Towards Lifetime Electronic Health Record Implementation

被引:2
|
作者
Gand, Kai [1 ]
Richter, Peggy [1 ]
Esswein, Werner [1 ]
机构
[1] Tech Univ Dresden, Fac Business & Econ, Chair Wirtschaftsinformat, Esp Syst Dev, D-01062 Dresden, Germany
关键词
personal electronic health records; electronic health records; integrated delivery of health care; telemedicine; CARE; SECURITY; LEGAL; QUALITY; PRIVACY; SYSTEMS;
D O I
10.3233/978-1-61499-524-1-225
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Integrated care concepts can help to diminish demographic challenges. Hereof, the use of eHealth, esp. overarching electronic health records, is recognized as an efficient approach. The article aims at rigorously defining the concept of lifetime electronic health records (LEHRs) and the identification of core factors that need to be fulfilled in order to implement such. A literature review was conducted. Existing definitions were identified and relevant factors were categorized. The derived assessment categories are demonstrated by a case study on Germany. Seven dimensions to differentiate types of electronic health records were found. The analysis revealed, that culture, regulation, informational self-determination, incentives, compliance, ICT infrastructure and standards are important preconditions to successfully implement LEHRs. The article paves the way for LEHR implementation and therewith for integrated care. Besides the expected benefits of LEHRs, there are a number of ethical, legal and social concerns, which need to be balanced.
引用
收藏
页码:225 / 232
页数:8
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