Chalermphon, I’m glad that you bring issues related to the 43 files system up. In my opinion, I agree that the standard 43 files system has a number of problem. But at least our country already started on the data interoperability and EA. Also, the EMR can increase the workload, which could influence data quality. In the US, there has been a law (HITECH act) that tries to motivate the implementation of EMR. But recently, there are a number of surveys showing that EMR is a top reason for physician burnout.
Check this sites for more details. https://www.hcinnovationgroup.com/clinical-it/news/13030577/survey-physicians-cite-ehrs-as-biggest-contributor-to-burnout