Title
E-health approach to link-up actors in the health care system of Austria.
Abstract
Electronic health services are important the EU commission stated in the E-Health action plan. By these means access to health care can be improved and the quality and effect of the offered medical services can be increased. By introducing the e-card in Austria, an overall link-up of nearly all health service providers of the external sector (e.g. family doctors) was achieved. In 2005 the Austrian E-Health Initiative (EHI) of the Austrian Federal Ministry for Health and Women mapped out a strategy to organise the development of the health system towards an integrated patient-centred. Hereby the electronic health record (EHR) plays a decisive role. The aim of this study is to analyse requirements for a virtual, cross-institutional and patient-centred electronic health record from the point of view of the exemplary main actors (Doctor and Patient), to define conditions, and then to evaluate the thus derived, specific concept of implementation. Aside from the two main actors regarding medical acts, namely the institution treating a patient (e.g. doctor, paramedic or nurse) and the patient receiving treatment, a row of other actors could be identified. Group assessment techniques with representatives of these actors resulted in an overview of required functions of an EHR. As a proof-of-concept an information system architecture conformable to the IHE XDS architecture for cross enterprise document sharing is currently being constructed and evaluated in the course of a pilot-project. If the core architecture fulfils the expectations, then a further extension to other hospitals and resident doctors, and subsequently also to the other actors of the health system, is planned. Since both legal and socio-technical requirements are presently not yet entirely met, and since there are also deficits from a methodical viewpoint, a complete implementation and widespread introduction will be a long term goal.
Year
DOI
Venue
2006
10.3233/978-1-58603-647-8-415
Studies in Health Technology and Informatics
Field
DocType
Volume
Health care,Nursing,HRHIS,Knowledge management,International health,Health administration,Medicine,Health policy
Conference
124
ISSN
Citations 
PageRank 
0926-9630
4
0.89
References 
Authors
1
10
Name
Order
Citations
PageRank
Thomas Schabetsberger16113.24
Elske Ammenwerth274282.37
Ruth Breu384389.52
Alexander Hörbst4256.62
Georg Göbel5155.64
Robert Penz640.89
Klaus Schindelwig7335.49
Herlinde Toth840.89
Raimund Vogl9388.55
Florian Wozak10659.17