Global Leader in Foreign Direct Investments Essay Example for Free

Global Leader in Foreign Direct Investments Essay This dissertation focused on the Foreign Direct Investments (FDI) of India relative to China, together with its competitive advantages and the underlying factors which set them apart. In addition, strategies in which India can further strengthen its competitive advantage were elaborated together with the best approaches to keep at par or surpass China in terms of its FDI dominance. This chapter presented the background of the research problem, the research questions that the dissertation aimed to answer, significance of the study, the dissertations adopted research design and methodology, together in which how the sections in this dissertation were organized. 1. 1 Background of the Problem The surge of foreign direct investments in Asian countries is primarily determined by the privatization and at the same time the globalization of production. The degree of political stability, government policies, together with trade and investment regimes allowed host countries to be very open in terms of FDI investments. Due to the liberalization of the developing countries economies, the Global Development Finance of the World Bank in 1999 claimed that FDI flows to developing countries have increased more than six times (Chakraborty and Basu, 2002). Foreign direct investments have bloomed for both China and India by more than 1,500 percent between 1990 and in the recent years, and both countries have growing domestic considerable consumer markets, both economies are starting to produce higher value products and develop networks to maintain competitive advantages beyond mere cost (Laudiciana and White, 2005). Both India and China share the same level of competitiveness in terms of FDI attractiveness among multinational companies. However, it could be noted that India or China being a more favorable destination for FDIs should be closely taken into consideration. It could be noted that there are business ventures that are proven to be more profitable exclusively in only one of the countries even though the aforementioned offers the same services. On another perspective, specific business ventures could experience a relatively highly specialized output given for instance that such would be deployed in the right geographic location (Laudiciana and White, 2005). It could be noted that India has undergone remarkable international integration and development over the past few years. Since 1991, after the external payment crisis in India, there has been liberalization of various policies implemented by the government. In turn, the current investment climate has attracted many foreign investors in the country in various sectors. As such it is with this respect that competitive advantages possessed both by India with China, could be noted as it plays a vital role in terms of the success and eventually business profitability. On the other hand, it could be traced back that China started its state-led modernization reform in the late 1970s after many years of operating according to the Soviet model. Contrasting this to India, the aforementioned’s main reform started after 1991 after which relied largely on the private sector. China’s FDI mainly consists of capital intensive flows whereas India’s FDI is mainly skill intensive (Laudiciana and White, 2005). The impact of such investment has on the domestic economy and the experience of the multinationals with the overall business environment in the sub continent is very vital. Thus it becomes necessary to study the impact of such inflows as it has important policy implications. 1. 2 Research Questions The dissertation aims to answer the following questions: 1. What are the factors that differentiate India’s and China’s FDI performances that influence the inflows and stocks of the aforementioned? 2. What are the effects of FDI inflows and stocks to the economy of India? 3. How will India develop a competitive advantage in terms of its FDI and take over China as a leader in FDI in the future?

The Future of Global Oil Production

The Future of Global Oil Production WORLD’S OIL PRODUCTION: HISTORICAL REFERENCE AND PROJECTIONS Background The level of the oil production is influenced by a wide variety of factors. Following a basic principle, the demand is the reference element against which production (i.e. supply) is always analyzed. Yet, apart from demand there are many other factors that influence, either directly or indirectly, the oil production. To quote only a few of such factors with direct influence one might mention: the fluctuating oil price, the socio-economic framework, the political stability, the fiscal and regulatory regime(s), the technological breakthroughs etc. On the axis listing the rather indirect factors, but also having a huge influence on the level of the world’s oil production, are other factors: sustainable investment environment, availability of financial resources, evolution of the transportation sector, environmental concerns etc. For sure, not even a small portion of all factors with influence on the level of production has been exhausted. In order to deal with such broad variety of factors (each having potentially substantial influence on the oil production and some of them having an intrinsic fluctuating nature) private companies, organizations (e.g. Organisation of Petroleum Exporting Countries), international bodies (e.g. International Energy Agency) or national monitoring bodies (e.g. US Energy Information Administration) put forward scenarios which are ultimately used for creating mid-term/ long-term strategies and/ or for making investment decisions in the dynamic arena of the oil and gas activity. Oil demand to 2035 As in most of the current scenario planning methods, in the 2014 IEA’s World Energy Outlook (â€Å"WEO-2014†) several scenarios are envisaged (i.e. New Policies Scenario[1] which is the central scenario to WEO-2014, the Current Policies Scenario[2] and the 450 Scenario[3]). During the 13 November 2014 Conference held in Vienna for promoting the release of the WEO-2014, IEA’s Chief Economist Fatih Birol mentioned that one of the key questions analysts are trying to answer is whether oil production will keep up in the future with the oil demand. The reason for analyzing this aspect in great detail lies in the fact that the energy demand is estimated to grow with a staggering 37% till 2040 (compared against the year of 2012)[4]. Within the energy mix, oil demand is supposed to rise from 90.1 mb/d in 2013[5] to 102.8 mb/d in 2035[6] and even to 103.9 mb/d till 2040 in the New Policies Scenario. In the Current Policies Scenario the oil demand increase is even more drastic: in 2040 the world demand will reach 116 mb/d! Both scenarios mentioned do not envisage a peak in the oil demand by 2040 which means that the mankind will actually need more oil to cover its needs in the years to follow after 2040. Only the 450 Scenario envisages a peak in the oil de mand already by around 2020[7] as the efficiency on the CO2 emissions is supposed to exhibit its effects by then; following said period the oil demand will decline and revert to the 1990s levels. Illustrating once more that the mankind’s faith lies