"
The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions," by Tracy D. Gunter, M.D. and Nicolas P. Terry, LLM, is a referenced, peer-reviewed viewpoint article appearing on the
Journal of Medical Internet Research.
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.
(J Med Internet Res 2005;7(1):e3)
doi:10.2196/jmir.7.1.e3
http://www.jmir.org/2005/1/e3/