Research Division eHealth and Telemedicine, UMIT-University for Health Sciences, Medical Informatics and Technology, Eduard-Wallnoefer-Zentrum 1, 6060 Hall in Tirol, Austria.
Int J Med Inform. 2010 Feb;79(2):81-9. doi: 10.1016/j.ijmedinf.2009.11.002. Epub 2009 Dec 23.
Acceptance by citizens seems to be crucial for the future success of an electronic health record (EHR) in Germany and Austria. We analyzed citizens' knowledge and expectations about the concept and contents of an EHR. We also addressed possible fears and barriers, and we investigated desired EHR functionalities relevant to citizens in the Austrian and German population.
Standardized interviews of a convenience sample of 203 Austrian and 293 German citizens recruited in two metropolises.
Up to three-quarter of the interviewed citizens already collect and store medical documents at home, mostly in paper-based form. No respondents had already used an Internet-based personal health record. Between 80% and 90% of respondents were supportive of the idea of an electronic exchange of health-related data between health care providers as core functionality of an EHR. However, many respondents formulated concerns with regard to data protection and data security within an EHR. The EHR functionalities most supported by respondents included the electronic vaccination record, online information on doctors and hospitals, and the administration of appointments and reminders.
The results indicate a generally positive attitude towards the EHR. However, the study shows that data protection is an issue for many citizens, and that despite strong media discussion, there are information deficits with regard to the national EHR initiatives.
在德国和奥地利，公民的接受程度似乎对电子健康记录（EHR）的未来成功至关重要。我们分析了公民对 EHR 的概念和内容的了解程度和期望。我们还探讨了可能存在的担忧和障碍，并研究了奥地利和德国公民对 EHR 功能的期望。
在两个大都市中，通过便利抽样对 203 名奥地利公民和 293 名德国公民进行了标准化访谈。
多达四分之三的接受采访的公民已经在家中收集和存储医疗文件，主要以纸质形式存储。没有受访者已经使用过基于互联网的个人健康记录。80%至 90%的受访者支持在医疗保健提供者之间进行健康相关数据电子交换作为 EHR 的核心功能的想法。然而，许多受访者对 EHR 中的数据保护和数据安全表示担忧。受访者最支持的 EHR 功能包括电子疫苗记录、医生和医院的在线信息，以及预约和提醒管理。
研究结果表明，公民对 EHR 的态度普遍较为积极。然而，研究表明，数据保护是许多公民关注的问题，尽管媒体进行了大量讨论，但对于国家 EHR 计划，公民的信息仍然存在不足。