actually in our hands, more specifically, in the policies to be implemented (or not) by 2040, it is worthwhile highlighting the deviations in energy demand (so not just oil demand) from the reference scenario (i.e. New Policies Scenario): in the Current Policies Scenario, the total energy demand will be higher with 10% (i.e. +1.746 Mtoe) than in the New Policies Scenario, while the 450 Scenario envisages a lower energy demand by 15% (i.e. -2.663 Mtoe) compared to the New Policies Scenario. In the energy mix envisaged in 2040, each of the three fossil fuels (i.e. oil, gas, coal) and the renewable sources play an equal role (i.e. each getting approx. a quarter), but with oil retaining its position as the largest single fuel in the global energy mix[8]. Similarly to IEA, OPEC’s 2014 World Oil Outlook (â€Å"WOO†) makes its own forecast, but the figures are slightly higher as it is envisaged in the reference case a steeper increase in the oil demand which is forecasted to reach 108 mb/ in 2035 and even 111 mb/d in 2040[9] (i.e. slightly lower – with 0.5 mb/d than forecasted in the WOO 2013). The figures provided by IEA WEO 2014, in terms of oil demand for the reference case are similar to the ones provided by OPEC’s WOO 2014 for the lower economic growth scenario which refers to a 102 mb/d oil demand in 2035 and 104.2 mb/d in 2040[10]. The higher economic growth scenario envisaged by WOO 2014 exhibits an oil demand of 112 mb/d in 2035 and almost 116 mb/d in 2040[11]. The main driving forces behind such steep demand increase are stemming from the developing economies (particularly China, India and Middle East[12]). In OECD countries, it is envisaged that the energy efficiency policies will come into play with a more significant impact than so far and, consequently, OECD oil demand will drop by almost 25% from 41 mb/d in 2013 to 31 mb/d in 2040 (OECD oil demand peaked already in 2005) with the US seeing the largest fall in absolute terms. Will oil production peak? After looking at the estimations of what oil quantities the world will need in the following decades, can it be stated that the production will keep up with such high demand? The good news is that the remaining technically recoverable resources of oil are sufficient to meet anticipated demand in all three scenarios[13]. The 2013 registered oil production was of 89.4 mb/d[14], according to IEA. As a significant milestone, all scenarios highlight the period around the 2020s when the North American unconventional production peaks (and subsequently it starts to decline). Yet, in the New Policies Scenario, the oil production growth will be supported mainly by the Middle East countries (i.e. OPEC’s quota raises from 36.8 mb/d in 2013 to 49.5 mb/d in 2040 when it will account for 49% of the total output) as well as by Canada and Brazil. Only the 450 Secenario, similar to the demand related projection, shows a production that will peak around 2020s when it will reach 93.4 mb/d[15]. By 2040, the 450 Scenario reflects an oil production declined up to 71.9 mb/d. OPEC’s WOO 2014[16] projects an oil production growth up to 108 mb/d by 2035 and even 111 mb/d by 2040. In its projection released on 9 September 2014, the US Energy Information Administration forecasts, in its reference case, an overall oil output increase reaching 99.1 mb/d[17] by 2040 (rather close to IEA’s 2014 New Policies Scenario). Conclusion All scenarios show that on a mid-term perspective oil supply and demand will both grow. All scenarios (except the 450 Scenario) show that on a long term oil supply and demand will grow. The 450 Scenario envisages a peak demand and supply around the 2020s. Some elements present high uncertainty (e.g. US tight oil, Brazil deepwater development, Canadian oil sands, Middle East stability etc) and their evolution over the next decades will be of utmost interest. Another heavy weight factor for the interdependency with the oil production supply and demand will be the evolution of the oil price. And another element which may produce positive surprises which will be worth following are the technological breakthroughs (if any). Therefore, the world’s business community will have to closely monitor all these elements and will have to factor them into the strategic business decisions to be made in the following years! [1] The New Policies Scenario takes into consideration the policies and implementing measures that have been adopted as of mid 2014 as well as the implementation of the policy proposals (even if they are yet to be formally approved). [2] The Current Policies Scenario takes into consideration only the policies enacted until mid 2014. [3] The 450 Scenario is not purely a scenario, but it rather sets a final target (i.e. limiting the temperature increase over the next years to only 2 degrees Celsius) and works out backwards to identify the decisions/ actions that have to be accomplished in order to meet this threshold. [4] World Energy Outlook 2014, page 55 [5] Idem, page 98 [6] Ibidem [7] Idem, page 97 [8] IEA WEO 2014, page 96 [9] OPEC World Oil Outlook 2014, page 72, available at http://www.opec.org/opec_web/static_files_project/media/downloads/publications/WOO_2014.pdf [10] Idem, page174 [11] Ibidem. [12] See Figure 3.2 in the IAE’s WEO 2014, page 100 [13] IEA, WEO 2014, page 110 [14] Idem, page 115. The OPEC WOO 2014 refers (under page 79) to an oil production of 90 mb/d. In both cases, the â€Å"oil production† includes, apart from the crude oil production, the NGL as well as the unconventional oil production. [15] IEA, WEO 2014, page 115. [16] WOO 2014, page 82 [17] See â€Å"Table A5. World crude and lease condensate production by region and country† available at http://www.eia.gov/forecasts/ieo/ieo_tables.cfm

The Paleolithic and Neolithic Stone Ages Essay -- Essays Papers

The Paleolithic and Neolithic Stone Ages The first scholars that existed named the whole period of human devolvement the â€Å"Stone Age.† The stone age is divided into three periods which are Paleolithic which means the old Greek age, Mesolithic and Neolithic which is the new Greek age. The Paleolithic and Neolithic stone ages have many great differences and has changed greatly between the two periods. The Paleolithic is divided into three phases which are Lower, Middle, and Upper. The upper stone age began about 42,000-37,000 years ago and has continued up until the ice age ended. Their ways of forms of communication are much different of the way we communicate now. Their forms of communication is visual arts which consists of sculpture, architecture, painting and other arts we just haven't figured out. Animals and the women in the nude were very popular form of art in the upper phase. They also believe because of the many women figures during that period that women dominated during this time. Their forms of shelter were by living in the mouth of a cave or building a hut or tent next to a protective cliff. Building these structures weren't quiet easy. The huts were made of light branches or hides that accommodated about 6 people. Most of the activities were inside the fire pit, where food and tools were prepared, making clothing, sleeping and working on stone was also taking place there. Most of their art work was made of cave work and cave painting. As...

