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A technological model to define access to electronic clinical records
Andrew Dalley1, John Fulcher, David Bomba
1Illawarra Division of General Practice, Wollongong NSW 2500, Australia.
Summary
A new model enables secure access to electronic health records for regional Australian healthcare providers. This system ensures that provider access rights are flexible, manageable, and clearly communicated.
Area of Science:
- Health Informatics
- Information Systems in Healthcare
- Regional Health Services
Background:
- Limited access to electronic health records (EHRs) in regional settings can impede coordinated patient care.
- Existing health information systems may not adequately address the dynamic access needs of diverse healthcare providers.
- The Australian regional healthcare context presents unique challenges for implementing shared digital health solutions.
Purpose of the Study:
- To describe a functional model for accessing electronic health records (EHRs) among a limited group of healthcare providers in an Australian regional area.
- To establish design criteria for managing provider access rights within the EHR system.
- To ensure the developed model supports assignable, revokable, transportable, and informable access permissions.
Main Methods:
- Development of a functional model for EHR access.
- Implementation within a small cohort of healthcare providers in a specific Australian regional setting.
- Defining and applying design criteria for provider access rights management.
Main Results:
- A functioning model for accessing electronic health records was successfully deployed.
- Provider access rights were demonstrated to be assignable, revokable, transportable, and informable.
- The model facilitated cross-provider access to EHRs within the regional setting.
Conclusions:
- The described model provides a viable solution for enhancing EHR accessibility in regional Australian healthcare.
- The design criteria ensure robust and flexible management of provider access to sensitive health information.
- This approach supports improved information sharing and potentially better patient care coordination in underserved areas.