University Of Tasmania
SHTI227-0008.pdf (166.05 kB)

Avoiding failure for Australia’s digital health record: the findings from a rural e-health participatory research project

Download (166.05 kB)
journal contribution
posted on 2023-05-18, 21:12 authored by Helen AlmondHelen Almond, Elizabeth CummingsElizabeth Cummings, Paul TurnerPaul Turner
Low adoption and use of Australia’s digital health record has driven the Australian Government to trial ‘opt-out’ registration from mid-June 2016. The assumption that automatic registration will increase use and thereby deliver benefit requires further investigation especially amongst those sections of the population in rural, regional, remote Australia living with complex chronic conditions. This paper reports on findings from a community based participatory e-health research project based on an initiative where people with complex chronic conditions and their carers attended a rural health promotion and lifestyle modification program. Through co-operative enquiry, health promotion officers and their clients were actively supported to adopt and use Australia’s digital health record as an intervention. Simultaneously they were encouraged to reflect on its design and their perceptions of its overall impact on their individual ability to self-manage complex chronic conditions. The findings, ultimately contributing to a conceptual implementation and evaluation framework for Australia’s digital health record that could directly avoid failure of the new ‘opt-out’ approach being adopted.


Publication title

Studies in Health Technology and Informatics








School of Nursing


IOS Press

Place of publication


Rights statement

Copyright 2016 The Authors and IOS Press Licensed under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

Repository Status

  • Open

Socio-economic Objectives

Health education and promotion