Summary Of The Great Gatsby :: essays research papers

Summary of 'The Great Gatsby';   Ã‚  Ã‚  Ã‚  Ã‚  The Great Gatsby is a book about rich people that are fighting about women, money etc. After I read this book I realized that even if you are rich you don't have to be happy. There are two main characters: Nick Carraway and Jay Gatsby, both rich men. Here's the story in a short version... Nick Carraway is a young man from a wealthy family, living in a Middle Western city. The Carraway's are something of a clan actually. Nick's grandfather came here in 1851 and started a business, which his father carries on today. Nick graduated from Yale University in 1915, and just a little later he was in the Great War. When he came back he decided to go East and learn the bond business. He came East permanently in the spring of 1922. He found a house on the island which extends due East of New York. He has a beautiful house in a place called West Egg. That was on Long Island.   Ã‚  Ã‚  Ã‚  Ã‚  He made contact with his neighbor living closest to him, Jay Gatsby. Jay Gatsby was a very rich man with an enormous property. His house had a big lawn, a swimming pool and an exclusive garden. Despite all his money, he wasn't a very happy man. There was no woman in his life, just servants. His way of getting in touch with people was through his parties. He had parties in his home all the time. The house always got messed up, so the servants had a lot to do the day after the party.   Ã‚  Ã‚  Ã‚  Ã‚  Nick got to know a lot of people, some better than others. One of the people he met was a man called Tom Buchanan. He was the kind of man nobody likes. When he got angry, he would take it out on his wife, Daisy. He would beat her, once he even broke her nose. He always got drunk at parties and started arguments. He was also a cheater. He had a mistress named, Myrtle Wilson. She lived in an expensive apartment in New York, which Tom paid for.   Ã‚  Ã‚  Ã‚  Ã‚  Daisy knew about Tom's affair with Myrtle she just never spoke a word to him about it. She actually fell in

Osmosis Experiment :: Papers

Osmosis Experiment Aim: The aim of this experiment is to show how osmosis works in a plant cell. Plan: Method The ways we will do this experiment is firstly by getting a beaker and put a 100ml of water in it, then get a visking tube and put it in the beaker, so we don't block the holes with natural grease on our hands. After, we will get another beaker and pour some 1% sugar solution in it. When we have done this, we get one end of the visking tube and 'ruffle' it, then we get some string and one person will tie the end of the tube, while the other person hold it. The visking tube then will go back in the water, while we get a dropper and the beaker of sugar solution. After we will use the dropper to slowly and neatly pour the 1% sugar solution in the visking tube; we will fill it up  ¾ of the way. Then again one person will tie the other end; while the other person holds the tube, so now we have both end tied- we will make sure they are no leaks. When we have done this, we will take the beaker with water and visking tube to a weighing machine; we will then take the visking tube out and measure the mass of it (in grams). After, we will put the visking tube back in the beaker and leave it there for about 20 minutes. When the time is up, we will measure the mass of the visking tube again (in grams). During the experiment, we will observe the visking tube during the 20 minutes and see if the mass has increased or decreased at the end of the experiment. This experiment could be repeated, but using a 10% sugar solution, which would have helped us differ the different mass increase or decrease in both of them. We were planning to do this one to, but unfortunately-due to fewer supplies of visking tubes we could only

Crucible Reading Response

Crucible Reading Response The Crucible is a play based on a society ruled by theocracy. Danforth ‘s statement of â€Å"–a person is either with this court or he must be counted against it , there be no road between† clearly demonstrates the Puritan’s prospective of seeing everything in black and white. Arthur Miller’s purpose of writing co.uk/the-crucible-fear-causes-irrationality/">The Crucible was due to the close resemblance between the Salem Witch-trails and McCarthyism. They are both human tragedies that are driven by human fear.In The Crucible, Danforth and others suspect a person is either with the Devil or with God. There’s no doubt of witchcraft as God doesn’t tell lies. Likewise, people during the McCarthy period have been viewed as black or white too; if you don't support jailing the â€Å"communists,† you must be one of them. This view may secretly denied by people at that time, but the hysteria is like a snowball rol ling down a mountaintop, it became unstoppable.Like Danforth said: â€Å"-reprieve or pardon must cast doubt upon the guilt of them that died till now† (124), there is too much risk in try to put an end to the execution as people will start to doubt the government and the Church. During our thousand years of existence, mass hysteria always occurred. When those in authority make a wrong decision, people are forced to go along with it or they will be marked as traitors of their society. McCarthyism and the Salem Witchcraft established that the authority are entitled to be the only rightful opinion.

Lack Of Standards For Ehr Health And Social Care Essay

In 21st century Information Technology played an sole function in upper limit of the Fieldss ; nevertheless, health care is one noticeable exclusion. Harmonizing to surveies, U.S. infirmaries and multiple-facility wellness systems are â€Å" merely get downing to round out their clinical webs, but are much farther along than physician patterns. † ( David B. Meinert ) While many inmate or infirmary installations migrating from paper charts to electronic records, but a small advancement has been made in the ambulatory or outpatient scene. Vast bulk medical professionals including doctors have been loath to utilize electronic medical records and go on to trust on paper records. Paper medical records are informations rich by nature, but information is hapless as doctors and other wellness attention suppliers have limited clip to delve through volumes of paper to recover information, use it in decision-making and/or portion it with patients. EMR/EHR systems hold enormous promise fo r non merely bettering the measure and quality of clinical informations that can be recorded, but more significantly the ability to entree wellness attention informations to better quality of attention. This survey will seek to see the perceptual experience of medical professionals towards Electronic medical record. Study has been done as a comparative survey among two different types of scenes that is hospital which are utilizing EMR ( paperless infirmaries that is category A ) and infirmaries which are holding their ain information system where the paper-based medical records are scanned and used ( Category B infirmaries ) . Electronic Medical Record ( EMR ) Harmonizing to the Healthcare Information and Management Systems Society ( HIMSS ) , an EMR is a constituent of an electronic wellness record which is owned by the health care supplier. ( Dr. Chris Hobson ) This engineering, when to the full developed, meets provider demands for real-time informations entree and rating in medical attention. EMR besides provides the mechanism for longitudinal informations storage and entree. The content of an EMR is correspondent to the paper record, but the electronic format creates useable informations in medical result surveies, improves the efficiency of attention, and makes for more efficient communicating among suppliers and easier direction of wellness programs. ( Electronic Medical Record: The Link to a Better Future, Texas Medical Association ) Electronic Health Record ( EHR ) is an electronic version of a patient ‘s medical history, that is maintained by