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Previous studies have shown that health information technologies have apositive impact on health systems. Electronic health record (EHR) systems areone of the most promising applications, demonstrating a positive effect in highincome countries. On the other hand, robust evidence for low and middle incomecountries is still spare. The aim of this study is to initiate a carefullyplanned nationwide EHR system in Vietnam by assessing the core readiness. Theassessment structure is mainly based on previous research, which recommends areadiness assessment prior to to an EHR system implementation. To collect data,participant observation, document analysis and an in-depth interview were used.This study has revealed new insights into the current situation on EHR inVietnam. The Ministry of Health is currently working on improving theconditions for future implementation of a Vietnamese EHR system. There areissues with the current way of handling health records. These issues areencouraging the Ministry of Health to work on identifying the next steps for anEHR system implementation. The integration of an EHR system with currentsystems seems to be challenging as most systems are commercial, closed sourceand very likely have no standardised interface. In conclusion, this studyidentifies points which need to be further investigated prior to animplementation. Generally, health care workers show good awareness of newtechnologies. As the Vietnam's health care system is centrally organised, thereis the possibility for a nation-wide implementation. This could have a positiveimpact on the health care system, however, besides rigours planning alsostandards need to be followed and common interfaces implemented. Finally, thisassessment has focused on only one level of readiness assessment. Furtherresearch is needed to complete the assessment.

Towards an Electronic Health Record System in Vietnam: A Core Readiness Assessment