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Evaluating a Proof-of-Concept Approach of the German Health Telematics Infrastructure in the Context of Discharge Management

  • Although national eHealth strategies have existed now for more than a decade in many countries, they have been implemented with varying success. In Germany, the eHealth strategy so far has resulted in a roll out of electronic health cards for all citizens in the statutory health insurance, but in no clinically meaningful IT-applications. The aim of this study was to test the technical and organisation feasibility, usability, and utility of an eDischarge application embedded into a laboratory Health Telematics Infrastructure (TI). The tests embraced the exchange of eDischarge summaries based on the multiprofessional HL7 eNursing Summary standard between a municipal hospital and a nursing home. All in all, 36 transmissions of electronic discharge documents took place. They demonstrated the technical-organisation feasibility and resulted in moderate usability ratings. A comparison between eDischarge and paper-based summaries hinted at higher ratings of utility and information completeness for eDischarges. Despite problems with handling the electronic health card, the proof-of-concept for the first clinically meaningful IT-application in the German Health TI could be regarded as successful.

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Author:Ursula Hübner, Georg Schulte, Björn Sellemann, Matthias Quade, Thorsten Rottmann, Matthias Fenske, Nicole Egbert, Raik Kuhlisch, Otto Rienhoff
Parent Title (English):Studies in Health Technology and Informatics
Document Type:Article
Date of Publication (online):2020/09/28
Year of first Publication:2015
Provider of the Publication Server:FH Münster - University of Applied Sciences
Release Date:2020/09/29
First Page:492
Last Page:496
Faculties:Gesundheit (MSH)
Publication list:Sellemann, Björn
Licence (German):License LogoBibliographische Daten