the supplier over clip, These have been used extensively by general practicians in many developed states and include patient designation inside informations, medicines and prescription coevals, laboratory consequences and in some instances all healthcare information recorded by the physician during each visit by the patient. ( Electronic wellness records: manual for developing states. WHO ) EHRs are the following measure in the continued advancement of health care that can beef up the relationship between patients and clinicians.A The informations, seasonableness and handiness of it, will enable suppliers to take better determinations and provide quality attention. For illustration, the EHR can better patient attention by: Reducing the incidence of medical mistake by bettering the truth and lucidity of medical records. Making the wellness information available, cut downing duplicate of trials, cut downing holds in intervention, and patients good informed to take better determinations. Reducing medical mistake by bettering the truth and lucidity of medical records.Background:Hospital information systems ( HIS ) and Electronic Medical Records ( EMRs ) are considered requirements for the efficient bringing of high quality wellness attention in infirmaries. However, a big figure of legal and practical restraints influence on the design and debut of such systems ( Dick RS, Steen EB ) Hence, many EMR execution undertakings do non take at presenting the EMR and extinguishing the paper-based opposite number in one measure ( Laerum H ) . As a start, the EMR is introduced along with its paper-based opposite number, and both are kept updated. In such environments, wellness attention workers have to cover with a intercrossed electronic and paper-based solution. This likely limits the usage of EMR ( Laerum H ) . Furthermore, mistakes are prone to develop due to cumbersome care of the medical record information in double storage media. In many states, most hospital EMR undertakings have non passed beyond this stage ( Dick RS, Steen EB )Electronic Medical Records- the altering tendency:aˆ? Paper based records are being bit by bit replaced by computing machine based records ( which is in being in the West since 2 decennaries ) aˆ? It has non achieved the same incursion in health care as in finance or other industry. Deployment varies in statesAims:To reexamine already bing information system of both class of infirmaries To happen out existent versus perceptual troubles while utilizing EMR both classs infirmaries To analyze the overall perceptual experience of infirmaries about EMR To mensurate satisfaction from EMR in class A infirmary To bring forth a checklist for bettermentMethodology:Overview: Assorted surveies which has been done globally has been surveies to happen out statement of job, since no such survey has been found in Indian context, so all premises from other states has been considered as relevant. Sing the less version of EMR usage, this survey tries to happen out existent versus perceptual advantages, disadvantages and functionality etc to acquire the clear image. Sample: entire four infirmaries have been selected under two different scenes for comparing. Each scene has two infirmaries of same sort. For easiness both scenes have been given name class A and class B. Class A infirmary are EMR user infirmary while class B infirmary are holding their ain infirmary information system in topographic point along with the paper record. For easiness footings category A and B in whole papers alternatively of EMR user and EMR nonuser infirmaries Sample size: Excluding 4 IT caputs, entire 120 responses has been collected form clinical staffs, which includes physicians, occupants, caputs of sections and nurses etc. Thirty responses from each infirmary have been collected. Questionnaire: questionnaires had been used for roll uping informations from both category infirmaries. Questions are of near ended, rated on the footing of likert graduated table from 1-5. Response recording has besides been done for happening out the jobs, so that better suggestions can be made. Interviewing: in deepness interviews has been taken by IT caputs of all the four infirmaries to understand all the factors from their point of position, and to understand their return on different jobs addressed by their clinical staff. Since none of the infirmary is utilizing EHR, so complete survey had been done about EMR merely. Data aggregation had been done as follows- Questionnaires have been used for roll uping informations from medical staff. In depth interview with IT caputs of all the four sections Reappraisal of literature related to EMR Reappraisal of the literature to understand perceptual experience of medical professionals sing EMR usage. Inclusion standards: to guarantee cogency of sample, two inquiries were set in questionnaire. Harmonizing to that who were working in infirmary for more than three months ; were eligible. Another inclusion standard was straight related to patient attention. Those who were utilizing computing machine for come ining patient information/ recovering patient information/ trial consequence retrieval etc ; were eligible.Literature reappraisalThere are many maps associated with patient wellness records. This record is non merely used to document patient attention, but it besides used for entering fiscal and legal information and research and quality betterment intents. ( Young, Kathleen M. ) The conventional paper-based medical record has several restrictions. Though this traditional method is utile for entering patient ‘s inside informations for work outing medical issues, tracking down patients and for organizing in health care procedure, but it has so many disadvantages. These types of records are frequently ailing indexed and sometimes illegible, fragmented, because these records are manus written. The most disadvantageous factor of utilizing this method is that the medical record would be accessible to merely one individual at a clip. These medical records can non be made available to everyone at the same clip. Last but non least there is the job of storage of paper record, most of the times these are non stored decently, which in bend cause failure in retrieval of information, whenever required. Medical record is systematic certification of a individual patient ‘s medical history and attention across clip within one peculiar wellness attention supplier. The medical record includes a assortment of types of â€Å" notes † entered over clip by wellness attention professionals, entering observations and disposal of drugs and therapies, orders for the disposal of drugs and therapies, trial consequences, x-rays, studies, etc. The electronic wellness record ( EHR ) provides the chance for healthcare organisations to better quality of attention and patient safety. â€Å" The greatest challenge in the new universe of incorporate health care bringing is to supply comprehensive, dependable, relevant, accessible, and seasonably patient information to each member of the health care squad, whether in primary or secondary attention and whether a physician, nurse, allied wellness professional, or patient/consumer † ( Schloeffel ) An electronic medical record ( EMR ) is a computerized medical created in an organisation that delivers care, such as a infirmary or doctor ‘s office. Electronic medical records tend to be a portion of a local stand-alone wellness information system that allows storage, retrieval and alteration of records. Some definitions: Harmonizing to National Alliance for Health Information Technology ( NAHIT ) EMR: The electronic record of health-related information on an person that is created, gathered, managed, and consulted by accredited clinicians and staff from a individual organisation who are involved in the person ‘s wellness and attention. EHR: The aggregative electronic record of health-related information on an person that is created and gathered cumulatively across more than one wellness