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Balancing Personalisation and Interoperability: An Enterprise Architecture Approach to Person-Centred Digital Health
Jordi Piera-Jiménez1, Michael Rigby2, Kathrin Cresswell3
1Catalan Health Service, Barcelona, Spain.
Abstract:
Digital health implementations face a fundamental tension between personalisation (tailoring to individual needs) and interoperability (standardisation for data exchange). This paper distinguishes personalisation from person-centred care, examines how enterprise architecture principles reconcile these competing demands, and proposes a three-layer framework balancing flexibility at user interfaces with standardisation in data infrastructure. The paper argues for organisations to adopt ecosystem-aware design recognising that standardisation and personalisation operate at different architectural layers serving complementary purposes.
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