%0 Journal Article
%@ 1438-8871
%I Gunther Eysenbach
%V 7
%N 1
%P e3
%T The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions
%A Gunter,Tracy D
%A Terry,Nicolas P
%+ Center for Health Law Studies, School of Law, Saint Louis University, 3700 Lindell Boulevard, St. Louis, MO 63108, USA, +1 314 977 3998, terry@slu.edu
%K Medical records systems, computerized
%K delivery of health care
%K patient care
%K information management
%K medical record linkage
%K confidentiality
%K policy making
%K United States
%K Australia
%K Internet
%D 2005
%7 14.3.2005
%9 Viewpoint
%J J Med Internet Res
%G English
%X 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. 
%M 15829475
%R 10.2196/jmir.7.1.e3
%U http://www.jmir.org/2005/1/e3/
%U https://doi.org/10.2196/jmir.7.1.e3
%U http://www.ncbi.nlm.nih.gov/pubmed/15829475