attention organisation and is managed and consulted by accredited clinicians and staff involved in the person ‘s wellness and attention.Purpose of medical record:The chief intent of medical records and medical notes is to record and pass on information about patients and their attention. If notes are non organised and completed decently, it can take to defeat, argument, clinical mishap and judicial proceeding. medical records are now used non merely as a comprehensive record of attention but besides as a beginning of informations for hospital service activity coverage, supervising the public presentation of infirmaries and for audit and research. Many of the causes of inaccurate clinical cryptography of this secondary informations are rooted in the quality of medical notes History of Electronic Medical Records: Doctors are expected to document brushs they have with patients to guarantee important information for decision-making is recorded and actions taken are besides recorded. Documentation is besides required as an archival record of what happened in instances of difference. To a great extent, physicians resent the undertaking of certification, as it detracts from their primary undertaking: taking attention of patients. Doctors besides resent the duplicate of attempt required with certification, as every medicine that is written on a prescription tablet, every lab trial ordered, every X ray ordered has to be re-written in the chart to keep a good record. Communication between practicians is hard as in many instances the information collected is fragmented, often excess and voluminous. Finally, doctors are invariably inundated with new information and have no tools to assist them integrate new techniques and interventions into their daily activities, other than utilizing their memories or holding to tote around big text editions. The thought of entering patient information electronically alternatively of on paper -the Electronic Medical Record ( EMR ) -has been around since the late 1960 ‘s, when Larry Weed introduced the construct of the Problem Oriented Medical Record into medical pattern. Until so, physician ‘s normally recorded merely their diagnosings and the intervention they provided. Weed ‘s invention was to bring forth a record that would let a 3rd party to independently verify the diagnosing. In 1972, the Regenstreif Institute developed the first medical records system. Although the construct was widely hailed as a major progress in medical pattern, doctors did non flock to the engineering. In 1991, the Institute of Medicine, a extremely respected think armored combat vehicle in the US recommended that by the twelvemonth 2000, every doctor should be utilizing computing machines in their pattern to better patient attention and made policy recommendations on how to accomplish that end. Advantages OF THE EHR: advantages of EHR can be divided as following-1 ) Clinical resultsa ) Quality of attention: Improving quality of attention is one of the chief focal points of many EHR surveies. Quality of attention has been defined as â€Å" making the right thing at the right clip in the right manner to the right individual and holding the best possible consequences † , in short â€Å" a procedure for doing strategic picks in wellness systems † .A Quality of attention includes six dimensions, effectivity, efficiency, patient safety, handiness or seasonableness, just entree, and patient-centeredness or acceptableness, but most EHR research has focused on the first three. Last three constituents needed more research in their corresponding Fieldss. Erstwhile patients may non adhere to outdo pattern guidelines ; even the suppliers have best purpose. This sort of state of affairs can originate due to assorted factors like- Clinicians are non cognizant with the guidelines. Clinicians may non recognize that a peculiar guideline applies to a given patient. Lack of clip during the patient visit. EHR systems proved rather effectual in managing such sort of issues and improved attachment rates. For illustration, research workers found that computerized physician reminders increased the usage of grippe and pneumococcal inoculations from practically 0 % to 35 % and 50 % , severally, for hospitalized patients ( exter PR, Perkins S, Overhage JM, et al. ) . Similarity other surveies with computerized reminders on inoculation rates, shows important better attachment to immunisation guidelines. Lower berths the hazard of disease eruptions in communities: There are many other researches have conducted that focused on other preventative services and studied consequence of EHRs on different results to better attention efficaciously. Willson et Al found in his survey on hospitalized patients that after implementing computerized reminders targeted to hospital nurses, there is 5 % decrease in the development of force per unit area ulcer after 6 months. It proves a important association between computerized reminders and hazard of disease. Effective wellness attention bringing: Research workers have besides found that there is a profound relation between EHRs and efficiency in wellness attention bringing. Here efficiency refers to the turning away of blowing resources, including supplies, medical equipment, money, thoughts, and energy. One such signifier of waste involves excess diagnostic testing. Performing excess trials is dearly-won and may take to more false-positive consequences, which will so take to even more costs. Tierney et Al found a 14.3 % lessening in the figure of diagnostic trials ordered per visit and a 12.9 % lessening in diagnostic trial costs per visit when utilizing an EHR with CDS and CPOE constituents. Other, unrelated surveies found an 18 % lessening in trials ordered for medical visits in the exigency section, a 27 % lessening in excess research lab trials of antiepileptic medicine degrees in hospitalized patients, and a 24 % decrease in excess research lab trials in a infirmary. Reduced medicine mistakes: A well-known survey group found in their survey that merely presenting CPOE system reduced serious medicine mistake by 55 % in the infirmary scene. Whereas subsequently in followup survey the same group expert found that, these medicine mistakes can be reduced every bit much as 86 % by adding CDS system together with CPOE system. A similar, more recent survey in the outpatient puting found that cybernation resulted in an mistake rate decrease from 18.2 % to 8.2 % . ( Devine EB, Hansen RN, Wilson-Norton JL, et al. ) . On the other manus many other surveies have concluded that by presenting computerised system, the figure of appropriate medicine orders affecting dosing degrees or dosing frequence can be increased. Better clinical result: Many of the surveies besides focused on clinical results. Randomized test research design used for carry oning these surveies in a clinical scene. An extra organic structure of literature has examined, observationally, comparing of public presentation in between infirmaries that implemented EHRs and other computerized capablenesss with its opposite numbers that have non. For illustration, Menachemi et Al found that Florida infirmaries with greater investings in EHR engineerings had more desirable rates on a assortment of normally used quality indexs. Patient Safety: The challenge of reading handwritten notes, orders, and prescriptions has been eliminated with the EHR. Patients ‘ chart information is clear and legible. Reports and letters to other specializers and patients are comprehensive, professional, and easy to make. Chart information is ever accessible and found in the same topographic point. Paper charts, on the other manus, can go littered with a batch of necessary but misplaced information.2 ) Organisational results:Surveies analyzing organisational results have focused on EHR usage in both the inmate and outpatient scenes. Such results have often included increased gross, averted costs, and other benefits that are less touchable, such as improved