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Letters | How Hong Kong can turbocharge e-sharing of medical records

  • Readers discuss plans to upgrade the government’s eHealth system, and the fine line between an independent review and advertising

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A poster explaining how to register for the eHealth system is displayed at a post office in Sham Shui Po on February 17. Four-fifths of the population have signed up for the city’s electronic health record system, but more than 70 per cent have yet to share their information with private service providers, according to government figures. Photo: Yik Yeung-man
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The Health Bureau proposes to spend nearly HK$1.4 billion (US$179 million) on an eHealth+ initiative which will better integrate electronic health records, facilitate clinical processes and enable the cross-border transfer of medical data.

Launched in 2016, eHealth is a system that allows healthcare providers to access patients’ records in public and private healthcare facilities with the patient’s authorisation, thus helping reduce medical errors.

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Registration figures for eHealth across the city look good. All public and private hospitals and nearly 3,000 private healthcare organisations have registered to use the platform, involving about 5,400 service locations and 80 per cent of the total number of registered doctors. In addition, 80 per cent of Hong Kong’s population have also registered for the service.

However, of the 6 million registrants, more than 70 per cent have not given “sharing consent” to private healthcare providers that would authorise private doctors to upload their medical records. As a result, information uploaded by private medical organisations accounts for less than 1 per cent of the data on the platform, which “has become an obstacle” to providing “continuity of care”, according to the Health Bureau.

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One of the reasons is privacy concerns, according to local patient rights concern groups. Privacy and data ownership of digital health records are issues that remain unresolved in many places.

Today, other than facilitating personal health care, digital health records are used extensively by public health researchers in some countries to analyse population health. But what if there were a conflict between personal privacy and these big data analysis projects?
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