TY  - JOUR
AU  - Gunter, Tracy D
AU  - Terry, Nicolas P
PY  - 2005
DA  - 2005/3/14
TI  - The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions
JO  - J Med Internet Res
SP  - e3
VL  - 7
IS  - 1
KW  - Medical records systems, computerized
KW  - delivery of health care
KW  - patient care
KW  - information management
KW  - medical record linkage
KW  - confidentiality
KW  - policy making
KW  - United States
KW  - Australia
KW  - Internet
AB  - 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. 
SN  - 1438-8871
UR  - http://www.jmir.org/2005/1/e3/
UR  - https://doi.org/10.2196/jmir.7.1.e3
UR  - http://www.ncbi.nlm.nih.gov/pubmed/15829475
DO  - 10.2196/jmir.7.1.e3
ID  - info:doi/10.2196/jmir.7.1.e3
ER  -