legal and regulative conformity, improved ability to carry on research, and increased job/career satisfaction among doctors. Increased gross comes from multiple beginnings, including improved charge capture/decrease in charge mistakes, improved hard currency flow, and enh anced gross. Several writers have asserted that EHRs aid suppliers in accurately capturing patient charges in a timely mode ( Schmitt KF, Wofford DA ) Electronically available patient information generated so many efficiencies, which straight help in debaring cost. Some of these efficiency includes increased use of trials, reduced staff needed for patient direction, decreased written text costs, reduced costs associating to supplies needed to keep paper files, and the costs associating to chart pulls. EHRs besides cut down the redundant usage of trial or the demand to get off difficult transcripts of trial study to all suppliers that save money and clip of organisation. ( Chen P, Tanasijevic MJ, Schoenenberger RA, et Al ) . Surveies have besides shown that holding an EHR can cut down written text costs through electronically available structured certification processs instead than a paper file. ( Agrawal A. ) In add-on, research workers in Massachusetts have found that doctors utilizing an EHR had fewer paid malpractice claims. They found a doctor without EHR have much higher ( 10.6 % ) history of paid malpractice claims compared to those doctors with EHRs ( 6.1 % ) . This decrease is potentially the consequence of better communicating among health professionals, increased discernability and completeness of patient records, and increased attachment to clinical guidelines.3 ) Social results:Another less touchable benefit associated with EHRs is an improved ability to carry on research. As patient informations stored electronically that makes handiness of informations much easier which leads excessively many quantitative analyses to place evidence-based best patterns more easy ( A Aspden P.A ) . Furthermore, public wellness and other interdisciplinary research workers are actively utilizing electronic clinical informations that are existent informations aggregated across populations to brin g forth good research determination, which is good to society. Till today handiness of clinical informations is much limited but as suppliers will get down utilizing EHRs, this dataset will besides get down turning. Subsequently by uniting this clinical information with more informations from other beginnings like nonprescription medicine purchases and school absenteeism rates, our researches and public wellness organisation can break supervise disease eruptions and better surveillance of possible biological menaces ( Kukafka R, Ancker JS, Chan C, et Al ) . Research workers have besides found an association between EHR usage and physician satisfaction with their current pattern, A together with their calling satisfaction.A Harmonizing to many surveies, physician satisfaction should be a precedence in wellness attention organisations, because it is associated with better quality of attention, better prescribing behaviors, and increased keeping in medical patterns, peculiarly those in underserved countries. ( A Elder KT, Wiltshire JC, Rooks RN, et al.A ) Chaudhry et al noted that a big proportion of the surveies that found benefits from EHR were conducted in a selected figure of academic medical Centres in infirmary scene. Due to this ground many research workers are besides seting a inquiry about the generalisation of identified benefits of EHR in existent universe where they may neither hold similar fiscal and human resources nor a decades-long committedness to wellness information engineering. More research on the varying types and grades of benefits associated with EHR is warranted, particularly in community scenes such as physician patterns and non-academic infirmary scenes.Barriers TO THE EHRAlthough Electronic Health Records ( EHRs ) bring enormous benefits to patient attention and to the health-care supplier, usage of the ambulatory EHR alternatively of the paper chart did non become widespread among the independent doctors during the 1990s. Even though the motive of improved patient attention and handiness of medical informa tions was present, health-care suppliers were hesitating to get down utilizing this medical tool. Specii hundred grounds have been hypothesized for the deficiency of EHR execution, and they are outlined below.A Lack of Standards for EHR SystemsThe content within the systems did non hold uniformity for compatibility or interoperability. Assorted plans offered different characteristics and the exchange of informations was non possible. Besides, criterions for the security of confidential information through encoding or informations unity had non been set. The quality of EHR plans and computing machine webs was non sufficiently dependable to forestall downtime, therefore ensuing at times in the deficiency of entree to patient information or medical information. Data for clinical protocols, direction of patient attention, and determination support through algorithms were non yet standard for EHRs.Unknown Cost and Return on InvestmentHealth-care suppliers found it hard to accurately ciph er costs and Return on Investment ( ROI ) with the usage of an EHR. The full cost of an EHR includes the package purchase monetary value, extra computing machine hardware, execution including the preparation of staff, customization of the system, ongoing proficient support, system care, and future plan ascents. Measuring ROI includes intangible, unmeasurable, and nonfinancial information, such as improved patient attention, patient safety, and more efficient procedures. Measurable ROI includes addition in income from more accurate cryptography, greater clip efficiency as a consequence of rapid chart certification, expanded patient burden because of this efficiency, and decreased office supply costs such as paper, charts, and printing supplies. It was hard to accurately cipher costs and ROI with the usage of an EHR.Difficult to OperateDoctors perceived that it took more clip for informations entry than handwriting. A physician order signifier may hold been simpler to handwrite than t o treat through a computing machine system. Learning where the information should be entered or accessed was complicated and computing machines were non ever accessible at the point of attention. System warnings and medical qui vives incorporating critical information had non been developed. The long-run benefit were hard for some health care suppliers to value over the sensed troubles of operationSignificant Changes in Clinic ProceduresAlthough an EHR can be customized for specific medical patterns, there is ever some procedure alteration required by the supplier and medical staff. An EHR may convey a more stiff construction for come ining information than tossing through a paper chart. Adapting to new criterions of operation for come ining and turn uping information can be hard ab initio. Some EHRs have specifications or specific modus operandis for practising medical specialty that the supplier may non accommodate to easy. The health-care supplier may non be able to turn to and a nalyse jobs in the same ways that may hold been done in the yesteryear, even though the information in an EHR is more thorough and immediately available. New tools for improved patient attention require retraining, new procedures, and alterations in the medical pattern civilization.Lack of Trust and SafetyA concern for the security of the medical record stored electronically alternatively of on paper is common. Health-care suppliers may be concerned that the electronic medical record could be altered without their consent or cognition. Suppliers must hold the confidence that the medical records are safely stored for future handiness. Power outages, computing machine â€Å" clangs, † viruses, concerns about equal backup, and so on are issues suppliers must get the better of to be