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

Tracy D. Gunter | Zendy; Nicolas Terry | Zendy

Open Access

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

Author(s) -

Tracy D. Gunter,

Nicolas Terry

Publication year - 2005

Publication title -

journal of medical internet research

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.446

H-Index - 142

eISSN - 1439-4456

pISSN - 1438-8871

DOI - 10.2196/jmir.7.1.e3

Subject(s) - confidentiality , electronic health record , autonomy , masking (illustration) , health care , internet privacy , health records , protected health information , health information technology , public relations , data science , health policy , medicine , computer science , political science , hrhis , computer security , law , visual arts , art

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.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.

Having issues? You can contact us here

Accelerating Research