Gesundheitstelematik zwischen konventioneller Wahrnehmung und neuen HerausforderungenNach einer quälenden Startphase hat die Ausgabe der Gesundheitskarten in Deutschland inzwischen begonnen. Presse und öffentliche Wahrnehmung haben dieses sensible und anspruchsvolle Megaprojekt stets kritisch begleitet, versperrten dabei aber den Blick auf das Wesentliche. Es geht um nichts weniger als die Überführung der Papierwelt in das elektronische Zeitalter in einem der größten deutschen Wirtschaftszweige. Dabei warten weitere ganz neue Herausforderungen auf alle Beteiligten.
The German law for the modernization of statutory health care defines a functional framework for the upcoming telematics infrastructure in health care based on electronic health professional cards, electronic patient data cards and the necessary information, communication and security infrastructure. The currently ongoing discussion for the implementation is strongly influenced by diverse particulate interests often hindering systematic development. This article presents the fundamental technical mechanisms usable for a stepwise and expandable solution. The interdependence of the components is illustrated using the example of the ATG concept for an electronic patient record. These facts call for a stepwise implementation of telematic infrastructure based on the presented mechanisms.
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