confident in utilizing an EHR.Use of EHR plans, peculiarly in the small- to moderate-sized patterns, is spread outing quickly. About 78 per centum of doctors in private pattern are within this market group of eight or fewer physicians. With the explosive growing of EHR execution in this section of the medical community, a great demand has been generated for both clerical and clinical support staffs that have professional preparation and exposure to the EHR. Concerns about the passage from traditional paper charts to EHRs are now being overcome. Many of the concerns expressed about EHRs have been addressed more to the full in recent old ages. Although the motives vary from a pattern desiring to merely â€Å" go paperless † to another pattern desiring to better patient attention, medical clinics are rapidly acknowledging the unbelievable tool the EHR is conveying to the medical pattern.Disadvantages of EMROn the reverse of advantages some writers have identified several possible disadvantage of utilizing EHRs. These include fiscal issues, alterations in work flow, impermanent loss of productiveness associated with EHR acceptance, privateness and security concerns, and sever al unintended effects. Significant cost: A major ground for deterrence for following and implementing EHR is its cost. It includes loss of gross associated with impermanent loss of productiveness, declines in gross, acceptance and execution costs and on-going care costs. Here EHR acceptance and execution costs includes buying and installation hardware and package, change overing paper charts to electronic 1s, and preparation of end-users. Different surveies documented this cost in both inmate and outpatient scenes. Like a survey conducted in 2002 at a 280-bed ague attention infirmary, the projected entire cost for a 7-year-long EHR installing undertaking was about US $ 19 million. In the outpatient scene, early research workers estimated an mean initial cost of US $ 50,000-US $ 70,000 per doctor for a three-physician office. However, as EHR engineerings have become more platitude over the past decennary, the initial cost of systems has come down dramatically ( Schmitt KF ) , ( Agrawal A ) Care cost besides can be cumbersome as hardware needs to replace clip to clip and package demands to upgrade on regular footing. In add-on, suppliers must hold ongoing preparation and support for the end-users of an EHR. Harmonizing to one survey conducted on 14 solo or small-group primary attention patterns, estimated on-going EHR care costs averaged US $ 8412 per FTE supplier per twelvemonth. Out of entire cost around 91 % of this was related to hardware replacing, seller package care and support fees, and payments for information systems staff or external contractors ( Fleming NS, Culler SD, McCorkle R, et Al ) Break of work-flows for medical staff and suppliers: Another major disadvantage of implementing EHRs is break of everyday work-flow for medical-staff or supplier, which consequences to loss of impermanent productiveness. This break may be because of preparation of end-users which potentially leads to loss in gross. One survey that involved several internal medical specialty clinics estimated, a productiveness loss of 20 % in the first month, 10 % in the 2nd month, and 5 % in the 3rd month before productiveness return to its original degrees as in get downing ( Wang SJ, Middleton B, Prosser LA, et al. ) Research workers besides have estimated that EHR end-users spent around 134.2 hours on execution activities that includes acquiring and larning a new system. These hours spent on nonclinical duties had an estimated cost of US $ 10,325 per doctor ( Fleming NS, Culler SD, McCorkle R, et al. ) Hazard of patient privateness misdemeanors: Another possible drawback of EHRs is the hazard of patient privateness misdemeanors, which is an increasing concern for patients due to the increasing sum of wellness information exchanged electronically between suppliers. To face such sort of state of affairss, policymakers have taken steps to guarantee safety and privateness of patient informations. For illustration, recent statute law has imposed ordinances specifically associating to the electronic exchange of wellness information that strengthen bing Health Insurance Portability and Accountability Act privateness and security policies. Although few electronic informations are 100 % secure, the strict demands set Forth by the new statute law make it much more hard for electronic informations to be accessed unsuitably. ( Zurita L, Nohr C. Patient sentiment: EHR appraisal from the users perspective. ( Stud Health Technol Inform. ) Not merely acts do interchanging electronic wellness informations secure but besides many infirmaries and doctors are implementing rigorous regulations like no tolerance punishments for employees who entree files unsuitably. For illustration, a infirmary in Arizona terminated several employees after they unsuitably accessed the records of victims who were hospitalized after the January 2011 hiting affecting a US Congresswoman. ( Innes S. ) Although privateness will probably go on to be a concern for patients, many stairss are being taken by policymakers and single organisations to guarantee that EHRs comply with the rigorous Torahs and ordinances intended to guarantee the privateness of clinical information.Decrease face-to-face clip with patients, depersonalize brushsEHRs may do several unintended effects, such as increased medical mistakes, negative emotions, alterations in power construction, and overdependence on engineering. ( Campbell EM, Sittig DF, Ash JS, et al. ) Research workers have found an association between increased medical mistakes and CPOE due to faulty system or untrained end-user. Additionally, end-users of an EHR may see strong emotional responses as they struggle to accommodate to new engineering and breaks in their work flow. Changes in the power construction of an organisation may besides happen due to the execution of an EHR which makes it rather more machine-controlled. For illustration, a doc tor may lose his or her liberty in doing patient determinations because an EHR blocks the ordination of certain trials or medicines. Overdependence on engineering may besides go an issue for suppliers as they become more reliant upon itInvention credence:The beginnings of attitude and behaviour day of the month back to every bit early as 1862, when psychologists began developing theories demoing how attitude wedged behaviour. Those surveies by societal psychologists continued and in 1925, many new theories emerged proposing that â€Å" attitudes could explicate human actions † ( Ajzen & A ; Fishbein, 1980, p. 13 ) Several theoretical accounts have been developed and utilized to analyse the credence of engineering. Some of the of import theoretical accounts are as follows-Theory of Reasoned Action ( TRA )Harmonizing to this theoretical account, a individual ‘s behaviour is determined by his/her behavioural purposes ( BI ) to execute that behaviour. That BI is itself determined by both a individual ‘s attitude toward the behaviour and subjective norm refering the behaviour.Theory of Planned Behavior ( TPB )The theory of planned behaviour was proposed by Icek Ajzen in 1985 through his article â€Å" From purposes to actions: A theory of planned behaviour. † The theory was developed from the theory of sound action, which was proposed by Martin Fishbein together with Icek Ajzen in 1975. Harmonizing to the theory of sound action, if people evaluate the suggested behaviour as positive ( attitude ) , and if they think their important others want them to execute the behaviour ( subje ctive norm ) , this consequences in a higher purpose ( motive ) and they are more likely to make so.Technology Acceptance Model ( TAM )Based on the theory of sound Action, Davis ( 1986 ) developed the Technology Acceptance Model which deals more specifically with the anticipation of the acceptableness of an information system. This theoretical