title: Towards lifetime electronic health record implementation.
abstract: Integrated care concepts can help to diminish demographic challenges. Hereof, the use of eHealth, esp. overarching electronic health records, is recognized as an efficient approach. The article aims at rigorously defining the concept of lifetime electronic health records (LEHRs) and the identification of core factors that need to be fulfilled in order to implement such. A literature review was conducted. Existing definitions were identified and relevant factors were categorized. The derived assessment categories are demonstrated by a case study on Germany. Seven dimensions to differentiate types of electronic health records were found. The analysis revealed, that culture, regulation, informational self-determination, incentives, compliance, ICT infrastructure and standards are important preconditions to successfully implement LEHRs. The article paves the way for LEHR implementation and therewith for integrated care. Besides the expected benefits of LEHRs, there are a number of ethical, legal and social concerns, which need to be balanced.
authors.affiliation: Technische Universität Dresden, Faculty of Business and Economics, Chair of Wirtschaftsinformatik, esp. Systems Development, 01062 Dresden, Germany.
authors.forename: Kai
authors.initials: K
authors.lastname: Gand
authors.affiliation: Technische Universität Dresden, Faculty of Business and Economics, Chair of Wirtschaftsinformatik, esp. Systems Development, 01062 Dresden, Germany.
authors.forename: Peggy
authors.initials: P
authors.lastname: Richter
authors.affiliation: Technische Universität Dresden, Faculty of Business and Economics, Chair of Wirtschaftsinformatik, esp. Systems Development, 01062 Dresden, Germany.
authors.forename: Werner
authors.initials: W
authors.lastname: Esswein
mesh_terms: D066264:Datasets as Topic / Q000592:standards*; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D057286:Electronic Health Records / Q000458:organization & administration*; D005858:Germany; D016247:Information Storage and Retrieval / Q000592:standards; D038622:Internationality; D062527:Meaningful Use / Q000458:organization & administration*; D008498:Medical Record Linkage / Q000379:methods*; D017146:Models, Organizational; D017410:Practice Guidelines as Topic