ArticleJournal of medical Internet research2020
Digitalizing Health Services by Implementing a Personal Electronic Health Record in Germany: Qualitative Analysis of Fundamental Prerequisites From the Perspective of Selected Experts.
Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Electronic health records in Brazil: Prospects and technological challenges.Frontiers in public health · 2022Pooled it
- Functionalities and Issues in the Implementation of Personal Health Records: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Effect of pharmacist-led medication reviews on appropriateness of prescribing in patients with dementia - results from the cluster randomized controlled "DemStepCare" study.BMC geriatrics · 2025Trial
- Interprofessional collaboration in primary care in Germany - collective irresponsibility, one-way-street or colourful bouquet of services? A qualitative study with stakeholders from various professions.The European journal of general practice · 2026Article
- Real-world evidence from Germany: representativeness analysis and mortality endpoint validation in electronic health record-derived oncology cohorts.BMC cancer · 2026Article
- Organizational and financial challenges in care transitions: a qualitative study of long-term care systems in Germany, the Netherlands and Poland.BMC geriatrics · 2025Article
- Developing a Data Trust Model (Not Only) for Sleep Research: Conceptual Study and Quantitative Survey.JMIR human factors · 2025Article
- Bicentric evaluation of employee satisfaction, patient safety and treatment quality: comparing different Health Information System (HIS) solutions.BMC health services research · 2025Article
- Emergency department visits due to severe falls: comparing patient self- reports and general practitioner records: A cross-sectional study.BMC geriatrics · 2025Article
- The Role of the Installed Base in Information Exchange Among General Practitioners in Germany: Mixed Methods Study.Journal of medical Internet research · 2025Article
- 25 Years of Electronic Health Record Implementation Processes: Scoping Review.Journal of medical Internet research · 2025Article
- Detailed Analysis and Road Map Proposal for Care Transition Records and Their Transmission Process: Mixed Methods Study.JMIR nursing · 2025Article
- Innovative approaches in discussions of diabetes among healthcare sector actors in Germany.Journal of public health policy · 2024Article
- Missing Medical Data in Neurological Emergency Care Compromise Patient Safety and Healthcare Resources.Journal of clinical medicine · 2024Article
- Guidelines or mindlines? - implementing a new CKD guideline in German primary care.BMC primary care · 2024Article
- Development of a patient-centered app in Germany as a special health and organizational support by surveying patients with cardiovascular diseases.Clinical research in cardiology : official journal of the German Cardiac Society · 2024Article
- Knowledge, Attitudes, and Practices about Electronic Personal Health Records: A Cross-Sectional Study in a Region of Northern Italy.Journal of medical systems · 2024Article
- Designing and Implementation of a Digitalized Intersectoral Discharge Management System and Its Effect on Readmissions: Mixed Methods Approach.Journal of medical Internet research · 2024Article
- What do people know and think about medical overuse? an online questionnaire study in Germany.PloS one · 2024Article
- Health Information Exchange: Understanding the Policy Landscape and Future of Data Interoperability.Yearbook of medical informatics · 2023Review
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe implementation of a personal electronic health record (PHR) is a central objective of digitalization policies in the German health care system. Corresponding legislation was passed with the 2015 Act for Secure Digital Communication and Applications in the Health Sector (eHealth Act). However, compared with other European countries, Germany still lags behind concerning the implementation of a PHR.
objectiveIn order to explore potential barriers and facilitators for the adoption of a PHR in routine health care in Germany, this paper aims to identify policies, structures, and practices of the German health care system that influence the uptake and use of a PHR.
methodsA total of 33 semistructured interviews were conducted with a purposive sample of experts: 23 interviews with different health care professionals and 10 interviews with key actors of the German health care system who were telematics, eHealth, and information technology experts (eHealth experts). The interviews were transcribed verbatim and subjected to a content analysis.
resultsFrom the expert perspective, a PHR was basically considered desirable and unavoidable. At the same time, a number of challenges for implementation in Germany have been outlined. Three crucial themes emerged: (1) documentation standards: prevailing processes of the analog bureaucratic paper world, (2) interoperability: the plurality of actors and electronic systems, and (3) political structure: the lack of clear political regulations and political incentive structures.
conclusionsWith regard to the implementation of a PHR, an important precondition of a successful digitalization will be the precedent reform of the system to be digitized. Whether the recently passed Act for Faster Appointments and Better Care will be a step in the right direction remains to be seen.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.