The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions

Emerging electronic health record models present numerous challenges to health care systems, physicians, and regulators. This article provides explanation of some of the reasons driving the development of the electronic health record, describes two national electronic health record models (currently...

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Detalles Bibliográficos
Autores principales: Gunter, Tracy D, Terry, Nicolas P
Formato: Texto
Lenguaje:English
Publicado: Gunther Eysenbach 2005
Materias:
Viewpoint
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1550638/
https://www.ncbi.nlm.nih.gov/pubmed/15829475
http://dx.doi.org/10.2196/jmir.7.1.e3
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author Gunter, Tracy D
Terry, Nicolas P
author_facet Gunter, Tracy D
Terry, Nicolas P
author_sort Gunter, Tracy D
collection PubMed
description Emerging electronic health record models present numerous challenges to health care systems, physicians, and regulators. This article provides explanation of some of the reasons driving the development of the electronic health record, describes two national electronic health record models (currently developing in the United States and Australia) and one distributed, personal model. The US and Australian models are contrasted in their different architectures (“pull” versus “push”) and their different approaches to patient autonomy, privacy, and confidentiality. The article also discusses some of the professional, practical, and legal challenges that health care providers potentially face both during and after electronic health record implementation.
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spelling pubmed-15506382006-10-13 The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions Gunter, Tracy D Terry, Nicolas P J Med Internet Res Viewpoint Emerging electronic health record models present numerous challenges to health care systems, physicians, and regulators. This article provides explanation of some of the reasons driving the development of the electronic health record, describes two national electronic health record models (currently developing in the United States and Australia) and one distributed, personal model. The US and Australian models are contrasted in their different architectures (“pull” versus “push”) and their different approaches to patient autonomy, privacy, and confidentiality. The article also discusses some of the professional, practical, and legal challenges that health care providers potentially face both during and after electronic health record implementation. Gunther Eysenbach 2005-03-14 /pmc/articles/PMC1550638/ /pubmed/15829475 http://dx.doi.org/10.2196/jmir.7.1.e3 Text en © Tracy D Gunter, Nicolas P Terry. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 14.3.2005. Except where otherwise noted, articles published in the Journal of Medical Internet Research are distributed under the terms of the Creative Commons Attribution License (http://www.creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited, including full bibliographic details and the URL (see "please cite as" above), and this statement is included.
spellingShingle Viewpoint
Gunter, Tracy D
Terry, Nicolas P
The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions
title The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions
title_full The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions
title_fullStr The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions
title_full_unstemmed The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions
title_short The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions
title_sort emergence of national electronic health record architectures in the united states and australia: models, costs, and questions
topic Viewpoint
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1550638/
https://www.ncbi.nlm.nih.gov/pubmed/15829475
http://dx.doi.org/10.2196/jmir.7.1.e3
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