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Journal of Healthcare Engineering
Volume 2, Issue 3, Pages 389-403
Research Article

Materialization of Regional Health Information Networks in Greece: Electronic Health Record Barriers & Enablers

Dimitrios G. Katehakis, Stelios Halkiotis, and Angelina Kouroubali

Institute of Computer Science, Foundation for Research and Technology-Hellas, Heraklion, Crete, Greece

Received 1 July 2010; Accepted 1 May 2011

Copyright © 2011 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This paper draws upon the experience of production level implementations, initiated through public procurement, of four regional health information networks (RHINs). The RHINs are being implemented in four regional health authorities (RHAs) in Greece to support patient-centred services. This paper focuses on three key areas: (i) engineering issues related to the deployment of an integrated electronic health record (EHR) system, (ii) management issues regarding implementation and planning, and (iii) socio-organizational issues influencing the outcome of large scale EHR implementations. The complexity of the health sector is also presented focusing on EHR barriers and enablers at institutional and regional levels. Reasons why EHR system implementations have not progressed as expected are also discussed.