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

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

Abstract

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.

Gunter, Tracy D., and Nicolas P. Terry. "The emergence of national electronic health record architectures in the United States and Australia: models, costs, and questions." Journal of Medical Internet Research 7, no. 1 (March 14, 2005): e3.

11 August 2006

Bibliographic Data

Title:	The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions
Author(s):	Gunter, Tracy D.; Terry, Nicolas P.
Journal	J Med Internet Res, 7(1), pp. e3 (2005-03-14)
URL:	Full article
DOI:	10.2196/jmir.7.1.e3
PMID:	15829475
Keyword(s):	Australia, Confidentiality, Costs, Delivery of Health Care, Electronic Health Records, Health Policy, Information Management, Internet, Medical Errors, Medical Record Linkage, Patient Record Access, United States
Citation: Gunter, Tracy D., and Nicolas P. Terry. "The emergence of national electronic health record architectures in the United States and Australia: models, costs, and questions." Journal of Medical Internet Research 7, no. 1 (March 14, 2005): e3.