Analysis of the preconditions for implementation of nationwide EHR systems

Abstract

The implementation of e-Health or EHR systems at national level is a major challenge for any country in the world. This is due to complexity of the architecture of the technical solution, significant number of involved parties – institutions, professionals, patients, etc., but also because of the great changes that are made with the introduction of the system. In order to have successful implementation, i.e. to reach the planned goals and benefits, certain key conditions need to be met. This paper provides a detailed analysis of health and e-health systems in Macedonia (MK) and Serbia (RS) that was used to meet several key prerequisites before or during the implementation of national e-health systems. The undertaken legislative changes are explained and a description of the selected system on conceptual level that most appropriately fits the required prerequisites for the implementation of e-health system is provided.