Consideration of e-health record systems in Australia started in 2000. Based on the effort to develop stand-alone and state-wide systems, the national Personally Controlled Electronic Health Record system was released on July 1, 2012. However this system has been widely criticised, although stakeholders are in favour of a national system. To overcome the challenges to the system and achieve its benefits, recommendations are provided for improving system effectiveness and usability, and adopting applicable government policies.
In 2005, Chinese government defined its direction to electronic health records and electronic medical records. Up to 2012, hundreds of electronic health record systems and electronic medical systems have been developed, but the systems are still in their infancy, and China is facing a variety of challenges in implementation of the systems. To overcome the challenges and achieve system benefits, recommendations are provided for implementing a national electronic health system.
Convergence towards a viable universal solution for our electronic health records is not imminent and trust in e-health is fragile. Policies that data custodians follow need to be flexible and updated on a regular basis. Technological solutions are at best a stop gap to avoid the common hazards associated with access control and secure messaging. A wider range of analysis techniques to determine the key issues for a dependable health information system can derive longer term sustainable solutions.
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