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Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments

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  • Ben-Assuli, Ofir

Abstract

Recently, the healthcare sector has shown a growing interest in information technologies. Two popular health IT (HIT) products are the electronic health record (EHR) and health information exchange (HIE) networks. The introduction of these tools is believed to improve care, but has also raised some important questions and legal and privacy issues. The implementation of these systems has not gone smoothly, and still faces some considerable barriers. This article reviews EHR and HIE to address these obstacles, and analyzes the current state of development and adoption in various countries around the world. Moreover, legal and ethical concerns that may be encountered by EHR users and purchasers are reviewed. Finally, links and interrelations between EHR and HIE and several quality of care issues in today's healthcare domain are examined with a focus on EHR and HIE in the emergency department (ED), whose unique characteristics makes it an environment in which the implementation of such technology may be a major contributor to health, but also faces substantial challenges. The paper ends with a discussion of specific policy implications and recommendations based on an examination of the current limitations of these systems.

Suggested Citation

  • Ben-Assuli, Ofir, 2015. "Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments," Health Policy, Elsevier, vol. 119(3), pages 287-297.
    • Handle: RePEc:eee:hepoli:v:119:y:2015:i:3:p:287-297
    DOI: 10.1016/j.healthpol.2014.11.014
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    1. Melchiorre, Maria Gabriella & Papa, Roberta & Rijken, Mieke & van Ginneken, Ewout & Hujala, Anneli & Barbabella, Francesco, 2018. "eHealth in integrated care programs for people with multimorbidity in Europe: Insights from the ICARE4EU project," Health Policy, Elsevier, vol. 122(1), pages 53-63.
    2. Flaumenhaft, Yakov & Ben-Assuli, Ofir, 2018. "Personal health records, global policy and regulation review," Health Policy, Elsevier, vol. 122(8), pages 815-826.
    3. Tomás Robles & Borja Bordel & Ramón Alcarria & Diego Sánchez-de-Rivera, 2020. "Enabling trustworthy personal data protection in eHealth and well-being services through privacy-by-design," International Journal of Distributed Sensor Networks, , vol. 16(5), pages 15501477209, May.
    4. Marco Remondino, 2018. "Information Technology in Healthcare: HHC-MOTES, a Novel Set of Metrics to Analyse IT Sustainability in Different Areas," Sustainability, MDPI, vol. 10(8), pages 1-20, August.
    5. De Pietro, Carlo & Francetic, Igor, 2018. "E-health in Switzerland: The laborious adoption of the federal law on electronic health records (EHR) and health information exchange (HIE) networks," Health Policy, Elsevier, vol. 122(2), pages 69-74.
    6. Ardielli Eva, 2020. "Evaluation of eHealth Deployment at Primary Care in the EU Member States by Usage of Selected MCDM Methods," Review of Economic Perspectives, Sciendo, vol. 20(3), pages 337-359, September.

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