Factors Influencing the Strategic Governance of EHR Interoperability: A Rapid Literature Review

Stud Health Technol Inform. 2024 Aug 22:316:127-131. doi: 10.3233/SHTI240361.

Abstract

While the importance of Electronic Health Records (EHR) interoperability is widely recognised in the healthcare digitalisation context, its optimal governance structure remains controversial, requiring further research. Through the rapid literature review of 32 articles retrieved from PubMed and EBSCO, 47 distinct factors under ten categories were established. The three most cited factors in the reviewed 32 articles were "Robust inter-institutional connections, trust, and the technologies to ensure security", "Legal adaptations to the evolving digitalisation needs", and "Standardisation of terminologies and codes, and harmonised data structure". This review contributes preliminary results for the ongoing research to optimise EHR interoperability governance.

Keywords: Electronic Health Records; Governance; Health Information Management; Interoperability.

Publication types

  • Review

MeSH terms

  • Electronic Health Records* / organization & administration
  • Health Information Interoperability
  • Medical Record Linkage
  • Systems Integration