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    Area of Science:

    • Health Informatics
    • Digital Health Systems
    • Public Health Policy

    Background:

    • Estonia's health record system faced initial challenges during a reorganization.
    • General Practitioners (GPs) temporarily lost access to patient information.

    Purpose of the Study:

    • To analyze the development and success factors of Estonia's digital health record system.
    • To understand how initial disruptions influenced the system's evolution.

    Main Methods:

    • Qualitative analysis of Estonia's health information system implementation.
    • Case study approach focusing on the period of reorganization.

    Main Results:

    • The system's rapid advancement is highlighted as a success story.
    • Initial access issues spurred innovation and integration.

    Conclusions:

    • Estonia's digital health record system demonstrates successful adaptation and progress.
    • Disruptions can catalyze the development of robust health information systems.