard for data submission. However, in areas where providers may be less sophisticated (e.g., rural India), it may make sense for the government to mandate the implementation of a particular type of software package for verification of enrollees and claims submission. • An alternative to a government designing and building an IT system through a single vendor is to specify requirements and then allow multiple software co
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