account suggests that the acceptableness of an information system is determined by two chief factors: perceived usefulness and sensed easiness of usage. Perceived utility is defined as being the grade to which a individual believes that the usage of a system will better his public presentation. Perceived easiness of usage refers to the grade to which a individual believes that the usage of a system will be effortless Unified Theory of Acceptance and Use of Technology ( UTAUT ) The UTAUT purposes to explicate user purposes to utilize an information system and subsequent use behaviour. The theory holds that four key concepts ( public presentation anticipation, attempt anticipation, societal influence, and easing conditions ) are direct determiners of usage purpose and behavior. Gender, age, experience, and voluntariness of usage are posited to intercede the impact of the four key concepts on usage purpose and behaviour.Factors Affecting EMR AcceptanceAcceptance is defined as the willingness within a user group to use information engineering to the undertakings it is designed to back up ( Dillon & A ; Morris, 1996 ) . Many research workers have stressed the importance of credence survey. For illustration, Kirk ( 2003 ) urged pressing actions on supplying legal and societal model for credence andintroduction of EMR. Likewise, Gefen ( 2003 ) , Zdon ( 1998 ) , Anderson ( 1997 ) , Moore ( 1996 ) , Baroudi ( 1986 ) , Bardram ( 1997 ) , Bowers ( 1995 ) , Graham ( 1996 ) , and Hubona ( 1996 ) , all discussed similar issue. Furthermore, past experiences show that the attempt to present EMR will ensue in failure and unforeseen effects if their proficient facets are over emphatic and their societal and organisational factors such as the user credence and the diffusion of information system are overlooked ( Gefen, 2003, Anderson, 1999, Moore, 1996 ) . Kirk ( 2003 ) has noted that presently there is no societal model for EMR credence. The closest model theoretical account, which measures perceived usefulness and sensed easiness of usage, that can be adopted is the Technology Acceptance Model ( TAM ) proposed by Davis ( 1989 ) . Tsiknakis ( 2002 ) , Einarson ( 1993 ) , and Neilder ( 1997 ) added that hapless presentation of patient ‘s informations can take to ill informed clinical professionals, medicine mistakes, inappropriate repeat of probe, unneeded referrals, and waste of clinical clip and other resources. Indeed, hapless presentation of patient ‘s information is an interface issue, which warrants more investigation.In obtaining the user credence of wellness attention, peculiarly its system interface, Rosenbaum ( 1998 ) proposed six successful techniques: Involving the user community in needs analysis and demands definition. Designating members of the user community who are involved in the system design as don ( people who receive first preparation and extended preparation ) . Conducting undertaking analysis of the full work procedure, non merely the partsinvolving the clinical information system. Performing user surveies of preliminary paper and pencil paradigms with typical users. Conducting iterative serviceability testing of consecutive paradigms. Visiting infirmaries and other scenes of usage to detect the work procedure, usage of predecessor systems, and beta-test installing Surveies statistics: There is scarce of surveies sing EMR usage in Indian context. Results of some relevant surveies are as follows- Consequence of a research done by Sequist et Al was as follows- The overall response rate was 56 % . Of reacting clinicians, 66 % felt that the EHR execution procedure was positive. One-third ( 35 % ) believed that the EHR improved overall quality of attention, with many ( 39 % ) feeling that it decreased the quality of the patient-doctor interaction. One-third of clinicians ( 34 % ) reported consistent usage of electronic reminders, and self-report that EHRs improve quality was strongly associated with increased use of the EHR ( odds ratio 3.03, 95 % assurance interval 1.05-8.8 ) . The bulk ( 87 % ) of clinicians felt that information engineering could potentially better quality of attention in rural and underserved scenes through the usage of tools such as on-line information beginnings, telemedicine plans, and electronic wellness records. In a survey conducted in the United States, the most normally cited barriers to utilize of EMR systems in infirmaries were unequal capital for purchase ( 74 % ) , care costs ( 44 % ) , opposition on the portion of doctors ( 36 % ) , ill-defined return on investing ( 32 % ) , and deficiency of handiness of trained staff ( 30 % ) . Hospitals that had adopted EMR systems were less likely to mention four of these five concerns ( all except doctors ‘ opposition ) as major barriers to acceptance than were infirmaries that had non adopted such systems. When most of the infirmaries or professionals speaking approximately high cost of EMR, a cost benefit analysis of EMR in primary attention done by Wang et Al shows, In the 5-year cost-benei ¬?t theoretical account ( Table 3 ) , the net benei ¬?t of implementing a full electronic medical record system was $ 86,400 per supplier. Of this sum, nest eggs in drug outgos made up the largest proportion of the benei ¬?ts ( 33 % of the sum ) . Of the staying classs, about half of the entire nest eggs came from decreased radiology use ( 17 % ) , decreased charge mistakes ( 15 % ) and betterments in charge gaining control ( 15 % ) . Though non all benei ¬?ts of an electronic medical record are mensurable in i ¬?nancial footings ; other benei ¬?ts include improved quality of attention, reduced medical mistakes, and better entree to information.CURRENT SCENARIO IN INDIAThe Department of Information Technology ( DIT ) , Ministry of Communication an Information Technology ( MCIT ) have funded several undertakings during the past decennary for development of IT based Healthcare solutions. During the class of these undertakings, the demand for a standard EHR for the state has been strongly felt for interoperable health-care solutions. During the meetings of the National Knowledge Commission for making the national wellness information sciences vision for India, the demand for standard EHR with unafraid storage and entree of EHRs in a storage system crossing. TheA currentA wayA ofA developingA andA usingA healthcareA informationA storeA systemsA hasA led toA aA chaoticA stateA ofA affairsA dueA toA followingA grounds: aˆ? TheyA haveA beenA developedA independentlyA andA doA notA easilyA interoperateA withA each other. aˆ? TheyA followA theirA ownA conventionA ofA making, A maintaining, A andA storingA Electronic HealthA RecordsA ( EHRs ) A ofA patients. aˆ? IfA aA patientA isA treatedA atA differentA hospitalsA atA differentA cases, A differentA EHRs areA generatedA andA storedA forA theA sameA patientA byA theA twoA differentA information systemsA inA useA atA theA twoA hospitals.A AA singleA EHRA forA anA individualA isA desirable irrespectiveA ofA his/herA timeA andA placeA ofA intervention. aˆ? EachA systemA hasA itsA ownA wayA ofA creatingA andA managingA itsA storageA ofA EHRs. Obviously, A such A an A information A shop A is A based A on A both A relational A database engineering, A due A to its A ubiquitousness A and A adulthood A in A pull offing A big A volume A of information, A andA mediaA storageA package, A forA exampleA XrayA pictureA file awaying. DifferentA systemsA useA differentA relationalA databasesA andA differentA mediaA storage softwareA makingA dataA transferA acrossA systemsA impossible/inconvenient. aˆ? MostA ofA theA existingA systemsA useA centralizedA storage, A leadingA toA limitedA scalability andA poorA reliabilityA ( singleA pointA ofA failure ) . AsA aA consequence, A itA hasA becomeA difficultA toA exchangeA EHRsA acrossA differentA systemsA andA to haveA aA unifiedA informationA systemA toA dealA withA oneA EHRA perA person, A irrespective ofA theA timeA andA placeA ofA treatmentA ofA anA person.