title: Electronic health records within integrated care in Germany.
abstract: The planned introduction of an electronic health card is seen as a milestone in the dissemination of extended electronic health records in Germany. This paper deals with the main issues likely to result from the use of the electronic health insurance card. The role of the patient in the health care process and the patients enhanced access to his or her personal medical record are reflected. A high level of acceptance of the electronic health insurance card and extended electronic documentation procedures can be expected if ethical, legal, and technological concerns of the public are addressed and appropriate incentives are established. Finally, the electronic health insurance card can serve as a useful aid to support the ongoing implementation of disease management programs for the most important chronic conditions in Germany.
authors.affiliation: Institute for Medical Care Management and Health Sciences, University of Bayreuth, Bayreuth, Germany. kj@3med.com
authors.forename: Karl
authors.initials: K
authors.lastname: Jähn
authors.forename: Anja
authors.initials: A
authors.lastname: Gärtig-Daugs
authors.forename: Eckhard
authors.initials: E
authors.lastname: Nagel
mesh_terms: D001294:Attitude to Health; D016494:Computer Security; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D004059:Diffusion of Innovation; D019468:Disease Management; D005858:Germany; D006284:Health Plan Implementation; D006801:Humans; D007348:Insurance, Health; D007349:Insurance, Health, Reimbursement; D016347:Medical Records Systems, Computerized; D009042:Motivation